Benefits and Eligibility Specialist
About The Position
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. 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.
Requirements
- High School Diploma/GED
- Minimum of two years experience of related experience.
- 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.
Nice To Haves
- Experience working in a medical and or behavioral health setting is highly preferred.
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
Benefits
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
