Job Description
The Department of Mental Health (DMH) is seeking a dynamic human services professional to serve as Benefits Coordinator (Patient Care Reimbursement Investigator). This professional will work within the Social Work Department in the DMH-run inpatient psychiatric hospital units of the Metro Boston Mental Health Units (MBMHU) within Lemuel Shattuck Hospital. The incumbent of this position will assemble and process applications for entitlements and insurance for all patients admitted to MBMHU, to include MassHealth, SSI and SSDI, and will collaborate with clinical teams and LSH treasurer to perform duties related to the oversight of dependent funds where applicable, provide coaching and psychoeducation to patients to improve budgeting and money management skills, and will assist patients with purchasing of personal needs items when needed. The ideal candidate is eager to learn, has excellent critical thinking and problem-solving skills, and is compassionate, flexible and creative.
Want more jobs like this?
Get jobs in Boston, MA delivered to your inbox every week.
Hospital Mission:
The mission of the DMH Hospital System is to support and facilitate recovery and wellness for individuals with mental health conditions. We do this through the delivery of evidence-informed evaluation and treatment that is trauma-informed and person-centered with the goals of enhancing autonomy, safety and return to the community. Our Inpatient Clinical Social workers play a critical role on each patient's multidisciplinary team that also includes psychiatrists, psychologists, psychiatric nurses, mental health workers, occupational therapists, rehabilitation staff and peer specialists.
Please note: This is a full-time, 40 hour position. The hours are 8:30am - 5:00pm, Monday through Friday, with Saturday and Sunday as the days off.
Duties and Responsibilities (these duties are a general summary and is not all-inclusive):
- Meet with patient and other collaterals as needed in order to complete application for Medicaid/Mass Health/Medicare for hospital reimbursement and discharge planning.
- Ensure that Mass Health applications are complete within designated time frame by reviewing medical records and meeting with patients to gather information, necessary documents and signatures, and to make applications for SSI, Social Security and other benefits and/or reinstating benefits that may have been suspended.
- As necessary contact Mass Health and other state & federally funded agencies to complete and confirm patient applications. Maintain documentation of contacts made during patients' hospitalization. Follow up on any problems with these and any other relevant issues.
- Maintain data tracking depicting status of each application submitted.
- Follows DMH guidelines as specified in DMH policy on patient funds #96-4 meeting all time frames for assessments, forms and documentation.
- Complete representative payee forms.
- Collaborate with the cashier/treasurer's office on patient financial issues such as spend downs, rep payee accounts and direct deposits.
- Regularly meets with all patients with personal funds on deposit with LSH to complete requests for cash or check withdrawals, assists patient with interactions with LSH cashier as needed; performs transactions with cashier on behalf of patient when patient is unable to leave the unit.
- Ensure expenditures are made to meet patient's basic needs when LSH has been appointed Representative Payee.
- Develop spend down plans in accordance with SSA regulations when LSH has been appointed Representative Payee.
- Regularly meet with patients to assist with budgeting and planning expenditures.
- Assist patients with personal shopping to include: purchasing gift cards on behalf of patients unable to leave the unit; provide direct assistance with online shopping when needed; and purchase items on behalf of patients unable to leave the units and in accordance with DMH policy #97-6.
- Apply basic principles, practices and techniques of human services to provide direct service to patients to improve money management and related life skills.
- Perform as member of multidisciplinary inpatient treatment team as needed, including developing and implementing treatment plan interventions related to money management; collaborate with team and attend team meetings to discuss benefits when needed; participate in periodic and annual reviews to assist team in re-assessing financial management skills.
- Comply with all applicable state and federal laws including HIPAA regulations that govern the privacy and confidentiality of patient information.
- Perform additional duties as assigned.
Required Qualifications:
- Knowledge of general issues and symptoms of mental illness and related functional disabilities.
- Maintain professional and respectful relation with staff, patients, and others
- Functional knowledge and competence in spread sheet and word processing programs and aptitude for learning new computer skills as related to the job function
- Knowledge of rules and regulations governing the eligibility for and payment of benefits
- Capability to understand, apply and explain the laws, rules, regulations, procedures, policies and guidelines governing assigned unit activities.
- Aptness to gather information by examining records and documents.
- Ability to establish rapport with persons from different ethic, cultural and/or Socio-economic backgrounds.
- Power to interact with people who are under physical and/or emotional stress.
- Capacity to exercise discretion in handling confidential information.
- Ability to work independently.
Preferred Qualifications:
- Knowledge of general issues and symptoms of mental illness and related functional disabilities.
- Thorough knowledge of benefits available to the disabled.
- Maintain professional and respectful relation with staff, patients, and others
- Functional knowledge and competence in spread sheet and word processing programs and aptitude for learning new computer skills as related to the job function
- Functional organizational skills
- Knowledge of rules and regulations governing the eligibility for and payment of benefits
- Ability to understand, apply and explain the laws, rules, regulations, procedures, policies and guidelines governing assigned unit activities.
- Capacity to determine proper format for assembling items of information to prepare general reports.
- Able to perform arithmetical computations (addition, subtraction, multiplication and division).
- Power to communicate effectively in oral expression.
- Capability to interact with people who are under physical and/or emotional stress.
DMH Mission and Vision:
The Department of Mental Health, as the State Mental Health Authority, assures and provides access to services and supports to meets the mental health needs of individuals of all ages, enabling them to live, work, and participate in their communities. The Department establishes standards to ensure the effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research. This critical mission is accomplished by working in partnership with other state agencies, individuals, families, providers, and communities. Mental health is an essential part of health care. The Massachusetts Department of Mental Health, as the State Mental Health Authority, promotes mental health through early intervention, treatment, education, policy, and regulation so that all residents of the Commonwealth may live full and productive lives.
Pre-Hire Process:
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the ADA Reasonable Accommodation Request Form Reasonable Accommodation Request Form.
For questions regarding this requisition, please contact Executive Office of Health and Human Services Human Resources at 1-800- 510-4122 Ext. #4
Qualifications
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements: None:
SPECIAL REQUIREMENTS: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's License may be required.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
Want the specifics? Explore our Employee Benefits and Rewards!
Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.