Certified Application Counselor - FVH

Berkshire Health Systems; Great Barrington (MA); On-site; USD 45,000 - 65,000; Full time

Job summary

Berkshire Health Systems seeks a Certified Application Counselor to guide uninsured patients through the enrollment process for health coverage. This role requires effective communication, organization, and a strong understanding of health programs like MassHealth and Medicaid. The ideal candidate will have a Bachelor’s degree and at least two years of client-facing experience, with a commitment to service.

Qualifications

• 2+ years in social work or related fields with direct client contact.
• Certified Application Counselor (CAC) within 3 months of hire.

Responsibilities

• Facilitate enrollment of uninsured patients into health plans.
• Assist patients in selecting appropriate health coverage.
• Link eligible patients to primary and specialty care.

Skills

Effective written and verbal communication skills

Active listening skills

Strong analytical and problem-solving skills

Detail-oriented

Education

Bachelor's degree

Tools

Microsoft Office

Job description

Position: Certified Application Counselor

Schedule: Full Time, Shift 1, 8:00 AM - 4:30 PM, Monday - Friday

Posted Date: 06/27/2025

Primary Function

The Certified Application Counselor facilitates enrollment of uninsured and underinsured patients and community members into Qualified Health Plans through the Marketplace and other health coverage programs such as Medicaid and CHIP. They assist qualified individuals in making informed decisions about health plan selection. The counselor must be knowledgeable about federal and state regulations and community resources to inform patients of their eligibility for programs like MassHealth, Qualified Health Plans (including ConnectorCare), Health Safety Net, Medical Hardship, and prescription assistance programs. They also link eligible patients to free or reduced-cost primary and specialty care services when possible.

Qualifications

Experience

At least two years of professional or paraprofessional experience in social work, claims adjudication, job placement, recruitment, employment or vocational counseling, credit investigation, educational counseling, legal advocacy, or related fields involving direct client contact.

Education and Training

A Bachelor's degree may substitute for the required experience.

License, Certification & Registration

Certified Application Counselor (CAC) within 3 months of hire.

Other Requirements

• Effective written and verbal communication skills.
• Service-oriented attitude with a commitment to customer service and understanding others' needs.
• Active listening skills and the ability to ask pertinent questions.
• Highly organized with keen attention to detail and the ability to multi-task, including navigating a computer while on the phone.
• Sound judgment and composure in difficult situations.
• Strong analytical and problem-solving skills.
• Ability to work under pressure and meet tight deadlines.
• Accurate record-keeping skills.
• Proficiency in Microsoft Office applications (Outlook, Word, Excel).
• Preferred: Ability to research and analyze complex financial, tax, and insurance documents, and assess asset and income values.
• Preferred: Ability to interpret and explain social services regulations, laws, and statutes affecting eligibility for assistance.
• Preferred: Experience completing complex insurance applications and educating consumers about benefits.