Enrollment & Eligibility Specialist

NeighborHealth•Revere, MA

6d•$22 - $32

About The Position

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 you're 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, we’re 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. 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 elder’s 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 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.

Requirements

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

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 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.