Monday, 2 July 2012

Patient Enrollment Specialist (Greater Boston)

Details: Improving the lives of the uninsured and underinsured in our communities… Boston-based Healthcare Financial, Inc., founded in 1999, is a privately owned for-profit company specializing in connecting low income and disabled individuals, families, children and elderly with public health insurance benefits. We specialize in advocating for the socially and/or medically complex applicant. Our clients include hospitals, managed care plans, community health centers, nursing homes, and the people they serve. EMPLOYMENT OPPORTUNITY: Patient Enrollment Specialists (North Shore/Boston Area)   Educates client and family members on various medical/health programs and the importance of utilizing them. Determines eligibility, assists in completion of appropriate applications, and serve as an advocate and representative.  Work in close collaboration with clients and referring hospitals to identify potential qualifying events to further enroll the client in the appropriate health coverage program for our Massachusetts Operations.   ESSENTIAL DUTIES AND RESPONSIBILITIES: Educates patient and family members on various medical outreach programs and the importance of utilizing the programs.  Distributes educational materials on HFI and government programs. Identifies appropriate programs for patients and facilitates enrollment and funding if needed.  Helps patient obtain necessary resources. Screens patients in hospitals, clinics, health centers, and/or patient’s home. Also, performs telephone screening of patients to determine eligibility. Completes necessary health insurance forms within the timelines established. Documents cases including assessment and patient's consent to obtain assistance and release forms. Identifies and manages referrals in accordance with company guidelines. Visits patient’s homes to determine patient and family needs for follow-up on application process. Travels to hospitals and other client sites throughout the day as assigned. Advocates on a case, policy and program level by understanding individual needs. Demonstrates receptive, empathic and sensitive attitudes by understanding and valuing cultural diversity. Provides linkage with appropriate community and government resources by maintaining knowledge of other systems, making referrals and identifying other unmet needs. Represents the company while visiting our clients on assigned schedules; including hospitals, patient’s home and the community.

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