Eligibility Benefits Specialist EMPACT

La Frontera Center•Tempe, AZ

About The Position

EMPACT- Suicide Prevention Center (EMPACT-SPC), part of the La Frontera family, is a nonprofit organization providing behavioral health counseling, crisis intervention, and suicide prevention services. The Eligibility Benefits Specialist represents the agency professionally and treats clients with respect and care. Under the direction of the Site Administrator, this role verifies client insurance benefits and eligibility to help ensure coverage for services, analyzes benefit issues and recommends a course of action, and assists clients with AHCCCS eligibility and enrollment. The specialist also verifies and updates demographic information in the electronic health record and supports the outpatient clinic with other related duties as assigned. The schedule is Monday through Friday, 8 AM to 5 PM. The position requires a high school diploma or GED and at least two years of direct experience with the AHCCCS application process, including experience assisting members with state Medicaid insurance applications. Insurance verification eligibility experience and Spanish bilingual skills are strongly preferred. Candidates must be eligible to obtain a Fingerprint Clearance Card or already have one.

Requirements

  • High school diploma or GED.
  • At least two years of direct experience with the AHCCCS application process.
  • Experience assisting members in applying for state Medicaid insurance.
  • Knowledge of HIPAA and the ability to maintain confidentiality of protected health information.
  • Strong attention to detail and communication skills.
  • Ability to multitask and prioritize work effectively.
  • Proficiency in Microsoft Office and experience using electronic health records (EHR).
  • Must be eligible to obtain a Fingerprint Clearance Card or already have one.
  • Ability to remain calm in crisis situations, work independently and cooperatively, recognize personal limitations, and relate positively and empathetically to all persons regardless of age, race, creed, gender, or sexual orientation.
  • If driving on agency time or agency business, a valid Arizona driver's license, appropriate liability insurance, and approval for liability coverage with EMPACT-SPC’s liability insurance carrier are required.
  • Out-of-state applicants must provide three years of driving records upon hire.

Nice To Haves

  • Insurance verification eligibility experience.
  • Bilingual Spanish skills.

Responsibilities

  • Verify clients’ insurance benefits and eligibility to help assure coverage for services provided.
  • Analyze benefit issues and recommend a course of action.
  • Assist clients with AHCCCS eligibility and enrollment.
  • Verify and update demographic information in the electronic health record.
  • Assist the outpatient clinic with other related duties as assigned.
  • Maintain confidentiality of protected health information and follow HIPAA requirements.
  • Maintain professional conduct consistent with ethical practice and agency policies and procedures.
  • Maintain positive working relationships with internal and external team members, stakeholders, and community and business partners.
  • If driving on agency time or business, maintain a valid Arizona driver's license and appropriate liability insurance, and obtain approval for liability coverage with EMPACT-SPC’s insurance carrier.

Benefits

  • Generous paid time off.
  • 10 paid holidays per year.
  • Medical plans with three choices.
  • Dental plans with two choices.
  • Vision plans with two choices.
  • 403(b) retirement plan.
  • Retirement allowance.
  • Company-paid life and AD&D insurance and long-term disability.
  • Voluntary additional life and short-term disability coverage.
  • Tuition reimbursement.
  • Licensure reimbursement.
  • Elder care assistance.
  • Pet insurance.
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