Benefits and Eligibility Specialist

About Us

At Copa Health, we are committed to People First, fostering a culture of compassion, innovation, and impact. We support individuals and families across Arizona through high-quality behavioral health and integrated care services while also investing in the growth and well-being of our team.

Why Join Copa Health?

• Competitive salary and comprehensive benefits package
• Personalized Health Coverage – Receive a monthly, tax-free contribution to select the medical plan that works best for you, with guidance and support through our ICHRA program
• Dental and Vision Coverage to complement your health plan
• Generous PTO – up to 3 weeks in your first year, plus an additional wellness day to recharge
• 10 paid holidays annually
• Wellness Program, including access to mental health resources
• Tuition Reimbursement up to $3,000 to invest in your growth and career advancement
• Affordable Medical, Dental, and Vision plans to fit your needs
• 403(b) retirement plan with company match to help you plan for your future
• Employee Assistance Program with free coaching and therapy sessions
• Additional benefits including life insurance, disability coverage, pet insurance, and more

About the Role

We’re looking for a passionate, full-time Benefits Specialist who loves helping members navigate and maximize their benefits. The Benefit & Eligibility Specialist is responsible for navigating and optimizing various benefit programs while assessing and assisting members with obtaining benefits.

Responsibilities

• Verifies, ensures accuracy, and updates patient demographics and insurance information
• Assist office assistants in the maintenance of accurate, up-to-date insurance verification
• Use online web-based verification systems and review real-time eligibility responses to ensure the accuracy of insurance eligibility
• Collects, verifies, and communicates necessary information with members' insurance carriers to obtain benefits and eligibility information
• Complete, process, submit, and track prior authorizations
• Initiates and assists patients with completing applications for Medicaid, Medicare, and SSI/SSDI
• Assist members with AHCCCS eligibility and enrollment
• Establish positive, effective, and professional relationships with members, families, colleagues, and other components of the healthcare payor system

Requirements

• High School Diploma/GED
• Minimum of two years of related experience
• Experience working in a medical and/or behavioral health setting is highly preferred
• Must have a fingerprint clearance card issued by the AZ Department of Public Safety or eligible to receive one within eight (8) weeks of hire
• TB Test clearance required at the time of hire

Benefits

• Personalized Health Coverage with a monthly, tax-free contribution (ICHRA program)
• Dental and Vision Coverage
• Generous PTO – up to 3 weeks in your first year, plus an additional wellness day
• 10 paid holidays annually
• Wellness Program, including mental health resources
• Tuition Reimbursement up to $3,000
• 403(b) retirement plan with company match
• Employee Assistance Program with free coaching and therapy sessions
• Life insurance, disability coverage, pet insurance, and more