Terros Health

  • Eligibility Enrollment Specialist

    Job Locations US-AZ-Phoenix
    Job ID
    2018-2503
    # of Openings
    6
    Category
    Administrative/Clerical
    Program
    Business Office
    Weekly Hours
    40
  • Overview

    Terros Health, Inc. is a four decade old, fully integrated community healthcare provider: With over 30 clinics throughout the Phoenix metro area, including Tucson, Flagstaff and Prescott Arizona. We have an exciting and immediate need for an experienced Eligibility and Enrollment Specialist. As one of the state’s leading, healthcare providers: Terros Health offers great work-life-balance, and continued career progression. Each new hire is eligible to participate in our best-in-class employee benefit plan the 1st of the month following their date of hire.

    Benefits include:

    • Medical insurance: PPO Health Reimbursement, HDHP Health Savings Account, and a traditional PPO
    • Vision insurance
    • Dental and Orthodontics insurance
    • Flexible Spending Accounts
    • Accidental Death & Dismemberment insurance
    • Disability insurance
    • Paid Life insurance
    • 401K with company matching (No company matching for the first 6 months of employment)
    • Employee Assistance Program
    • Financial Consultation and Referrals
    • Family & Caregiving Resources and Referrals
    • Legal Consultations
    • Paid Holidays
    • Generous paid time off/Vacation time
    • Paid sick time
    • Tuition discounts through our strategic partnership
    • Employee discounts at LA Fitness athletic clubs
    • Employee discounts on car rental through Enterprise Rental Car

    If you've been in search of a growing organization with a forward thinking, and caring culture: Terros Health may be the company you’ve been looking for.

    Responsibilities

    Under the agency’s policies and professional requirements, and under the direct supervision of the Director of Enrollment and Eligibility, this position is responsible for determining, documenting, auditing and maintaining accurate and current enrollment, eligibility and benefit coverage for clients/patients to ensure appropriate and timely reimbursement for services. This position provides excellent customer services to both internal and external customers. Position requires knowledge of behavioral health and medical healthcare systems, insurance reimbursement policies, federal and state requirements, internal policies and agency contract requirements.

    Qualifications

    • High School Diploma or GED/ Associates Degree in healthcare field preferred.
    • Medical Assisting Certification desired.
    • 1 – 3 years’ experience in behavioral health and/or medical health care fields coordinating healthcare benefits, validating members coverage.
    • Knowledge and understanding of commercial and federal and/or state insurance benefit and eligibility programs (Regional Behavioral Health Authority, Medicaid, Medicare, Long Term Care, adult and child/adolescent programs, etc.)
    • Computer skills including Microsoft Word, Intermediate Excel, Outlook.       Experience with ClaimTrak and NextGen preferred.
    • Excellent communication skills.
    • Ability to multi-task; high level of accuracy and attention to detail a must.
    • Able to work independently and in a team atmosphere.
    • Bilingual preferred.

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