Financial Counselor

Harbor Health Services, Inc.•Plymouth, MA

1d•Onsite

About The Position

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. We are seeking a talented Financial Counselor to join our team at the Harbor Community Health Center in Hyannis.

Requirements

High school diploma or equivalent
1 year of experience in a professional office environment, (may substitute bilingual capacity for year of experience)
CAC Certification required within 30 days of employment
Excellent data entry and organization skills and verbal and written communication skills
Third party billing experience preferred
Bilingual English/Portuguese or English/Spanish preferred
Intermediate Office 365 skills (Word, Excel, Outlook and Teams) preferred and experience with MassHealth and Health Connector desired

Responsibilities

Evaluates patient data and makes determination of eligibility for specific insurer(s) program(s), including HSN (Health Safety Net) in accordance with program guidelines.
Provides information to consumers about the full range of Qualified Health Plan (QHP) options and insurance affordability programs for which they are eligible.
Assists patients with completing all required documentation for enrollment in accordance with program guidelines.
Assists patients with Assister portal to create new application and complete existing application.
Processes all required paperwork in accordance with program guidelines.
Enters pertinent information into appropriate systems daily in accordance with program guidelines.
Validates and edits as necessary that data is accurate and timely in the correct systems.
Prepares HRSA monthly reports.
Provides on-going advocacy between patient and insurer as required.
Educates health center staff on the forms and requirements of the program.
Edits and makes entries to both the automated and manual systems as necessary for corrections to addresses name changes, dependents, etc.
Manages correspondence received from MassHealth.
Completes ongoing training provided by MassHealth and the Health Connector.