Native American Connections
Patient Benefits Coordinator
Native American Connections, Phoenix, Arizona, United States, 85003
Join Our Team at Native American Connections!
Who We Are: Native American Connections (NAC) is a nonprofit organization dedicated to improving the lives of individuals and families through affordable housing, behavioral health, and community development services. For over 50 years, we have proudly served Native American and underserved communities in the Phoenix area with culturally competent, trauma-informed care
grounded in respect and tradition.
Our Mission:
Our mission, grounded in traditional Native American culture, is to reduce health disparities by delivering high-quality, comprehensive integrated healthcare and providing stable housing throughout the communities we serve.
Why Work With Us? When you join NAC, you're not just taking a job - you're becoming part of a movement. A movement that values cultural identity, honors resilience, and believes in the power of community. You'll work alongside passionate professionals who are committed to healing generational trauma, strengthening families, and building vibrant futures.
What We Do: Behavioral Health Services: Culturally responsive treatment for mental health and substance use disorders including outpatient therapy, residential programs, and youth services. Affordable Housing: Safe, stable, and supportive housing options - from transitional housing to permanent low-income housing. Community Development: Revitalizing neighborhoods and preserving Native heritage through community-based projects and education. Our Values: Health & Wellness | Quality | Accountability | Growth | Interconnectedness/Belonging | Community
Now Hiring: We are seeking compassionate, mission-driven individuals to join our growing team across various departments including clinical services, housing support, youth engagement, and administrative leadership.
If you're passionate about social change, cultural advocacy, and serving diverse communities with dignity and care - NAC is the place for you.
Based in Phoenix, Arizona | 501(c)(3) Nonprofit Organization
Apply Today & Make a Difference Tomorrow: Visit https://www.nativeconnections.org/careers-at-nac/ to view open positions and join our circle of care.
Patient Benefits Coordinator
Schedule: M-F 8am-5pm
Location: 337 E. Virginia Ave Bldg B, Phx 85004
POSITION SUMMARY
:
Under the direct supervision the Office Manager, the Patient Benefits Coordinator should understand all Native American Connections (NAC) policies and all funding sources and contracts. The position is responsible for ensuring each client is assessed to identify the appropriate funding source and for checking and updating client records regularly. Ensure all documentation is received and is accurately documented in the client record.
RESPONSIBILITIES
:
Reviews eligibility and verifies eligibility status of client coverage in Arizona Health Care Cost Containment System (AHCCCS), Medicare, ALTCS, Behavioral Health Coverage, and private insurance utilizing Waystar, Novitasphere, and Availity to identify third party insurance coverage When third party insurance is identified, work with client, front office, and billing staff to obtain proper documentation and verification to update funding sources in E.H.R system
Understanding of Marketplace enrollments and identification of fraud related to AHCCCS enrollment. Assist client with resolution of enrollment issues. Update insurance eligibility and rate code changes, and resolve discrepancies in a timely manner
HEAplus Assistor to assist clients with applying for or renewing AHCCCS benefits.
Follow up with clients to ensure that all documentation needed for insurance approval/renewal is completed
Collaborate with Billing to identify clients that have recently lapsed on AHCCCS, notify the assigned case manager to follow-up with client regarding status of insurance
Provide assistance as needed to ensure continued coverage for clients treatment
Follow up with pending AHCCCS applications or renewals and update E.H.R. with relevant information as it becomes available Provide back-up coverage for the front desk, including creating charts and processing walk-ins
Completes Behavioral Health Consents and Release of Information in the EHR system.
Assist with prior authorizations from Tribal referrals, TRBHA's and any other health plans under the AHCCCS umbrella as assigned by supervisor Manage ongoing services authorizations to ensure there is no lapse in coverage services by collaborating with clinical teams and any external entities Documents in E.H.R. promptly and accurately Ensures that all insurance information entered in client record is accurate and update if Assist clients in obtaining copies of Certificate of Blood (CIB) as needed Assist clients in obtaining duplicate copies of Certificate of Blood/Tribal ID. Notarizes CIB requests and court documents. Track all Third-party coverages, HEAplus AHCCCS applications, CIB/Tribal ID on tracking sheet. Attend quarterly HEAplus (CPAO) meetings/trainings. Attend bi-weekly Outpatient Staff Meetings. Other duties as assigned. CORE COMPETENCIES:
Productivity High quality of work Knowledge of all insurance eligibility requirements Knowledge of insurance verification procedures and systems Able to assist clients in completion of insurance application Professional communication, both written and oral Ability to work independently and as part of a team Initiative/Resourcefulness in completion of projects Ability to balance workload and prioritize daily needs Punctuality/Attendance Understanding of how to provide culturally competent services EDUCATIONAL / WORK EXPERIENCE REQUIREMENT
:
High School or GED required. Bachelor's degree in related field preferred. Two (2) years of related work experience SKILLS REQUIREMENT
:
In-depth knowledge of eligibility/billing/benefits/enrollment in a behavioral health and/or medical setting
Experience with Arizona RHBA and TRBHA eligibility and inter-RHBA transfers Experience in working with private insurance plans/benefits Experience in AHCCCS enrollment and benefit verification processes
Highly detail oriented Must be a team player, possess a strong work ethic and be able to coordinate multiple tasks while meeting required deadlines Possess excellent customer service, communication, organizational and interpersonal skills At least one year Experience with Behavioral Health clinic Spanish speaking preferred Excellent communication skills - written and oral Fingerprint Certificate required Experience in working with the Native American population preferred Proficiency in MS Office, particularly Excel PHYSICAL DEMANDS:
Able to sit, stand and walk with/without accommodations.
NATIVE AMERICAN PREFERENCE: Preference is given to qualified Native American Applicants in accordance with the Indian Preference Act. If claiming a preference, a copy of valid documentation will be necessary. DRUG FREE WORKPLACE: Native American Connections is a drug-free workplace with safety-sensitive jobs. Use of alcohol and legal or illegal drugs may impair and alter employees' judgement resulting in increased safety risks, workplace injuries, and faulty decision making. Reporting to work at NAC after use of alcohol, a controlled substance, or abuse of any other substance is absolutely prohibited. FAIR LABOR STANDARDS ACT: This position is considered to be Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws. Non-Exempt employees are entitled to overtime pay for hours worked in excess of forty (40) hours per workweek.
Who We Are: Native American Connections (NAC) is a nonprofit organization dedicated to improving the lives of individuals and families through affordable housing, behavioral health, and community development services. For over 50 years, we have proudly served Native American and underserved communities in the Phoenix area with culturally competent, trauma-informed care
grounded in respect and tradition.
Our Mission:
Our mission, grounded in traditional Native American culture, is to reduce health disparities by delivering high-quality, comprehensive integrated healthcare and providing stable housing throughout the communities we serve.
Why Work With Us? When you join NAC, you're not just taking a job - you're becoming part of a movement. A movement that values cultural identity, honors resilience, and believes in the power of community. You'll work alongside passionate professionals who are committed to healing generational trauma, strengthening families, and building vibrant futures.
What We Do: Behavioral Health Services: Culturally responsive treatment for mental health and substance use disorders including outpatient therapy, residential programs, and youth services. Affordable Housing: Safe, stable, and supportive housing options - from transitional housing to permanent low-income housing. Community Development: Revitalizing neighborhoods and preserving Native heritage through community-based projects and education. Our Values: Health & Wellness | Quality | Accountability | Growth | Interconnectedness/Belonging | Community
Now Hiring: We are seeking compassionate, mission-driven individuals to join our growing team across various departments including clinical services, housing support, youth engagement, and administrative leadership.
If you're passionate about social change, cultural advocacy, and serving diverse communities with dignity and care - NAC is the place for you.
Based in Phoenix, Arizona | 501(c)(3) Nonprofit Organization
Apply Today & Make a Difference Tomorrow: Visit https://www.nativeconnections.org/careers-at-nac/ to view open positions and join our circle of care.
Patient Benefits Coordinator
Schedule: M-F 8am-5pm
Location: 337 E. Virginia Ave Bldg B, Phx 85004
POSITION SUMMARY
:
Under the direct supervision the Office Manager, the Patient Benefits Coordinator should understand all Native American Connections (NAC) policies and all funding sources and contracts. The position is responsible for ensuring each client is assessed to identify the appropriate funding source and for checking and updating client records regularly. Ensure all documentation is received and is accurately documented in the client record.
RESPONSIBILITIES
:
Reviews eligibility and verifies eligibility status of client coverage in Arizona Health Care Cost Containment System (AHCCCS), Medicare, ALTCS, Behavioral Health Coverage, and private insurance utilizing Waystar, Novitasphere, and Availity to identify third party insurance coverage When third party insurance is identified, work with client, front office, and billing staff to obtain proper documentation and verification to update funding sources in E.H.R system
Understanding of Marketplace enrollments and identification of fraud related to AHCCCS enrollment. Assist client with resolution of enrollment issues. Update insurance eligibility and rate code changes, and resolve discrepancies in a timely manner
HEAplus Assistor to assist clients with applying for or renewing AHCCCS benefits.
Follow up with clients to ensure that all documentation needed for insurance approval/renewal is completed
Collaborate with Billing to identify clients that have recently lapsed on AHCCCS, notify the assigned case manager to follow-up with client regarding status of insurance
Provide assistance as needed to ensure continued coverage for clients treatment
Follow up with pending AHCCCS applications or renewals and update E.H.R. with relevant information as it becomes available Provide back-up coverage for the front desk, including creating charts and processing walk-ins
Completes Behavioral Health Consents and Release of Information in the EHR system.
Assist with prior authorizations from Tribal referrals, TRBHA's and any other health plans under the AHCCCS umbrella as assigned by supervisor Manage ongoing services authorizations to ensure there is no lapse in coverage services by collaborating with clinical teams and any external entities Documents in E.H.R. promptly and accurately Ensures that all insurance information entered in client record is accurate and update if Assist clients in obtaining copies of Certificate of Blood (CIB) as needed Assist clients in obtaining duplicate copies of Certificate of Blood/Tribal ID. Notarizes CIB requests and court documents. Track all Third-party coverages, HEAplus AHCCCS applications, CIB/Tribal ID on tracking sheet. Attend quarterly HEAplus (CPAO) meetings/trainings. Attend bi-weekly Outpatient Staff Meetings. Other duties as assigned. CORE COMPETENCIES:
Productivity High quality of work Knowledge of all insurance eligibility requirements Knowledge of insurance verification procedures and systems Able to assist clients in completion of insurance application Professional communication, both written and oral Ability to work independently and as part of a team Initiative/Resourcefulness in completion of projects Ability to balance workload and prioritize daily needs Punctuality/Attendance Understanding of how to provide culturally competent services EDUCATIONAL / WORK EXPERIENCE REQUIREMENT
:
High School or GED required. Bachelor's degree in related field preferred. Two (2) years of related work experience SKILLS REQUIREMENT
:
In-depth knowledge of eligibility/billing/benefits/enrollment in a behavioral health and/or medical setting
Experience with Arizona RHBA and TRBHA eligibility and inter-RHBA transfers Experience in working with private insurance plans/benefits Experience in AHCCCS enrollment and benefit verification processes
Highly detail oriented Must be a team player, possess a strong work ethic and be able to coordinate multiple tasks while meeting required deadlines Possess excellent customer service, communication, organizational and interpersonal skills At least one year Experience with Behavioral Health clinic Spanish speaking preferred Excellent communication skills - written and oral Fingerprint Certificate required Experience in working with the Native American population preferred Proficiency in MS Office, particularly Excel PHYSICAL DEMANDS:
Able to sit, stand and walk with/without accommodations.
NATIVE AMERICAN PREFERENCE: Preference is given to qualified Native American Applicants in accordance with the Indian Preference Act. If claiming a preference, a copy of valid documentation will be necessary. DRUG FREE WORKPLACE: Native American Connections is a drug-free workplace with safety-sensitive jobs. Use of alcohol and legal or illegal drugs may impair and alter employees' judgement resulting in increased safety risks, workplace injuries, and faulty decision making. Reporting to work at NAC after use of alcohol, a controlled substance, or abuse of any other substance is absolutely prohibited. FAIR LABOR STANDARDS ACT: This position is considered to be Exempt for overtime pay provisions as provided by the Federal Fair Labor Standards Act (FLSA) and any applicable state laws. Non-Exempt employees are entitled to overtime pay for hours worked in excess of forty (40) hours per workweek.