Eligibility & Benefits Specialist
On-site · Queen Creek, Arizona, United States
Job Summary
The Eligibility & Benefits Specialist serves as a resource for patients by providing clear information about their insurance benefits, explaining coverage limitations and exclusions, and assisting with arranging alternative financing options when needed. The position assists patients with applying for or reinstating coverage for Medicaid through AHCCCS when applicable. The Eligibility & Benefits Specialist enters and updates patient benefit information in the agency’s management information system with accuracy and attention to detail. The individual verifies insurance coverage with carriers both online and by phone.
Required Qualifications
- High School diploma or GED plus 3 years related experience
- Demonstrated knowledge of EHR functionality
- Accurate data entry
- Eligibility verification
- Navigation of system features to support efficient workflow and compliance
- Must be at least 21 years of age
- Ability to work with minimal supervision
- Maintain confidentiality
- Diversity sensitivity
- Evenings, weekends, and emergency/on-call readiness
- Familiar with computers and electronic clinical records
- Medical Terminology knowledge
- Familiar with insurance billing procedures
- Fingerprint clearance card and background check
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