Health Insurance Financial Counselor

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health.

Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod.

Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 450 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program.

To help further the mission of Harbor, we are looking for an extremely talented Financial Counselor to join our team at the Daniel Driscoll-Neponset Health Center.

Position is offered 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 / Spanish or English / Vietnamese (desired) or English / Portuguese preferred
• 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.

30 hours weekly