Eligibility Benefits Specialist EMPACT

La Frontera Center Inc.; Tempe (AZ); On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Generous PTO

10 paid holidays

Medical plans

Dental plans

Job summary

La Frontera Center Inc. in Tempe, AZ, seeks an Eligibility Benefits Specialist to verify client insurance benefits and AHCCCS eligibility in a behavioral health outpatient setting.

You’ll analyze benefit issues and assist with enrollment, maintaining confidentiality and accurate data in the EHR. Under the Site Administrator, you will handle demographic updates, collaborate with clinic staff, and ensure compliance with HIPAA.

Qualifications

• High School diploma or GED required.
• Minimum two years of AHCCCS application process experience.
• Knowledge of HIPAA and confidential information handling.
• Bilingual Spanish preferred.
• Proficiency in Microsoft Office and EHR systems.

Responsibilities

• Verify clients' insurance benefits and AHCCCS eligibility.
• Analyze benefit issues and advise on course of action.
• Update demographic information in the EHR.
• Maintain confidentiality and professional conduct at all times.
• Coordinate with clinic staff under Site Administrator direction.

Skills

Attention to detail

Communication

Bilingual Spanish

Multi-tasking

Confidentiality

Education

High School diploma or GED

Tools

Microsoft Office

Electronic Health Records (EHR)

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Eligibility Benefits Specialist EMPACT

Active Regular Full-Time Tempe, AZ, US

7 days ago Requisition ID: 4040

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.

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.
• 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:

• Generous PTO
• 10 paid holidays per year
• Medical plans (4 choices)
• Dental plans (2 choices)
• 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.