Enrollment & Eligibility Specialist

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profile Job Location:

Revere, MA - USA

profile Monthly Salary: Not Disclosed
Posted on: 4 days ago
Vacancies: 1 Vacancy

Job Summary

Thank you for your interest in a career at NeighborHealth formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether youre a nurse or physician providing direct care a manager leading dedicated teams or part of the essential support staff who keep our operations running smoothly every role at NeighborHealth is vital. Together were advancing medicine and delivering the best care experience for our patients and community!

Interested in this position Apply online and create a personal candidate account!

Current Employees of NeighborHealth- Please use our internal careers portal to apply for positions.

To learn more about working at NeighborHealth and our benefits please visit out our Careers Page.

Time Type:

Full time

Department:

PACE Enrollment and Eligibility

All Locations:

300 Ocean Avenue Revere

Position Summary:

Under the direction of the NeighborHealth PACE Senior Care Benefits Manager the Enrollment and Eligibility Specialist will be responsible for the oversight of various services and insurance-related tasks that contribute to a frail elders initial and continued enrollment in NeighborHealth PACE by completing MassHealth applications and gathering all income assets and health insurance verifications in a timely manner. Visits are conducted in person in the frail elders home assisted living programs Neighborhood PACE sites and long term care facility (after enrollment). We serve members in the following communities; East Boston Chelsea Winthrop Revere Everett Malden Medford Melrose Stoneham and Bostons North End.

Essential Duties & Responsibilities:

  • Strong knowledge of MassHealth eligibility
  • Strong knowledge of the overall Medicare eligibility of Part A B and D
  • Verifying all insurances prior to and throughout the participants enrollment with NeighborHealth PACE this includes: online eligibility checks initial and annual MassHealth applications and Medicare Secondary Payers Surveys
  • Ensuring that all Medicare Part D YTD Explanation of Benefits are received and scanned into the system prior to enrollment.

Qualifications and Requirements:

  • High Diploma
  • 2 years experience in health care office setting performing health insurance enrollment functions
  • Valid Massachusetts drivers license and reliable transportation
  • Achieve full bilingual fluency by passing EBNHC requirement for Bilingual Evaluation

Pay Range:

21.51 up to 32.26 based on experience

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmativeaction employer. We ensure equal employment opportunities for all without regard to race color religion sex national origin age disability veteran status sexual orientation gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability please send an e-mail toor call to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications or apps. Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program E-Verify. As an E-Verify employer all prospective employees must complete a background check before beginning employment.


Required Experience:

IC

Thank you for your interest in a career at NeighborHealth formerly East Boston Neighborhood Health Center!As one of the largest community health centers in the country NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and c...
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Key Skills

  • Sales Experience
  • Crane
  • Customer Service
  • Communication skills
  • Heavy Equipment Operation
  • Microsoft Word
  • Case Management
  • OSHA
  • Team Management
  • Catheterization
  • Microsoft Outlook Calendar
  • EHS