Enrollment & Eligibility Specialist

Thank you for your interest in a career at NeighborHealth, formerly East Boston Neighborhood Health Center!

As one of the largest community health centers in the country, NeighborHealth is proud to serve the greater Boston area with a strong commitment to the health and well-being of our patients and communities.

Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep our operations running smoothly — every role at NeighborHealth is vital.

Together, we’re advancing medicine and delivering the best care experience for our patients and community!

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Time Type:
Full time

Department:
PACE Enrollment and Eligibility

All Locations:
300 Ocean Avenue – Revere

Position Summary:
Under the direction of the Neighborhood PACE Business Office Supervisor, the Enrollment and Eligibility Specialist will be responsible for the oversight of various services and insurance-related tasks that contribute to a frail elder’s initial and continued enrollment in Neighborhood PACE by completing MassHealth applications and gathering all income, assets and health insurance verifications in a timely manner.

Visits are conducted in person in the frail elder’s home, assisted living programs, Neighborhood PACE sites and long term care facility (after enrollment).

We serve members in the following communities; East Boston, Chelsea, Winthrop, Revere, Everett, Malden, Medford, Melrose, Stoneham and Boston’s North End.

Essential Duties & Responsibilities:


* Strong knowledge of MassHealth eligibility


* Strong knowledge of the overall Medicare eligibility of  Part A, B and D


* Verifying all insurances prior to and throughout the participant’s enrollment with Neighborhood PACE, this includes: online eligibility checks, initial and annual MassHealth applications and Medicare Secondary Payers Surveys


* Ensuring that all Medicare Part D YTD Explanation of Benefits are received and scanned into the system prior to enrollment.

Qualifications and Requirements:


* High Diploma


* 2 years’ experience in health care office setting performing health insurance enrollment functions


* Valid Massachusetts driver’s license and reliable transportation


* Achieve full bilingual fluency by passing EBNHC requirement for Bilingual Evaluation

Pay Range:

21.51 up to 32.26 based on experience

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer.

We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or exp...