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Benefits Enrollment Specialist

Benefits Enrollment Specialist, Benson Administration

Benson, AZ 85602

Ideal Candidate Criteria

Referral experience, behavioral health or medical insurance benefits knowledge, professional and friendly customer service skills and basic computer skills, bilingual required

Primary Function

Responsible for management of client eligibility status.  Duties include scheduling, client insurance, and a wide range of other administrative duties.

Job Duties

  • Interacts effectively and courteously with internal and external customers.
  • Adheres to all policies and procedures.
  • Maintains current comprehension of all funding sources, reporting requirements, and procedures for medical and behavioral health.
  • Obtains initial service authorizations as required.
  • Responsible for updating and correcting reports in a timely manner.
  • Responsible for screening for appropriate funding for clients.
  • Responsible for determining co-pays.
  • Responsible for initial visit with client to obtain necessary signatures for intake/assessment.
  • Responsible for updating client eligibility as required.
  • Processes member benefits package.
  • Responsible for obtaining and maintaining all appropriate Release of Information signatures.
  • Referral for services data entered accurately and in EHR within 24 hours.
  • All intakes 100% screened for AHCCCS eligibility by next business day.
  • AHCCCS application completed during client appointments.
  • Enrollment within 24 hours of intake.
  • Intake data entered accurately, and documents scanned into EHR within 24 hours.
  • Yearly financial updates 100% accurately keyed, completed and scanned into EHR within 24 hours.
  • Coordination of benefits timely and accurately with all third parties before intake when possible or within 4 hours of client appointment.
  • Performs other duties as assigned.

Minimum Qualifications

High school diploma or GED required with preferred two (2) years’ experience in customer service, admissions, claims processing, billing or collections that included six (6) months experience in medical or behavioral health benefits setting.  Must be able to be able to obtain a Class 1 DPS Fingerprint Clearance Card and CPR/First Aid Certification.

Physical Requirements

  • Use a Personal Computer and/or telephone over 7 hours a day
  • Occasional reaching, bending, stooping, kneeling or crouching
  • Frequent standing or moving throughout facility
  • Light physical effort (infrequent lift/carry up to 25 pounds)
  • Ability to operate a motor vehicle
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