Insurance Access Specialist

Weekdays, 1st ShiftJob SummaryThe Insurance Access Specialist plays a vital role in ensuring that clients of The Brien Center have appropriate, continuous, and active health insurance coverage. This position is responsible for identifying and assisting clients who are uninsured, underinsured, or facing insurance-related challenges. The Specialist will provide hands-on, individualized support throughout the insurance application, renewal, and problem-resolution processes, with the goal of eliminating barriers to care and supporting clients in navigating a complex insurance landscape.Essential Job FunctionsProactively identify clients who are:UninsuredEnrolled in incorrect or insufficient plansApproaching lapse or expiration of coverageProvide direct, individualized support to clients in:Applying for MassHealth or other appropriate insurance plansRenewing or updating existing coverageAddressing discrepancies in eligibility or enrollmentUnderstanding coverage options, including payment plans and gap insuranceLiaise with MassHealth, the Health Connector, Medicaid, and other insurance agencies to resolve client-specific issuesServe as a resource for clinical teams by:Educating staff on insurance navigation basicsCollaborating to address client barriers related to coverageTrack and document all client interactions, outcomes, and follow-up steps in compliance with agency standards and privacy requirementsMaintain up-to-date knowledge of public and private insurance programs, including eligibility criteria and application proceduresConduct outreach and provide education regarding upcoming insurance changes, renewal deadlines, and related topicsParticipate in cross-departmental initiatives aimed at improving client access to benefits and servicesQualifications, Experience, And EducationAssociate’s or Bachelor's degree in Human Services, Social Work, Public Health, or related field preferredMinimum of 2 years of experience working with public benefits, health insurance programs, or in a case management settingWorking knowledge of MassHealth, the Massachusetts Health Connector, Medicaid, and other health insurance programsStrong interpersonal and communication skills; ability to build rapport with clients who may be in crisis or face systemic barriers.Bilingual or bicultural candidates strongly encouraged to applyProficiency in Microsoft Office and familiarity with electronic health records or case tracking systemsDemonstrated organizational and problem-solving skills; ability to manage multiple cases simultaneouslyRequired CertificationSuccessful completion of employer-sponsored MassHealth CAC (Certified Application Counselor) training is required within six months of employment. This training equips professionals with the skills to assist clients in enrolling in health coverage through the Massachusetts MassHealth program and the Health ConnectorSkills And KnowledgeExcellent communication and collaboration abilities.Strong organizational skills with the ability to communicate with clients.Working Environment And Physical RequirementsStandard work week with occasional flexibility required for weekend hours for client or program needsRegular use of computers and other technology is required, with reasonable accommodation available as needed to perform essential functions