Benefit Specialist

Copa Health • Peoria, AZ

37d • $17 - $18

About The Position

Copa Health is seeking a full-time Benefit & Eligibility Specialist to help members navigate and maximize benefit programs. The role involves assessing members’ needs and assisting them in obtaining benefits, including AHCCCS eligibility and enrollment. The specialist builds positive, effective, and professional relationships with members, families, colleagues, and other participants in the healthcare payor system.

Requirements

• High school diploma or GED.
• At least two years of related experience.
• Must have a fingerprint clearance card issued by the Arizona Department of Public Safety or be eligible to receive one within eight weeks of hire.
• TB test clearance is required at the time of hire.
• Pre-employment criminal background check and drug testing are required.

Nice To Haves

• Experience working in a medical and/or behavioral health setting is highly preferred.

Responsibilities

• Verify, ensure the accuracy of, and update patient demographic and insurance information.
• Assist office assistants in maintaining accurate, up-to-date insurance verification.
• Use online web-based verification systems and review real-time eligibility responses to confirm insurance eligibility.
• Collect, verify, and communicate necessary information with members’ insurance carriers to obtain benefit and eligibility information.
• Complete, process, submit, and track prior authorizations.
• Initiate and assist patients with completing applications for Medicaid, Medicare, and SSI/SSDI.
• Assist members with AHCCCS eligibility and enrollment.

Benefits

• Competitive salary and comprehensive benefits package.
• Monthly tax-free contribution toward a selected medical plan through the ICHRA program, with guidance and support.
• Dental and vision coverage.
• Up to three weeks of PTO in the first year, plus an additional wellness day.
• Ten paid holidays annually.
• Wellness program, including access to mental health resources.
• Tuition reimbursement up to $3,000.
• 403(b) retirement plan with company match.
• Employee Assistance Program with free coaching and therapy sessions.
• Life insurance.
• Disability coverage.
• Pet insurance.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED