Financial Counselor

H

Harbor Health Services, Inc.

Posted 2 months ago

Full Time

Plymouth, Massachusetts

In Person

Smart Summary

Responsibilities

The Financial Counselor assists patients with health insurance education, eligibility determination, and the completion of enrollment applications. They also act as an advocate between patients and insurance providers while maintaining accurate records in the system.

Qualifications

You have a high school diploma or equivalent and at least one year of experience in a professional office environment. You will also need to obtain CAC Certification within 30 days of employment. Excellent data entry, organization, verbal, and written communication skills are essential.

Must Have Skills for ATS

HSN

Qualified Health Plan (QHP)

MassHealth

Health Connector

Office 365

Word

Excel

Outlook

Teams

CAC Certification

Job Description

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 580 frail elders who continue to live with dignity and independence in the community and a Woman, Infants and Children (WIC) Nutrition Program. We are seeking a talented Financial Counselor to join our team at the Harbor Community Health Center in Hyannis. 

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.   

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/Portuguese or English/Spanish preferred
  • Intermediate Office 365 skills (Word, Excel, Outlook and Teams) preferred and experience with MassHealth and Health Connector 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.

The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law).


Shifts may include 1 evening weekly (until 8:00 PM) and Saturday rotation.
Full Time, 40 hours weekly

H

Harbor Health Services, Inc.

Harbor Health Services, Inc. is a nonprofit, public health agency committed to providing quality, comprehensive health care in Metropolitan Boston urban neighborhoods, the South Shore and Cape Cod communities. We provide a wide network of health care services. Harbor Health owns and operates five community health centers including: Geiger Gibson Community Health Center, Daniel Driscoll - Neponset Health Center, Harbor Community Health Center- Hyannis, Harbor Community Health Center-Plymouth and the Ellen Jones Community Dental Center. In addition, Harbor Health administers the two Elder Service Plans in Boston and Brockton, a program providing care to frail elders in their place of residence, and the Women Infant Children Nutrition Program. Combined, Harbor Health’s community health centers serve as the “family doctor” for more than 22,000 patients and as the “family dentist” to an additional 13,400 patients. The Elder Service Plan cares for more than 490 members and Women Infant Children Nutrition Program serves more than 3000 women and their children.
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