Mobile Enrollment Insurance Specialist

Description

SCHEDULE:  40 Hours, Monday – Friday 8:00am- 4:30pm and as needed

Pays $42,000 $55,400.00 annually DOE  (Salary ranges provided are based on relevant experience and skill set) 

Location: 444 Harrison Ave and regional locations as needed. This position is eligible for hybrid work pursuant to PSI’s Remote Work Policy.

In the event of audits, licensing visits, or other organizational needs, on-site attendance may be required at Pine Street Inn locations.

The position is considered non-essential during weather or emergency events.  

SUMMARY OF THE POSITION

Pine Street Inn Housing provides comprehensive, intensive case management support to chronically homeless individuals with histories of substance abuse and mental illness. Using the Housing First model, Pine Street works with these individuals to promote their long-term stability in housing and the end of homelessness in Boston.

Under the direction of the Director of Medical Billing and Compliance, the Mobile Enrollment and Insurance Specialist will work across the entire housing portfolio to provide support to Pine Street Inn clients through their CSP-HI benefits. This will include pre-housing tenants, working with various teams across Pine Street Inn (Housing Placement Program and Emergency Services), and helping to identify individuals who are newly-housed who require intensive support. The position will also engage existing tenants whose insurance benefits have been lost to help with reinstatement.

The Mobile Enrollment and Insurance Specialist also assists Case Managers across PSI’s portfolios with problem-solving issues with obtaining Social Security Benefits and SNAP benefits.

Note: All credentials and licensures will be reviewed annually as part of the PSI credentialing process. Additionally, an annual CORI review and OIG Medicaid Fraud checks will be conducted for the Mobile Enrollment and Insurance Specialist. Acceptable results of annual credentialing, CORI reviews, and OIG Medicaid Fraud checks will be required of the Mobile Enrollment and Insurance Specialist.

Requirements

 QUALIFICATIONSREQUIRED

• High School Diploma or GED

PREFERRED

• Bachelor's Degree
• Bi-lingual — Spanish/English

KNOWLEDGE/EXPERIENCEREQUIRED

• Experience working with individuals affected by substance abuse, mental illness, trauma, homelessness, and/or other complex disorders
• A minimum of two years' experience working in a human services organization, hospital setting, or community-based clinic setting
• Computer skills sufficient for data gathering, documentation, and reporting
• Certified Application Counselor or willing to be certified within 180 days of hire date
• Self-motivated individual with the ability to work independently as well as with a team, and willingness to learn

PREFERRED

• Experience enrolling individuals in entitlement programs and enrolling individuals in MassHealth Insurance Programs (including MCOs, One Care, and SCO plans) or experience with Third Party Billing for Medicaid and/or Medicare-reimbursable programs
• Experience in working with DTA and SNAP enrollments/verifications
• Experience in providing supportive housing
• Experience working with chronically homeless individuals in Housing First programs
• Experience with HMIS systems and HIPAA requirements incumbent on electronic medical recordkeeping
• Experience with generating and interpreting insurance eligibility files