Summary:

The Health Benefits Advisor will provide education and enrollment opportunities for patients and community residents who lack access to healthcare and health insurance, provide application and follow-up assistance for enrolled individuals. In order to reach those most in need, this position will work predominantly internally and in the field through collaborations with local community-based organizations throughout Milford, Framingham, Worcester and surrounding towns. The goal of the position is to increase the number of individuals accessing and maintaining health insurance through the health insurance marketplace, MassHealth (Medicaid), and the Children's Health Insurance Program (CHIP) and to build and strengthen enrollment collaborations with partner organizations.

Essential Duties & Responsibilities:

• Verify patient identify adhering to Health Center procedures.
• Verify patient demographic and update when appropriate.
• Complete patient consent form when necessary and provide center’s information pertaining to the following: Center programs and services, Patient Rights and HIPAA brochures, hours of operation, 24 hour emergency call service, etc.
• Participate in Massachusetts trainings and fulfill requirements to become a Navigator within first three months of employment.
• Screen and assist patients in applying for MassHealth, Connector Care, Qualified Health Plans, Children’s Medical Security Plan, Health Safety Net and other applicable services to arrange needed coverage for medical services, via the states electronic system or paper form application.
• Provide structured education on health coverage, the redetermination process and the importance of maintaining medical coverage.
• Gather required documentation as needed and submit electronically with application or via fax in a timely manner. Schedule follow-up times to return with documents at outreach location of office hours as appropriate.
• Offer renewal assistance for enrolled individual and families.
• Educate all individuals and/or families that are eligible about their plan choices.
• Distribute outreach materials to patients, community members, partner organizations and businesses to build coverage option and awareness.
• Ensure equipment is available and operational and adequate materials are available to perform enrollment and education activities in the community for scheduled outreach activities.
• Maintain adequate inventory of print materials.
• Arrive at outreach sites with enough time to set up and be ready to greet customers promptly for scheduled shifts if applicable.
• Maintain collegial relationships with host sites, set up attractive work space to promote business; keep work space neat and leave space as it was when entered if applicable.
• Assist with promoting the program in the community through dissemination of flyers, posters, brochures, and word-of-mouth.
• Maintain a home-base with regularly scheduled hours at assigned Kennedy CHC office location if applicable.
• Accurately track required data and provide timely reports to ensure achievement of program.
• Responsibly and safely maintain all electronic equipment.
• Ensure privacy and confidentiality of all personal information.

Additional Job Duties:

• Participate in all scheduled departmental and Center-wide meetings; internal, external and on-line meetings and trainings relevant to position and professional development.
• Develop, discover and attend community events to promote coverage options and availability of services.
• Assist in the development of and implementation of outreach and enrollment initiatives.
• Backup reception as needed.
• Work on special projects as assigned by supervisor.

Qualifications:

• High School Diploma
• Minimum 1 year prior customer service experience
• Ability to work independently and problem-solve with little supervision.
• Perform data entry functions accurately. Strong clerical and typing skills.
• Excellent communication skills that are culturally and linguistically appropriate and understood by patients of varying backgrounds and educational levels.
• Valid driver's license and dependable vehicle.

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