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Health Insurance Financial Counselor

4 months ago

Dorchester, United States Harbor Health Services Full time

Harbor Health Services is seeking a talented Financial Counselor to join our team at the Daniel Driscoll-Neponset Health Center. Harbor Health offers an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more

Role:

The Financial Counselor provides patients with information and education regarding health insurance whether their own or by enabling them to obtain insurance coverage; advocacy and liaison services with insurance providers; assists patients with completing and processing of insurance applications and related paperwork. Position is 30 hours weekly with potential evening and Saturday rotation.

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.

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/Vietnamese (highly desired) or English/French Creole
Intermediate Microsoft Office skills preferred and experience with MassHealth and Health Connector and EPIC EPM desired

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.