Insurance Specialist

2 weeks ago

Brockton, United States Brockton Neighborhood Health Center Full time
Job DescriptionJob DescriptionInsurance Specialist – Full TimeCape Verdean Creole, Portuguese, Spanish, Haitian Creole $17.03 - $20.21 POSITION SUMMARY:Meets with patients to enroll them in insurance programs and follows up on completed applications.PRINCIPAL DUTIES AND RESPONSIBILITIES:
  1. Meets with patients and assist them in enrolling in insurance programs for which they are eligible via the Mahealthconnector. Reviews all applications received for completeness and documentation accuracy.
  2. Screens patients to follow up on documentation requirements for application processing. Assists patients when shopping through the Health Connector and Masshealth for their plan eligibility.
  3. Educates patients about managed care programs that the health center accepts.
  4. Assists patients with enrolling into manage care organization and follow up with enrollment status.
  5. Assists registration and other departments in verifying health insurance coverage for patients.
  6. Assists patients in selecting primary care provider for various insurances including commercial insurances.
  7. Assists Health Safety Net patients with hospital billing issues, updates billing department of patients’ insurance changes.
  8. Enters patients’ insurance updates in Next Gen system.
  9. Meets with OB patients by their first visit to enroll in an insurance plan. Follows up with OB patients to maintain insurance coverage.
  10. Attends quarterly Masshealth Training Forum related to changes in health care insurance.
  11. Attends department and all staff meetings.
  12. Provides cross coverage for the Department.
  13. Filing
  14. Refers patients to social services as needed.
  15. Maintain yearly CAC certification.
  16. Other related duties as assigned.
MINIMAL SKILLS AND KNOWLEDGE REQUIREMENTS:High school diploma or equivalent. Associates Degree preferred. Must have knowledge of community and neighborhood served by Health Center. Knowledge of managed care preferred. Must be able to work independently with effective communication skills. Ability to relate to staff and patients in a professional manner. Good organizational and telephone skills. Bilingual required.WORKING CONDITIONS:Works in a busy community health center in downtown business district. Interruptions are present and can be disruptive to work flow. Stress is present due to a high volume of work, diversified nature of activities and frequent crises and deadlines.PHYSICAL REQUIREMENTS:Physical demands require lifting of small pieces of office equipment and/or boxes not to exceed 20 lbs. Standing, walking and sitting involved with position. Visual acuity sufficient for reading, Hearing acuity for holding conversations with or without the use of audio devices.About us: BNHC is a multicultural organization that collaborates with community agencies and residents to provide high quality comprehensive health care. We are committed to health promotion and disease prevention. BNHC began providing services in 1994 in a mobile medical van operating out of a church parking lot. Since then, the center has rapidly grown to provide desperately needed services to low-income and marginalized populations in the greater Brockton area. BNHC is committed to providing care that is responsive to community health needs and is linguistically, culturally and financially accessible. BNHC serves an extremely diverse patient population including Brazilian, Cape Verdean, Haitian, Latino, Portuguese, African American and Caucasian, 77% of whom live in poverty. BNHC is committed to providing a safe and heathy environment for patients and staff. As a condition of employment, employees, to include new hires, are required to be fully vaccinated to include the most recent COVID 19 booster and annual flu vaccines, with the exception of those who have documented medical or religious exemptions, that must be approved by BNHC according to its protocols. Additional vaccines may be required based on the recommendation of the CDC. New hires who are not yet vaccinated for flu or COVID can arrange to be vaccinated on site.

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