Specialist, Enrollment & Eligibility

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Time Type:

Full time

Department:

PACE Enrollment and Eligibility

All Locations:

300 Ocean Avenue – Revere

Position Summary:

Under the direction of the Neighborhood PACE Business Office Supervisor, the Enrollment and Eligibility Specialist will be responsible for the oversight of various services and insurance-related tasks that contribute to a frail elder’s initial and continued enrollment in Neighborhood 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 elder’s 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 Boston’s North End.
Schedule: Monday - Friday, 8AM - 5PM and includes flexibility based on department need

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 participant’s enrollment with Neighborhood 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 driver’s license and reliable transportation
• Bilingual in English and Spanish

Pay:

$24 - $36/hr, based on experience

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action 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 to [email protected] or call 617-568-4480 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.