Benefits Eligibility Specialist

We need to output HTML fragment with sections: About the role? Actually the posting includes "Position Overview" and then "Key Role Responsibilities", "Key Agency Responsibilities", "Knowledge, Experience, And Skills". Also there is a mission statement at top: "Bring Your Purpose to Work at Health Care for the Homeless ..." That's like an intro. We need to use

for section headings (e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). We should map content accordingly. We must not repeat job title as heading. The job title is "Benefits Eligibility Specialist". Not to use as heading. We need to include sections only when posting has real specific content. We have: - About the role / Position Overview: we have a paragraph describing role. So we can have

About the role

with

containing that overview. - Responsibilities: we have "Key Role Responsibilities" and "Key Agency Responsibilities". Combine into responsibilities list. Use

• . - Requirements / Qualifications: we have "Knowledge, Experience, And Skills" which includes Formal Education and Training, Experience, Skills. Could split into Qualifications (education, certification) and Requirements (experience) but we can just have one section maybe "Qualifications". However the instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose appropriate ones. We have Benefits described in the mission section: "Meaningful benefits: Enjoy affordable medical, dental, and vision coverage; generous paid time off; employer-supported retirement; paid parental leave; and loan repayment opportunities for eligible roles." That's benefits content. So we need a Benefits section. We have no explicit Pay or Schedule info. So we should not create those sections. We have Skills listed: "Excellent customer service, with ability to clearly communicate verbally and in writing. Must be able to maintain confidentiality...". That's skills. Could put under Skills heading. We also have Requirements: experience, certifications, education. Could put under Requirements. We also have Qualifications: maybe education and certification. But we can combine. Better to follow the instruction: Use headings for sections that exist. Let's decide: - About the role (position overview) - Responsibilities (key role + agency) - Requirements (experience, certification, education) - Skills (customer service, communication, confidentiality, etc.) - Benefits (meaningful benefits) We should not repeat content. Ensure we preserve all substantive information. We need to extract the exact text, not summarizing. Must preserve all detail. So we need to copy the paragraphs verbatim (or close) into

  or

• . Let's extract: Position Overview paragraph: "The Benefits Eligibility Specialist is a responsible for educating, advocating and counseling clients and/or their authorized representatives in navigating Maryland state and federal insurance processes. This role serves as a subject matter expert on Medicaid and Medicare insurance, working closely with practice operations and billing staff to affirm insurance status and with clinical staff to provide consultation and guidance for client inquiries concerning insurance coverage." Note there is a typo "is a responsible". We must preserve as is. Key Role Responsibilities list: It's a paragraph with many responsibilities separated by periods. We need to turn into list items. The instruction: Use
  • for any list of duties/requirements/benefits. So we should split each duty into
  • . The original text is a long sentence with many clauses separated by periods. We'll split at each period that ends a duty. Let's list them: 1. Perform all duties of a Certified Application Counselor (BES I) or Certified Navigator (BES II) under the standards of the Maryland Health Benefits Exchange. 2. Interview applicants to screen for benefits eligibility, verify identity, and to educate on required documentation and conditions to enroll, renew, modify and prevent loss of insurance coverage. 3. Provide Health Choice/MCO Navigation and Medicare education in accordance with all state and/or federal guidelines, including explanation of plan options available, program functions, requirements and limiting conditions, affordability and cost-sharing structure, fees and penalties, as well as consumer rights. 4. Assist with enrollment into Qualified Health Plan (QHP) and Qualified Dental Plan (QDP) options, Insurance Affordability Programs, Medicare, Medicare Savings programs (Qualified Medicare Beneficiary and Specified Low-Income Medicare Beneficiary). 5. Assist eligible clients with completing applications, securing supporting documentation and filing insurance applications. 6. Monitor and track client application, enrollment and dates of coverage; conduct timely follow-up on cases and/or accounts, which includes making phone calls to clients or authorized representative to obtain missing information or items. 7. Consistently, accurately and appropriately enter information into the electronic health record, Maryland State Connection portal, NGS Connex (Medicare) and Managed Care Organization portals. 8. Answers phone calls in a timely manner and responds to all voicemails within one business day to ensure appropriate follow up for client cases. 9. Ensure timely behavioral health prior authorizations are approved for clients per MCO rules and before services are delivered. 10. Participate in continuing education training sessions, certification maintenance and periodic insurance update meetings as required by State of Maryland. 11. Maintain strictest of confidentiality of client and business information; comply with rules, regulations, policies and procedures of all applicable agency, local, state, federal and regulatory bodies. 12. Maintain expertise in eligibility and enrollment rules and procedures; the range of qualified health plan options and insurance affordability programs; the needs of underserved and vulnerable populations; and privacy and security standards. Key Agency Responsibilities: It's a paragraph: "Responsibilities In addition to role responsibilities, each staff member of Health Care for the Homeless has the following responsibilities as a part of their employment: Models and reinforces the Health Care for the Homeless core values of dignity, authenticity, hope, justice, passion and balance Participates in performance improvement and advocacy activities that support the mission Performs other duties on an as-needed basisProtects clients’ personal health information by maintaining compliance with HIPAA and other relevant health care related IT security regulations" We need to split into list items. Let's extract: - Models and reinforces the Health Care for the Homeless core values of dignity, authenticity, hope, justice, passion and balance - Participates in performance improvement and advocacy activities that support the mission - Performs other duties on an as-needed basis - Protects clients’ personal health information by maintaining compliance with HIPAA and other relevant health care related IT security regulations Note there is missing punctuation but we keep as is. Knowledge, Experience, And Skills section: "Formal Education and Training High School Diploma or GED requiredCertified Application Counselor, or able to obtain certification within first six months of hire (BES I)Certified Health Navigator, or able to obtain certification within first six months in role (BES II)Appropriate certification is required as a condition of continued employment Experience One year of experience working with insurance eligibility/verification or similar role required (BES I) Two years of experience required (BES II) Experience in a community or public health setting working with an underserved population is highly preferred Experience working with multiple line telephone systems, computers and practice management systems required Bilingual (Spanish) highly preferred Skills Excellent customer service, with ability to clearly communicate verbally and in writing. Must be able to maintain confidentiality in all circumstances. Must be able to remain calm in highly inflammatory circumstances, providing and taking clear direction and maintaining a respectful demeanor. High level of motivation, initiative and responsibility. Able to work with interdisciplinary teams Able to cope with interruptions, be flexible and be a team player" We need to split into Requirements (experience, certification, education) and Skills. Let's parse: Formal Education and Training: - High School Diploma or GED required - Certified Application Counselor, or able to obtain certification within first six months of hire (BES I) - Certified Health Navigator, or able to obtain certification within first six months in role (BES II) - Appropriate certification is required as a condition of continued employment Experience: - One year of experience working with insurance eligibility/verification or similar role required (BES I) - Two years of experience required (BES II) - Experience in a community or public health setting working with an underserved population is highly preferred - Experience working with multiple line telephone systems, computers and practice management systems required - Bilingual (Spanish) highly preferred Skills: - Excellent customer service, with ability to clearly communicate verbally and in writing. - Must be able to maintain confidentiality in all circumstances. - Must be able to remain calm in highly inflammatory circumstances, providing and taking clear direction and maintaining a respectful demeanor. - High level of motivation, initiative and responsibility. - Able to work with interdisciplinary teams - Able to cope with interruptions, be flexible and be a team player We'll create sections:

    Requirements

    with
    • for education/training and experience? Might be better to split into Qualifications and Requirements. But we can put all under Requirements. But we also have Skills separate. We also have Benefits section from earlier: "Meaningful benefits: Enjoy affordable medical, dental, and vision coverage; generous paid time off; employer-supported retirement; paid parental leave; and loan repayment opportunities for eligible roles." We need to put that as

      Benefits

      with
      • items. Now the intro paragraph before Position Overview: "Bring Your Purpose to Work at Health Care for the Homeless Join a mission-driven team working to end homelessness through racially equitable health care, housing, and advocacy. At Health Care for the Homeless, your work changes lives. Each year, we help thousands of people in Baltimore move toward health, stability, and home. We are looking for compassionate, skilled professionals who believe everyone deserves high-quality care, dignity, and a safe place to call home. Here, you will do meaningful work alongside colleagues who are collaborative, equity-centered, and deeply committed to community wellness. Whether you provide direct care, support operations, lead programs, or advocate for change, your contribution helps build a more just and healthier Baltimore. Why HCH Is The Best Choice For Purpose-driven Professionals Mission with impact: Be part of a team working every day to end homelessness in Baltimore and beyond.People-first culture: Work in a collaborative environment grounded in compassion, authenticity, hope, racial equity, and social justice.Room to grow: Access training, professional development, and support that help you strengthen your skills and advance your career.Meaningful benefits: Enjoy affordable medical, dental, and vision coverage; generous paid time off; employer-supported retirement; paid parental leave; and loan repayment opportunities for eligible roles.Work that matters: Help deliver whole-person care, housing support, and advocacy to people who deserve dignity, respect, and stability. If you are ready to use your talent for something bigger, HCH is ready for you. Bring your expertise, your heart, and your commitment to justice—and help create a Baltimore where everyone has the opportunity to be healthy and housed." We need to decide what to do with this. It's basically an overview/mission. Could be placed under About the role or maybe a separate section like "About the organization". But the instruction only lists certain headings; we can use About the role for position overview, and we could incorporate the mission intro into a

        before the About the role heading? The instruction says use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid having a leading paragraph before any heading. So we can keep the introductory paragraph as a

        before the first heading. Thus output:

        Bring Your Purpose to Work at Health Care for the Homeless Join a mission-driven team working to end homelessness through racially equitable health care, housing, and advocacy. At Health Care for the Homeless, your work changes lives. Each year, we help thousands of people in Baltimore move toward health, stability, and home. We are looking for compassionate, skilled professionals who believe everyone deserves high-quality care, dignity, and a safe place