Correct Care Solutions MassHealth Benefits Administrative Assistant, MADOC in Westborough, Massachusetts

Overview

Our MassHealth Benefits Administrative Assistant will support the coordination of eligibility and enrollment of all inmates receiving inpatient services into the Massachusetts Medicaid (MassHealth) system.

Qualifications

Education:

  • Bachelor’s degree or Associates in business preferred.

Experience:

  • Knowledge of medical insurance processing and medical terminologies.

Licenses/Certifications:

  • Must be able to successfuly complete the Certified Application Counselor (CAC) training course.

Responsibilities

  1. Processes MassHealth applications, and provide ADC with CAC names and certification dates;

  2. Ensures MassHealth applications are completed for all newly committed inmates;

  3. Ensures MassHealth applications are completed and submitted in a timely manner for inmates who do not have MassHealth coverage at the time they go to a hospital for scheduled, unscheduled or unanticipated medical trips;

  4. Provides timely reports of inmates requiring hospital trips and who are eligible for MassHealth coverage and MassHealth applications that have been completed and submitted, including the names of the inmates and the disposition of each application;

  5. Develops and implements a DOC-approved policy and procedure for the management of MassHealth applications;

  6. Ensures that any statutory changes that impact third party reimbursement are communicated to leadership.

  7. Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.

  8. Must be able to apply sound judgment beyond a specific set of instructions and apply knowledge to different factual situations.

  9. Must be alert at all times; pay close attention to details.

  10. Must be able to work under stress on a regular or continuous basis.

EOE Minorities/Females/Disabled/Vets.

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Job 18-52089

Location MA, Westborough

Facility Massachusetts Regional Office, MA DOC

Type Regular Full-Time

Shift Day