Benefits & Eligibility Specialist (Hybrid)

Mass; Worcester (MA); Vor Ort; USD 66.000 - 90.000; Vollzeit

Zusammenfassung

MassHealth Operations is seeking a Benefits and Eligibility Representative to join a fast-paced call center environment. The role evaluates and determines applicant eligibility for medical assistance, handling documentation, inquiries, and eligibility updates in line with MassHealth policy.

The successful candidate will report in-person five days a week for nine months; a hybrid schedule may be considered thereafter. Strong customer service and attention to detail are essential.

Qualifikationen

• MINIMUM ENTRANCE REQUIREMENTS: At least two years of full-time, or equivalent part-time, professional or paraprofessional experience in social work or related fields.
• SUBSTITUTIONS: A Bachelor’s or higher degree may substitute for required experience at two years of education per one year of experience.
• LICENSES: Travel may be required; valid Massachusetts driver’s license if travel is assigned.

Aufgaben

• Interview applicants for benefits and help complete eligibility forms and verifications.
• Evaluate documents to determine initial and continued eligibility for MassHealth programs.
• Contact applicants and collateral sources to obtain missing information and determine immigrant status.
• Review updated demographic and financial data for eligibility updates.
• Explain eligibility rules, appeal rights, and procedures to customers and external parties.
• Represent the agency at hearings and prepare explanations of determinations.

Kenntnisse

Active listening

Information ordering

Comprehension

Expression

Written comprehension

Written expression

Evaluating information

Problem identification

Adaptability & flexibility

Attention to detail

Jobbeschreibung

MassHealth Operations is seeking a Benefits and Eligibility Representative to join a fast-paced call center environment. The role evaluates and determines applicant eligibility for medical assistance, handling documentation, inquiries, and eligibility updates in line with MassHealth policy.

The successful candidate will report in-person five days a week for nine months; a hybrid schedule may be considered thereafter. Strong customer service and attention to detail are essential.