Job details
Job type full-time
Full job description
Community bridges, inc(cbi) is an integrated behavioral healthcare agency offering a variety of different programs throughout arizonaCbi 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.
The enrollment & benefits specialist is responsible for the submittals of enrollment, crisis transactions to the appropriate regional behavioral health authority (rhba) and/or authorizing agency for all clinical programsThe enrollment & benefits specialist is responsible for the submittal of demographic information to ahcccs for all op programs in compliance with ahcccs requirements.
This role requires an individual with strong analytical, problem-solving and metadata skillsThe ideal candidate will be a self-starter comfortable with ambiguity, with strong attention to detail, and an ability to work in a fast-paced environment.
Essential job duties or responsibilities
Ensures that timelines established in accordance with the regional behavioral health authority (rbha) and ahcccs guidelines are met or exceeded for all deliverables including but not limited to enrollment, and demographic submissions
Ensure that a review is conducted on all op demographic forms to verify that the information is consistent and complete.
When op demographic information are found to be inaccurate or incomplete, coordinates with clinical to ensure any identified errors are corrected appropriately prior to submission.
Reviews all enrollments information prior to the submittal to the appropriate rbha in order to determine which areas require correction
Reconciles with the appropriate rbha any issues relating to missing or late enrollments as they arise.
Ensures all op demographics are submitted within 7 days of intake as required per ahcccs requirements.
Ensures all enrollments are submitted to the appropriate rbha within 3 days of admission.
Ensure all crisis transactions are submitted to the appropriate rbha within 3 days of admission
Ensures all rejected enrollments and demographics are corrected and resubmitted in a timely manner.
Informs the director of enrollments & eligibility in a timely manner, of any issues with or changes to the process for the internal reporting
Other duties as assigned by the director of enrollments & eligibility
Performance metrics:
Complete initial submission and follow up a min of 3,360 ntxix enrollments per month with the ability to meet or exceed quality goals of 95%
Complete initial submission and follow up a min of 7,000 crisis enrollments tasks per month with the ability to meet or exceed quality goals of 95%
Meet or exceed productivity goals of 95% or better
Ensures that 95% of ntxix enrollments are submitted within 3 days of admission
Ensure that 95% of crisis enrollments are submitted within 3 days of admission
Supervisory responsibilities
This position has supervisory responsibilities.
Minimum education & experience required
Minimum of ged or high school diploma
Requires one to two (1-2) years with rbha and electronic data submission and ahcccs eligibility, applications, and coverage experience preferably in behavioral health
Equivalent combination of education, training, and experience
Licenses, certifications, credentials, registrations
Valid az driver’s license in good standing
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 lifeRecovery is possible!
