Director of Practice Operations
Copa Health · Mesa, AZ · 1 mo ago
ManagementFull-time
About Copa Health
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 – 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
- Employee Assistance Program with free coaching and therapy sessions
- Additional benefits including life insurance, disability coverage, pet insurance, and more
Key Responsibilities
- Assess current‑state front office processes and design clear, standardized, member‑centered workflows for registration, check‑in, check‑out, scheduling, referrals, document collection, benefit verification, payment collection, and follow‑up; develop and maintain standard operating procedures, desk guides, decision trees, scripts, forms, escalation pathways, and internal controls.
- Use data, staff feedback, payer requirements, and root‑cause analysis to identify bottlenecks, remove duplication, reduce wait times, and improve accuracy and throughput.
- Oversee timely verification and documentation of benefits and eligibility for AHCCCS, Medicare, Medicaid, Title XIX, commercial/private insurance, and other applicable funding sources before or at the point of service; ensure staff accurately capture demographics, coverage, coordination‑of‑benefits information, authorizations, responsible‑party information, consent forms, and other registration requirements in the electronic health record and related systems.
- Establish and monitor processes for communicating patient financial responsibility and collecting co‑pays, deductibles, coinsurance, self‑pay amounts, and approved payment arrangements; maintain controls for receipts, cash and check handling, daily reconciliation, deposit preparation, refunds, adjustments, and segregation of duties in accordance with organizational policy.
- Recruit, onboard, train, schedule, coach, and evaluate front office and patient access staff; clarify accountability and address performance concerns promptly and consistently.
- Ensure front office practices comply with HIPAA, 42 CFR Part 2 (when applicable), CMS and AHCCCS requirements, payer contracts, organizational policies, record‑retention requirements, and applicable federal and Arizona regulations.
Qualifications
- Bachelor’s degree in healthcare administration, business, public administration, health information management, or a related field; or an equivalent combination of relevant education and progressively responsible experience.
- Five years of progressive experience in healthcare practice operations, patient access, front office management, eligibility/enrollment, or revenue cycle, including at least two years of direct staff supervision.
- Demonstrated experience with Medicare, Medicaid/AHCCCS, Title XIX, commercial insurance, benefit verification, patient financial responsibility, and payer portals.
- Ability to design workflows, write SOPs, manage change, analyze performance data, and lead consistent operations across teams or sites.
- Working knowledge of HIPAA and healthcare registration, billing, authorization, and documentation practices.
- Proficiency with electronic health records, practice management systems, Microsoft Office, reporting tools, and web‑based payer systems.
- Valid driver’s license, reliable transportation, and ability to travel locally among organizational locations as required.
Preferred Qualifications
- Experience in nonprofit, community behavioral health, integrated healthcare, federally or state funded programs, or a multi‑site provider organization.
- Knowledge of Arizona behavioral health and AHCCCS systems, managed care organizations, renewal/redetermination processes, and community enrollment resources.
- Certification in healthcare access, revenue cycle, medical practice management, Lean, Six Sigma, or project management.
- Experience supporting diverse populations, including individuals with serious mental illness, substance use disorders, intellectual/developmental disabilities, housing instability, or other complex needs.
- Bilingual English/Spanish or other language capability relevant to the communities served.