GENERAL SUMMARY OF POSITION:
Under the general direction of the Manager or designee, the Insurance Program Coordinator II is assigned to a specific hospital or program. This position will be responsible for traveling to alternate work stations at the hospital sites and working with hospital or program staff to obtain, investigate and manage cases. The Insurance Program Coordinator will seek to maximize benefits available in private and public programs in order to preserve MassHealth as payor of the last resort.
The Enhanced Coordination of Benefits Unit is responsible for coordinating insurance benefits for high cost, medically complex MassHealth or pending MassHealth members who have access to commercial health insurance. The goal of the program is to ensure that MassHealth is the payor of last resort.