Benefits Specialist (Application Counselor)8a-4:30pm

HealthCare Access Maryland•Baltimore, MD

14h•Onsite

About The Position

The Benefits Specialist (Certified Application Counselor) supports incarcerated individuals by providing in-person application and enrollment assistance through the Maryland Health Connection. This role is responsible for helping individuals understand their health coverage options, complete eligibility applications, and enroll in private or public health insurance programs such as Medicaid, MCHP, and Qualified Health Plans. The Benefits Specialist provides unbiased, accurate information to support informed consumer decision-making and ensures compliance with state and federal requirements.

Requirements

High school diploma or equivalent required
One year of experience in customer service, outreach, or eligibility application assistance required
Must obtain Certified Application Counselor (CAC) certification within 45 days of hire and maintain certification throughout employment.

Nice To Haves

Associate’s or Bachelor’s degree in a health, human services, or related field preferred.

Responsibilities

Maintain certification as a Certified Application Counselor (CAC) through the Maryland Health Benefit Exchange.
Participate in trainings, meetings, and required continuing education.
Follow all HCAM and MHBE policies, protocols, and compliance requirements.
Document all outreach, enrollment, and case follow-up activities accurately in designated systems such as Salesforce or HBX.
Track case status, application progress, and enrollment outcomes.
Maintain strict confidentiality in accordance with HIPAA, MARS-E, and agency protocols.
Provide consumers with information about health and dental insurance options, including Qualified Health Plans (QHPs), Medicaid, MCHP, and Advance Premium Tax Credits (APTC).
Assist consumers with submitting eligibility applications through the Maryland Health Connection.
Facilitate plan comparison, selection, and enrollment.
Offer consumers access to approved materials on all Managed Care Organizations (MCOs), including report cards, benefits, and provider networks.
Participate in in-person outreach and enrollment events as assigned.
Maintain knowledge of program changes, eligibility guidelines, and enrollment timelines.
Meet productivity, quality, and compliance expectations.
Collaborate with colleagues and community partners to support consumers.
Perform other duties as assigned.