About

• Description

SUMMARY

• Under general direction of the Financial Counselor Manager, this position is responsible for counseling patients regarding insurance benefits and recommend alternate sources of payments and financial assistance to uninsured/underinsured patients and families. They assist patients with applying for MassHealth and private insurance applications through the Health connector, check MassHealth and private insurances throughout the online portals for eligibilities, re-determination, and recent disenrollment. Act as DotHouse Health lead in helping patients maintain insurance coverage to ensure reimbursement for services.

GENERAL DUTIES & RESPONSIBILITIES

• Assist patients with the MassHealth and private insurance application process using mahealthconnector.org
• Review MassHealth documentation for updated messaging.
• Follow-up with patients as necessary.
• Interview insured and uninsured patients to determine eligibility for state programs and private products.
• Review and document financial collection eligibility
• Verify insurances a week in advance as well as PCP and PCC assignments to patients’ insurance.
• Help Patient with Medicare Products (Medicare D and C Enrollment )
• Assist in performing office support duties, which may include answering phone calls, retrieving messages from voice mail, financial counseling tasks, providing office assistance as needed.

• Requirements

REQUIRED SKILLS & COMPETENCIES

• Education: High school diploma or equivalent, Associates degree a plus. Obtain and maintain Certified Application Counselor (CAC) certification.

Experience

• Previous experience in health facility, insurance coordination role or comparable experience in a health care or managed care organization desired
• Ideal candidate should possess strong organizational/interpersonal/communications/customer service skills.
• The ability to work independently and perform multiple activities efficiently in a timely and accurate manner
• Knowledge of HIPAA, Medicare/FQHC, Medicaid
• Bilingual candidates strongly encouraged to apply