Specialist, Enrollment & Eligibility (Administrative)
Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!
Everywhere you turn, you can feel the immeasurable level of enthusiasm here at NeighborHealth! We are one of the largest community health centers in the country, supporting the greater Boston area and focusing on the well-being of our patients and local community. From the nurses and physicians on the front line of patient care, to the managers who lead and guide our staff, to the many support roles that keep our facilities running smoothly - everyone plays a vital role in improving medicine for our patients.
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.
Time Type:
Full timeDepartment:
PACE Enrollment and EligibilityAll Locations:
300 Ocean Avenue – ReverePosition Summary:
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). 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:
- 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 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
- 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
Pay Range:
21.51 up to 32.26 based on experience
