Eligibility Enrollment Specialist- Oak Clinic

We are a mission-driven, service-orientated industry leader looking for a Eligibility Enrollment Specialist to join our team of caring professionals in Phoenix, AZ.

Terros Health is a healthcare organization of caring people, guided by our core values of integrity, compassion and empowerment. We engage people in whole person health through an integrated care delivery system, thus establishing a medical home for our patients. In caring for the whole person, we focus on overall wellness through physical health, mental health and substance use care. Our mission is to provide extraordinary care by empowered people through exceptional outcomes.

Recently awarded among Arizona's Most Admired Companies in 2022 & 2023

Full-Time Employed: 40 hours/week

Location: Oak St and 44th St in Phoenix, AZ

Bilingual in Spanish is a plus (Additional Language Differential Pay Available)

Full Benefits Package, including 401K

Generous PTO/Sick Time (4+ weeks in year 1)

As an Eligibility Enrollment Specialist you will ascertain member benefits by interviewing members and assisting them with gathering all pertinent information for benefit application process. You will initiate, track and assist member benefits during and after the application process.

Being detail-orientated is an important requirement of the job, as you monitor the completion of financial member information, work with outside agencies and facilitate AHCCCS eligibility checks and monitoring. In addition, you will train and assist case manager staff in the completion of application forms.

If you are dependable, caring and compassionate and find motivation in helping our members live better lives by sharing your own experiences, apply now! At Terros Health, we promote from within and foster an environment that encourages career growth and development.

Duties may include:

• Meets individually with clients in need of benefit assistance. This includes, but is not limited to: AHCCCS applications, SSDI and SSI applications, benefits through Arizona DES (Food Stamps, Cash Assistance, other). Directly assists clients with completing necessary applications and monitors their status in application process.
• Provides information and guidance to clients related to insurance benefits, including Title XIX and Non-Title XIX covered services, Medicare, Federal Marketplace, and other third party liability insurance.
• Maintains all required tracking spreadsheets related to client benefits and eligibility status as required by Terros Health, the RBHA and/or other contractors. Provides updated reports to Terros Health leadership as needed for submission to RBHA and/or other contractors per deliverable requirements.
• Ensures effective communication with clinical staff and provides timely notification of any change in a client's benefit status to the clinical team and by Practice Manager.

Benefits & Wellness:

• Multiple medical plans - including a no premium plan for employees and their families
• Multiple dental plans - including orthodontia
• Financial well-being - 401(k) with a company match, interest free medical line of credit, financial education, planning, and support
• 4 Weeks of paid time off in the first year
• Wellness program
• Child Care Support Program
• Pet Insurance
• Group life and disability insurance
• Employee Assistance Program for the Whole Family
• Personal and family mental and physical health access
• Professional growth & development - including scholarships, clinical supervision, and CEUs
• Employee perks and discounts
  
  
  
  • Gym memberships
  • Tuition at GCU and University of Phoenix
  • Car rentals
  
  
  
  
• Bilingual pay differential

Education/Experience:

• Must have High School/GED with 3-5 Years of experience in a Behavioral health or related field
• Must have one year of experience in coordinating healthcare benefits, and validating member coverage.
• Preferred - working knowledge of Security Disability programs, Title XIX, Programs for developmentally disabled, welfare programs, Arizona Long Term Care system, Adult and Children/Adolescent programs.
• Shared experience, preferred. A shared experience is defined as personally (or a family member) utilizing privately or publicly funded behavioral health services, to include substance abuse treatment or having a family perspective of recovery.
• Computer Skills: Microsoft Word, Excel, Outlook, electronic medical record, NextGen preferred
• Minimum typing speed of 25 wpm
• Must have valid Arizona driver's license, be 21 years of age with minimum 4 years driving experience, and meet requirements of Terros Health's driving policy
• Must have a valid Arizona Fingerprint Clearance card (Level 1) or apply for an Arizona Fingerprint Clearance card within 7 working days of employment
• Must pass background check, TB test and other pre-employment screening

Physical demands of this position are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.