What are the responsibilities and job description for the MassHealth Enrollment Specialist position at Entyre Care?
Who we are
At Entyre Care, we’re on a mission to empower everyone to live with dignity and independence in the comfort of their own home. We’re passionate about supporting friends and families who provide home care for their loved ones. Our offerings include professional training, fair compensation, and the tools they need to thrive to create a safe and respected environment for those they care most about.
Entyre Care is a progressive, high growth, startup organization that centers around Adult Foster Care (AFC). We use cutting edge technology to further the advancement of healthcare in a home care setting. We’re always looking for motivated, empathetic, and value-driven people to join our supportive team.
Caring for someone you love shouldn’t feel overwhelming, which is why we’re here to ensure every caregiver feels confident, supported, and valued. Ready to join our journey? You can learn more about us here at .
Your role as MassHealth Enrollment Specialist
We are seeking our first ever MassHealth Enrollment Specialist to join our team. The ideal candidate will be dedicated and knowledgeable with all things Medicaid and MassHealth, and will possess a strong background in researching member insurance issues, counselling patients on insurance plans, navigating the complexities of MassHealth LTSS services and have an understanding of SCO. This role is vital in ensuring that our patients receive the best possible insurance solutions tailored to their needs.
Key Responsibilities :
- Assess and determine MassHealth eligibility for clients, utilising the knowledge of MassHealth LTSS services and the specific benefits associated with various forms of MassHealth.
- Provide guidance and counsel to patients regarding insurance plans, discussing risks and benefits to help them make informed choices.
- Engage with patients in their homes to assist with onboarding, ensuring a smooth transition into necessary services.
- Demonstrate a strong understanding of ACO / MCA plans within the Massachusetts health insurance system to aid clients in navigating their options.
- Participate in training programs to become a certified application counselor (CAC) with expenses covered by MassHealth OR already be CAC certified
- Research member insurance issues, addressing concerns related to benefits and eligibility, and help clients understand their options.
- Familiarize yourself with prior authorization processes related to LTSS and MassHealth services, including hospice services and personal care assistance (PCA).
- Display ambition and innovation in developing patient solutions through insurance options, constantly seeking to improve processes.
- Maintain a self-starter mentality by tracking key quantifiable metrics related to patient enrollment documents to enhance efficiency in the enrollment process.
- Practice keen listening skills to effectively connect with patients during insurance navigation, ensuring their needs are understood and met.
- Communicate effectively with internal staff regarding trends and issues related to insurance enrollment, fostering cooperative problem-solving.
Role requirements
So, why should you join Entyre Care?
Our Benefits and Wellbeing
We believe in taking care of our team as well as taking care of the community around us. Whether you're salaried or hourly - we’ve got you covered! All our employees are entitled to our benefits and wellbeing package, which includes the following :
Our Commitment to Diversity, Equity, and Inclusion
We’re dedicated to celebrating and building an inclusive workplace where every individual feels valued, respected, and empowered to thrive - and to bring their best selves to work! As an equal opportunity employer, we welcome talented people from all backgrounds and walks of life. Regardless of race, ethnicity, religion, gender, sexual orientation, national origin, disability, or veteran status, we’re here to support you in building a career that matters.
Our office address is 711 Atlantic Ave, Boston, MA 02111 . We’re located on the 6th floor of the building. If you are successful in our process and get to visit us here for an onsite interview, our team will make you comfortable and support you with any accessibility challenges.
