Benefits Specialist-CPEC
4 weeks ago
Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness.
Community Bridges is currently seeking a Benefits Specialist to join our Mesa team.
The Benefits Specialist is responsible for answering all phone calls routed through the facility and facilitates a brief triage providing them with either an appointment for an internal program or a referral to the most appropriate level of care. In addition to scheduling appointments the Benefits Specialist is responsible for obtaining insurance and co-pay information for service where necessary and maintaining contact with respective referral sources. The Benefit Specialist is responsible for completing the referral in the electronic medical records. The Benefits Specialist is responsible for collecting co-pays and co-pay reports on all participants and communicating this information to Utilization Management (UM) Department and Billing Department.
Each area below is defined by specific function as it relates to policy, process, and the governing rules set forth by the Department of Behavioral Health Services (DBHS), Regional Behavioral Health Authority (RBHA), Office of Behavioral Health Licensure (OBHL), and the Code of Federal Regulations. Each employee will be held accountable and responsible for fulfilling each of these duties as well as having the capability to carry them out
Skills/ Requirements
Verifies all benefit and co-pay information with commercial insurance companies, referral sources, and/or T/RBHA when initial referral is received.
Completes Insurance Verification Form for patients with commercial insurances and provides it to the appropriate department.
Meets with patient prior to intake assessment and completes financial agreement if patient has commercial insurance, is self-pay, or has split bill.
Verifies at each appointment that the patient’s address, phone number, and insurance information are current and accurate.
Documents all phone calls in the electronic medical record.
Intake
Identifies correct RBHA for each patient at time of admission. Verification is done via provider website and/or online AHCCCS verification.
Identifies patients that need AHCCCS applications and completes as needed.
Completes assigned forms in electronic medical records.
Notifies designated staff when patient has arrived in lobby so next
CBI Offers an excellent benefits package
Medical, Dental, Vision, Disability, Life, Supplemental plans - Hospital indemnity/ Critical Illness, Pet Insurance, Dependent Care Savings, Health Care Savings, 401K with employer match - 100% vested upon enrollment, Generous PTO accrual, Wellness programs, Tuition Reimbursement and Scholarship Programs, incentives, and more
For the past four years, The Phoenix Business Journal has recognized CBI as one of the top ten healthiest mid-size employers in the Valley.
CBI treats patients from all different walks of life and believes in maintaining the dignity of human life. Recovery is possible
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