Eligibility Specialist

Crossroads Inc • Phoenix, AZ

1d

About The Position

The Eligibility Specialist ensures timely and accurate verification of benefits and eligibility for individuals admitted for services daily. The Eligibility Specialist also identifies appropriate funding sources for uninsured clients (i.e. Substance Abuse Grants). The Eligibility Specialist will gain a thorough knowledge of all client-funding sources – Medicaid, Medicare, private / commercial insurance, grants, etc. and be able to advise the best possible scenarios for each client.

Requirements

• Provides superior customer service while maintaining professionalism.
• Current CPR/First Aid/Narcan training.
• Current and annual negative TB Test.
• Clean Motor Vehicle Record (MVR) check performed annually and upon hire, preferred.
• Successfully pass a background check and an Arizona Department of Health Services Adult Protective Services check.
• Strong Computer/Microsoft Office/EMR skills.
• Able to handle sensitive information and maintain HIPAA compliance.
• Possess excellent analytical, judgment and problem-solving skills.
• Excellent organizational, multi-tasking, detail-orientated and prioritization skills required.
• Excellent communication skills both verbally and written.
• Must be able to work with management and cross-functional teams to support revenue cycle efforts.
• Must be able to work independently and as a member of a team.
• Minimum High School Diploma or GED is required, associate degree is preferred.
• Minimum of 1 year experience working with Arizona Medicaid, Medicare, Private/Commercial Insurance, Insurance Verification and Authorizations preferred.
• Minimum of 1 year working within Behavioral Health, Rehabilitation, or other related field preferred.
• Valid AZ Driver’s License.
• May include travel between sites and other locations.
• Local and statewide travel when requested or required.

Responsibilities

• Initiate Federal-Funding Enrollments and track and monitor all requests thru to completion.
• Provides departmental support for claims projects or related eligibility projects.
• Work with Claims Support Supervisor for any clients unable to obtain funding for services.
• Updates EMR system to validate insurance and monitor client eligibility throughout treatment.
• Proper documentation in the EMR system.
• Perform other duties as needed.

Benefits

• 401(k) with matching of up to 4%
• Company paid premiums for the full-time employee for Medical, Dental, Vision and Life Insurance
• Supplemental Life Insurance and short-term disability
• Paid time off
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 51-100 employees