Salary $16.00 - $17.50 / hourly
What You’ll Get…
When you join our team, you’ll receive:
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Limitless growth and career advancement opportunities
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Career development offered internally through our Organizational Development & Learning Department
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Generous PTO program – up to 3 weeks off your first year with continued accruals each pay period plus 1 additional PTO day for Employee Well-Being
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9 paid holidays, including 1 floating holiday
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Wellness Program - Offering access to an expert Health Coach and wellness incentives to lower cost
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Tuition reimbursement up to $3,000 plus reimbursement for professional license and certifications.
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Affordable health care plans: Medical, Vision, and Dental
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H.S.A., H.R.A, F.S.A. (with select medical plans)
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Free Short-Term Disability and Life/AD&D Insurance up to $100,000
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403(b) retirement plans with company match.
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Employee Assistance and Well-Being program with coaching and counseling services!
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Voluntary benefits: Long-Term Disability, Pet Insurance, Additional Life/AD&D Insurance, and much more!
Who We Need
The Benefit & Eligibility Specialist is responsible for navigating and optimizing various benefit programs while assessing and assisting members with obtaining benefits. Assist members with AHCCCS eligibility and enrollment. Establish positive, effective, and professional relationships with members, families, colleagues and other components of the healthcare payor system.
We’re looking for someone with the following skills, experience and credentials:
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Verifies, ensures accuracy, and updates patient demographics and insurance information.
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Assist Office Assistants in the maintenance of accurate, up to date-to-date insurance verification.
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Use online web-based verification systems and reviews real-time eligibility responses to ensure the accuracy of insurance eligibility.
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Collects, verifies, and communicates necessary information with members' insurance carriers to obtain benefits and eligibility information.
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Complete, process, submit, and track prior authorizations.
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Initiates and assists patients with completing applications for Medicaid, Medicare, and SSI/SSDI.
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Screen persons to determine eligibility for Medicaid assistance and re-determine their continuing eligibility.
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Establish rapport and credibility with customers and providers by providing excellent customer service in a professional manner.
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Performs quality checks on all eligibility initiated and ensures there are process for all members who do not a valid, accurate, current insurance.
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Process eligibility case files within the required timeframes established by applicable funding source.
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Facilitate eligibility screening and ongoing monitoring.
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Process eligibility files into the company EHR/EPM system.
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Investigates and resolves denial cases of members who lose eligibility.
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Performs other administrative tasks to support the operations of the outpatient site.
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Adherence to all agency policies, licensure, and training requirements.
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To ensure compliance & adequate services, additional job duties may be required to meet the needs of the program and or department.
MINIMUM REQUIREMENTS:
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High School Diploma/GED
- Minimum of two years' experience in an office clerical setting.
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Experience working in a medical and or behavioral health setting is highly preferred.
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Must have a fingerprint clearance card issued by the AZ Department of Public Safety or eligible to receive on within eight (8) week of hire.
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TB Test clearance required at the time of hire.
Copa Health, is an Equal Opportunity Employer – All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status, or any other characteristics protected by law. Pre-Employment Criminal Background and Drug Testing Required. EOE.