Eligibility Specialist

Full Time
Revere, MA 02151
$20 - $25 an hour
Posted Just posted
Job description
Enrollment & Eligibility Specialist
Revere, MA
Full-time, benefits-eligible
Monday-Friday 8am-5pm
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). Strong knowledge of MassHealth eligibility required, as well as strong knowledge of the overall Medicare eligibility of Part A, B and D. We serve members in the following communities; East Boston, Chelsea, Winthrop, Revere, Everett, Malden, Medford, Melrose, Stoneham and Boston’s North End.

Essential Duties & Responsibilities:
  • 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/GED
  • 2 years’ experience in health care office setting performing health insurance enrollment functions
  • Valid Massachusetts driver’s license and reliable transportation
  • Fluency in either Spanish OR Arabic required
  • Achieve full bilingual fluency by passing EBNHC requirement for Bilingual Evaluation
Benefits:
  • Medical, dental, and vision coverage.
  • Life and disability insurance.
  • 401(k) retirement plan.
  • Tuition reimbursement.
  • Flexible spending and transportation accounts.
  • Paid holidays, vacations, sick, and personal time.
  • Generous staff development benefit.
  • Excellent malpractice coverage.
  • Pet insurance.
  • Free parking.
  • And much more.

EBNHC opens our doors to people from all demographics and cultures. Our workforce is as diverse as the city we call home — in gender, race, ethnicity, sexual orientation, disability, religion, and age, as well as in cultural backgrounds, life experiences, thoughts, and ideas.



About East Boston Neighborhood Health Center:

Everywhere you turn, you can feel it: Passion and commitment at the East Boston Neighborhood Health Center (EBNHC), the largest community health center in Massachusetts and one of the largest in the country. From the nurses and physicians on the frontlines of patient care, to the managers who shape policy, to the customer service representatives who keep our facilities running smoothly — everyone here has a role in making medicine better. Striving to be an employer of choice, we offer progressive benefits, a variety of schedules, and the satisfaction of working with a diverse workforce whose unity of purpose is a real force for achievement. Plus, our Education & Training Institute is an attractive resource for many of our employees who seek to broaden their skill base and advance their careers. For the eighth time, East Boston Neighborhood Health Center has been named one of the Top Places to Work in Massachusetts by the Boston Globe! This award recognizes the most admired workplaces in the state voted on by the people who know them best — their employees. Read on to see how we’re striving to be an employer of choice. 1. SENSE OF PURPOSE Founded during the Civil Rights Movement, EBNHC provides high-quality care to all without regard to age, race/ethnicity, insurance status or ability to pay. As the largest community health center in Massachusetts and one of the largest in the nation, EBNHC opens its doors to patients from all demographics and cultures and provides them with the same quality care. Our staff is unified and passionate about fulfilling this mission. We believe we can change medicine for the better and we do it every day. 2. FOCUS ON DIVERSITY AND EQUITY Our workforce is as diverse as the city we call home — in gender, race, ethnicity, sexual orientation, disability, religion, and age, as well as in cultural backgrounds, life experiences, thoughts, and ideas. We know that neighbors who share cultures, concerns, and goals understand one another, and that that understanding reduces barriers to care and opens doors to opportunity. We’re committed to fostering an inclusive and equitable environment for all inside and outside the health center. 3. STRONG LEADERSHIP EBNHC’s leaders are instrumental in shaping healthcare policy across Massachusetts and is dedicated to creating equity in medicine. Their efforts along with tireless work of our frontline staff have led to more than 100,000 vaccine doses administered in neighborhoods hit hardest by the pandemic including East Boston, Chelsea, Revere, Winthrop, Everett, and the South End. 4. TRAINING AND ADVANCEMENT Our Education & Training Institute is an attractive resource for many of our employees who seek to broaden their skill base and advance their careers. More than half of our employees reside in our service area. By bringing education and training opportunities to the community, we provide employees and community members with the education and skills needed to obtain well-paying jobs in health care, ultimately strengthening the local economy. 5. FLEXIBILITY AND PROGRESSIVE BENEFITS The workplace is undergoing a once-in-a-lifetime transformation, and organizations that embrace that change, and put their employees’ needs first rise to the top. To attract and retain outstanding staff members, we nurture and maintain a supportive environment that reflects our mission and culture. That includes offering important benefits like medical, dental, life and disability insurance, paid time off, flexible spending and transportation accounts and excellent malpractice coverage so that you can be your best inside and outside of work.

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