Eligibility Benefits Specialist EMPACT

La Frontera EMPACT - Suicide Prevention Center; Tempe (AZ); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Generous PTO

10 paid holidays per year

Medical plans (3 choices)

Dental plans (2 choices)

Vision plans (2 choices)

403(b) retirement plan

Licensure Reimbursement

Life/AD&D and Long-term Disability

Job summary

La Frontera EMPACT - Suicide Prevention Center in Tempe, AZ seeks an Eligibility Benefits Specialist with experience in outpatient behavioral health settings to verify insurance benefits and eligibility, assist with AHCCCS enrollment, and maintain patient demographics in the EHR. The role requires professionalism, empathy, and strong communication.

Under Site Administrator supervision, you will analyze benefit issues, coordinate with the clinic, and support billing and credentialing tasks.

Qualifications

• High School education (diploma) or GED.
• Minimum of two years direct AHCCCS application process experience.
• Experience assisting with state Medicaid insurance applications.
• HIPAA knowledge and confidentiality.
• Strong attention to detail and communication skills.
• Ability to multi-task and prioritize work.
• Proficiency with Microsoft Office and experience using EHR systems.

Responsibilities

• Verify clients' insurance benefits and eligibility to ensure coverage for services.
• Analyze benefit issues and recommend course of action.
• Assist clients with AHCCCS eligibility and enrollment.
• Update demographic information in the electronic health record and support clinic operations.

Skills

Attention to detail

Communication skills

Multi-tasking

Microsoft Office

EHR software

HIPAA knowledge

Bilingual Spanish (preferred)

Fingerprint Clearance Card or eligible

Education

High School diploma or GED

Tools

Microsoft Office

EHR

Job description

Who We Are

EMPACT- Suicide Prevention Center, part of the La Frontera family, is an industry-leading non-profit organization dedicated to providing valued community services and resources for behavioral health counseling, crisis intervention, and suicide prevention since 1987. We are an EEO/AA Employer.

Who We Are

EMPACT- Suicide Prevention Center, part of the La Frontera family, is an industry-leading non-profit organization dedicated to providing valued community services and resources for behavioral health counseling, crisis intervention, and suicide prevention since 1987. We are an EEO/AA Employer.

You can view all our job openings at: https://lafronteraaz-empact.org/join-us/

What You’ll Do

EMPACT-SPC is looking for an Eligibility Benefits Specialist with previous experience in an outpatient behavioral health setting, health care provider office or similar environment that can represent our agency professionally, treat our clients with respect and in a caring manner.

Under the direction of the Site Administrator, the Eligibility Benefits Specialist, is responsible for verifying client’s insurance benefits and eligibility to assure insurance coverage for services provided. Analyzes benefit issues and recommends course of action. Assist clients with AHCCCS eligibility and enrollment. Verifies & updates demographic information in the electronic health record and assists the outpatient clinic with other related duties as assigned.

Shift: Monday - Friday 8 AM - 5 PM

What You’ll Provide

• Must have minimum of a High School education (diploma) or GED.
• Must have a minimum of two (2) years direct experience with the AHCCCS application process.
• Experience working with members in applying for state Medicaid insurance required.
• Insurance verification eligibility experience is strongly preferred.
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA) and maintaining confidentiality of protected health information.
• Strong attention to detail and communication skills are required.
• Ability to multi-task and prioritize work effectively.
• Computer skills including proficiency in Microsoft Office suite and experience using electronic health records (EHR) is required.
• Bilingual in Spanish is strongly preferred.
• Must be eligible to obtain a Fingerprint Clearance Card or have one already.

Additional Requirements And Responsibilities

• Demonstrated ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and with empathy to all persons regardless of age, race, creed, gender or sexual orientation.
• Maintain professional conduct consistent with ethical professional practice and the policies and procedures of the agency.
• Maintain a professional demeanor and positive working relationships with internal and external team members, stakeholders, and community and business partners.
• If driving while on agency time or on agency business, a valid Arizona driver's license and appropriate liability insurance and approval for liability coverage with EMPACT - SPC’s liability insurance carrier is required. Out of state applicants must provide 3 years of driving records upon hire.

What We’ll Offer

(Full-time employees)

• Generous PTO
• 10 paid holidays per year
• Medical plans (3 choices)
• Dental plans (2 choices)
• Vision plans (2 choices)
• 403(b) retirement plan
• Retirement Allowance
• Company paid Life/AD&D and Long-term Disability
• Voluntary additional Life and Short-term Disability
• Tuition Reimbursement
• Licensure Reimbursement
• Elder Care assistance
• Pet Insurance and much more!

EMPACT-SPC is licensed by the Arizona Department of Health Services, and accredited by the American Association of Suicidology (AAS) and The Commission on Accreditation of Rehabilitation Facilities (CARF).

EMPACT-SPC/La Frontera Arizona provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

All employees of EMPACT-SPC and La Frontera Arizona are employees "at will" as that term is understood in the State of Arizona. This means that employment may be terminated at any time without prior notice and for no stated reason.

EMPACT-SPC/La Frontera Arizona reserves the right to modify position descriptions as needed and without notice. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.