Mobile Enrollment Insurance Specialist
About The Position
Pine Street Inn Housing provides comprehensive, intensive case management support to chronically homeless individuals with histories of substance abuse and mental illness. Using the Housing First model, Pine Street works with these individuals to promote their long-term stability in housing and the end of homelessness in Boston. Under the direction of the Director of Medical Billing and Compliance, the Mobile Enrollment and Insurance Specialist will work across the entire housing portfolio to provide support to Pine Street Inn clients through their CSP-HI benefits. This will include pre-housing tenants, working with various teams across Pine Street Inn (Housing Placement Program and Emergency Services), and helping to identify individuals who are newly-housed who require intensive support. The position will also engage existing tenants whose insurance benefits have been lost to help with reinstatement. The Mobile Enrollment and Insurance Specialist also assists Case Managers across PSI’s portfolios with problem-solving issues with obtaining Social Security Benefits and SNAP benefits. Note: All credentials and licensures will be reviewed annually as part of the PSI credentialing process. Additionally, an annual CORI review and OIG Medicaid Fraud checks will be conducted for the Mobile Enrollment and Insurance Specialist. Acceptable results of annual credentialing, CORI reviews, and OIG Medicaid Fraud checks will be required of the Mobile Enrollment and Insurance Specialist.
Requirements
- High School Diploma or GED
- Experience working with individuals affected by substance abuse, mental illness, trauma, homelessness, and/or other complex disorders
- A minimum of two years' experience working in a human services organization, hospital setting, or community-based clinic setting
- Computer skills sufficient for data gathering, documentation, and reporting
- Certified Application Counselor or willing to be certified within 180 days of hire date
- Self-motivated individual with the ability to work independently as well as with a team, and willingness to learn
Nice To Haves
- Bachelor's Degree
- Bi-lingual — Spanish/English
- Experience enrolling individuals in entitlement programs and enrolling individuals in MassHealth Insurance Programs (including MCOs, One Care, and SCO plans) or experience with Third Party Billing for Medicaid and/or Medicare-reimbursable programs
- Experience in working with DTA and SNAP enrollments/verifications
- Experience in providing supportive housing
- Experience working with chronically homeless individuals in Housing First programs
- Experience with HMIS systems and HIPAA requirements incumbent on electronic medical recordkeeping
- Experience with generating and interpreting insurance eligibility files
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
