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Berkshire Health Systems Certified Application Counselor in Pittsfield, Massachusetts

  • DEFINITION/PRIMARY FUNCTION

  • Under the supervision of the Program Manager, the Certified Application Counselor facilitates enrollment of uninsured and underinsured patients and community members into a Qualified Health Plan through the Marketplace and/or other health insurance programs such as Medicaid and CHIP, and assists qualified individuals in making informed decisions on the selection of a health plan. The Certified Application Counselor must be an expert in federal and state regulations, and knowledgeable about community resources in order to inform patients about their eligibility for Health Safety Net benefits, MassHealth disability supplements, Medical Hardships, Prescription Assistance programs, or to link eligible patients with free or reduced cost primary and specialty care services when possible. The Certified Application Counselor interacts with clients and patients of all social backgrounds.

  • POSITION QUALIFICATIONS (Minimum qualifications are required unless stated otherwise.)

  • Experience:

  • 1 - 3 years healthcare outreach, counseling, human services, or legal advocacy

  • Education and Training:

  • A Bachelor's degree (in a health, business, or legal-related discipline) or Certified Application Counselor designation may be substituted for the required experience.

  • License, Certification & Registration:

  • CAC - Certified Application Counselor within 3 months of hire

  • Other Requirements:

  • Knowledge of the principles and correct usage of the English language for effective written and spoken communication including: grammar, spelling, sentence structure, word meaning, and punctuation.

  • Knowledge of interviewing techniques and the ability to perceive and understand reaction of others.

  • Ability to assess, prioritize, and organize many tasks.

  • Ability to read, interpret, apply, and explain the provisions of the laws, rules, regulations, policies, procedures, specifications, standards and guidelines governing agency operations and assigned unit activities

  • Ability to gather and assemble items of information in accordance with established procedures, such as: questioning and observing individuals and by examining records and documents.

  • Ability to communicate effectively both orally and in writing, such as: giving written and oral instructions in a precise, understandable manner, accurately recording information provided orally, and writing concisely with a clear expression of thoughts and the development of ideas in logical sequence.

  • Ability to maintain accurate records on information provided either orally or in writing.

  • Ability to determine the applicability of client data, to draw conclusions and make appropriate recommendations.

  • Ability to deal tactfully and establish and maintain harmonious working relationships with others, including, for example, working in a team setting, functioning successfully in group situations, establishing rapport with persons from different ethnic, cultural and/or economic backgrounds, interacting with and demonstrating empathy to people who are under physical and/or emotional stress and maintaining a calm manner in stressful and/or emergency situations.

  • Ability to exercise sound judgment, including the exercise of discretion in handling confidential information.

  • Ability to demonstrate problem solving skills.

  • Ability to meet deadlines even with a high volume of interruptions.

  • Strong customer service skills and a strong service orientation.

  • Proven ability to learn quickly as technology and insurance requirements change.

  • Must be able to effectively interact appropriately to an individual's level and physical ability.

  • Ability to analyze complex financial documents such as taxes, insurance information, and medical records.

  • Demonstrated ability to complete complex insurance applications while educating the consumer.

  • Ability to use multiple personal computer (PC) based systems and applications.

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