Enrollment & Eligibility Specialist

Location

300 Ocean Avenue – Revere

Full time

PACE Enrollment and Eligibility

Under the direction of the Neighbor Health PACE Senior Care Benefits Manager, 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 Neighbor Health PACE by completing Mass Health 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.

• Strong knowledge of Mass Health 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 Neighbor Health PACE, including online eligibility checks, initial and annual Mass Health 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

• 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

21.51 up to 32.26 based on experience

Neighbor Health 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 expression or any other non‑job‑related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e‑mail to  or call 617‑568‑4480 to let us know the nature of your request.

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Neighbor Health participates in the Electronic Employment Verification Program, E‑Verify. As an E‑Verify employer, all prospective employees must complete a background check before beginning employment.