Patient Benefits Coordinator

bhchpjobs; Boston (MA); On-site; USD 30,307 - 48,216; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

403B retirement plan

Pre-tax MBTA pass (40% discount)

Bilingual bonus

Job summary

Boston Health Care for the Homeless Program seeks a Patient Benefits Coordinator (PBC) to support clinical and administrative work. You will assist in patient data collection, enrollment in health plans, schedule appointments, and maintain records under nurse supervision.

The role includes collecting medical data, assisting with procedures, and ensuring accurate benefits processing. A MassHealth CAC exam and related training are required within 60 days of hire.

Qualifications

• 1-2 years of education beyond high school or equivalent work experience.
• Successful completion of a medical assistant program is a plus and training may be provided.
• Effective interpersonal skills to interact with nursing staff, patients, physicians, and hospital staff.
• Ability to interpret and utilize basic medical terminology correctly.
• Must successfully complete the MassHealth Certified Application Counselor (CAC) exam within 60 days of hire and maintain certification.

Responsibilities

• Clinical Support: collaborate with the RN, collect vital signs, maintain patient confidentiality, assist with procedures, manage equipment and supplies, and participate in daily team huddles and care planning.
• Clerical Support: process MassHealth applications, enroll patients in benefits programs, maintain accurate records, verify eligibility, schedule appointments, and manage patient files.

Skills

Interpersonal skills

Medical terminology

CAC exam coordination

Organizational skills

Education

1-2 years of education beyond high school

Job description

Who We Are

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens.

From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face.

Job Summary

Hours: Full Time: 40 hours per week; Monday – Friday, 8:30am – 5:00pm. Union: Yes, 1199 SEIU. Patient Facing: Yes.

We are looking to hire a Patient Benefits Coordinator (PBC), who will have a dual role assisting in the administrative and clinical areas. In the clinical area the PBC, under the direction and supervision of a registered nurse and in accordance with the policies of Boston Health Care for the Homeless Program’s procedures, protocols, and standards of practice, you will participate in the delivery of patient care. In the administrative area you will gather patient information for registration, schedule appointments, prepare medical records, and files. You will also be responsible for patient appointment confirmation as well as enrolling BHCHP patients into health care plans.

Primary Duties and Responsibilities

Clinical Support

• Collaborates with the Registered Nurse throughout the shift to determine appropriate work assignment and priorities, as well as communicates status of delegated task completion and outcome of patient data findings. Maintains timely ongoing verbal communication.
• Accurately collects requested patient data (e.g. vital signs, weights and reason for visit).
• Treats patients in a manner that preserves and supports patient confidentiality, patient’s rights and patient’s dignity.
• Collects, labels, and sends/transport specimens with appropriate laboratory slips and or requisitions.
• Assists nurse/provider during complex treatments/procedures, including but not limited to doing preps and set-ups for examinations/treatments and assisting during procedures.
• Checks inventories, re‑stock as needed.
• Maintains appropriate equipment logs and records.
• Performs other duties as needed. Participation as a member of the patients’ care team.
• Attends daily team huddles when in clinic.
• Attends clinic staff meetings and team break‑out sessions.
• Provides education to patients regarding PCMH.
• Participates in ongoing clinical quality improvement endeavors.
• Participates in identification of, and care planning for, high risk/ enhanced care patients.

Clerical Support

• Accurately complete and appropriately process medical insurance applications, including Mass Health Essential, Mass Health Standard and Free Care.
• Works closely with the Manager of Patient Intake & Benefit Enrollment to implement processes and procedures for enrolling and maintaining patients in the appropriate medical and cash benefits programs.
• Works effectively with BHCHP administrative and clinical staff as well as staff at city, state, and federal agencies to obtain information or paperwork necessary for enrolling patients into the appropriate medical or cash benefits programs.
• Maintains complete and accurate records of all benefits applications in process.
• Follow‑up in a timely manner on all Mass Health, Free Care applications submitted for patients.
• Assists patients in signing them up for a Cash Benefits Payee.
• Obtains any needed documentation for completion of medical benefits applications.
• Checks patient’s eligibility for Mass Health using the REVS system and for Free Care using the Free Care database.
• Keeps the McInnis Database and MSI registration system current by complete and accurate input of patient benefits information.
• Confirms patient appointments.
• Assists with scheduling of patient follow‑up appointments and consultations.
• Maintains clinic files and patient records.
• Performs other duties as needed.

Qualifications

• 1-2 years of education beyond high school or an equivalent combination of work experience and high school education/GED.
• Successful completion of medical assistant program a plus, willing to train the right individual.
• Effective interpersonal skills to interact appropriately with nursing staff, patients, physicians, and hospital staff.
• Ability to accurately interpret and utilize basic terminology and abbreviations.
• Successfully complete the MassHealth Certified Application Counselor exam (CAC) within 60 days of hire and maintain active certification status.

Compensation and Benefits

• The compensation increases based on years of experience and ranges from $22.25- $35.60 hourly.
• BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre‑tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part‑time employees.

Does this amazing opportunity interest you? Then we'd love to hear from you.

As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law.

Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at‑will. Boston Health Care for the Homeless does not sponsor work authorization visas.