Benefit Specialist

Copa Health Inc.; Peoria (AZ); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health coverage

Dental & vision plans

PTO 3 weeks + wellness day

Holidays

Tuition reimbursement

403(b) retirement plan

Employee assistance program

Job summary

Copa Health is seeking a full-time Benefits Specialist to help members navigate and optimize their benefit programs. The role focuses on AHCCCS eligibility and enrollment, establishing positive relationships with members and colleagues in a behavioral health care setting.

Responsibilities include validating demographics and insurance data, verifying eligibility, and assisting patients with Medicaid, Medicare, and SSI/SSDI applications.

Qualifications

• High School Diploma or GED required.
• Minimum of two years experience in a related role.
• Experience in a medical or behavioral health setting preferred.
• AZ fingerprint clearance card required or eligible within 8 weeks of hire.
• TB test clearance required at time of hire.

Responsibilities

• Verify and update patient demographics and insurance information.
• Assist with insurance verification processes.
• Review real-time eligibility responses and online verification systems.
• Coordinate with insurance carriers to obtain benefits and eligibility details.
• Process, submit, and track prior authorizations.
• Assist patients with Medicaid, Medicare, and SSI/SSDI applications.

Skills

Two years experience

Medical/behavioral health experience

Fingerprint clearance card

TB test clearance

Education

High School Diploma/GED

Job description

Who We Are

At Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team.

Why Join Copa Health?

At Copa Health, we prioritize the growth, well-being, and satisfaction of our team members. When you join our team, you’ll receive:

• Competitive salary and comprehensive benefits package
• Personalized Health Coverage – Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA program
• Dental and Vision Coverage to complement your health plan
• Generous PTO – up to 3 weeks in your first year, plus an additional wellness day to recharge
• 10 paid holidays annually
• Wellness Program, including access to mental health resources
• Tuition Reimbursement up to $3,000 to invest in your growth and career advancement
• Affordable Medical, Dental, and Vision plans to fit your needs
• 403(b) retirement plan with company match to help you plan for your future
• Employee Assistance Program with free coaching and therapy sessions
• Additional benefits including life insurance, disability coverage, pet insurance, and more

Who We're looking for

We’re looking for a passionate, full-time Benefits Specialist who loves helping members navigate and maximize their benefits. 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.

Key Responsibilities

• Verifies, ensures accuracy, and updates patient demographics and insurance information
• Assist office assistants in the maintenance of accurate, up-to-date insurance verification.
• Use online web-based verification systems and review real-time eligibility responses to ensure the accuracy of insurance eligibility.
• Collects, verifies, and communicates necessary information with members' insurance carriers to obtain benefits and eligibility information.
• Complete, process, submit, and track prior authorizations
• Initiates and assists patients with completing applications for Medicaid, Medicare, and SSI/SSDI

Qualifications

• High School Diploma/GED
• Minimum of two years experience of related experience.
• Experience working in a medical and or behavioral health setting is highly preferred.
• 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.
• 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. Sign on and retention incentives are subject to change.