Jobs in the United States

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Added 1 min ago
Enterprise Business Development Executive
MSC Industrial Supply Co.
Remote, United States
…thresholds. By partnering closely with internal teams, they support smooth handoffs that set the foundation for long-term account growth and…
Added 1 min ago
IT PROGRAM MANAGER (APPSW/SYSANALYSIS)
U.S. Northern Command
Peterson AFB, CO
…States Northern Command (N/NC) Directorate level Knowledge Management Engineer. Responsibilities Designs and develops custom software applications. Serves as the Directorate level DOW365-J…
Added 1 min ago
Maintenance Mechanic Leader
National Park Service
Grand Lake, CO
Added 1 min ago
SUPERVISORY FISH BIOLOGIST
Interior, US Fish and Wildlife Service
Leadville, CO
Added 1 min ago
STAFF ACTION CONTROL SPECIALIST
U.S. Northern Command
Peterson AFB, CO
…position is to serve as a staff action specialist providing support to the Office of the Secretariat to the Joint Staff (SJS), Office of the Chief of Staff (COS), Offices of the Deputy…
Added 1 min ago
Correctional Treatment Specialist (Case Manager)
Justice, Bureau of Prisons/Federal Prison System
Florence, CO
…liaison with the U.S. Parole Commission in reporting the inmate's program progress, readiness or lack of readiness for release, and resources in the community relevant to the desirability…
Added 1 min ago
Sr. Systems Engineer - EADGE-T
Lockheed Martin
Virtual Three, CO
Come join the EADGE-T team and be part of an effort to upgrade the program’s technology and bring new capabilities to the UAE customer. The EADGE-T system is an integrated air missile…
Added 1 min ago
IT SPECIALIST (INFOSEC)
U.S. Air Force - Agency Wide
Peterson AFB, CO
…Provides guidance to the test and evaluation community, and the program community for the completion of engineering, development, and sustainment activities in support of verification of…
Added 1 min ago
AD
Stat Lab - Lab Generalist (Overnight - TEMP)
Antech Diagnostics
Sheridan, CO
- $22 USD / hour
…services; local and cloud-based data services; practice information management software and related software and support; veterinary imaging and technology; veterinary professional…
Added 1 min ago
Executive Director Digital Product Growth and Membership
CVS Health
Remote, United States
…Rostering, Patient Engagement & Retention, and Value-Based Care Program…
Added 1 min ago
Lead Director Product Membership
CVS Health
Remote, United States
…partnering closely with business leaders across Membership Management (MMT), Patient Engagement Escalations Program (PEEP), Value-Based Programs, and Patient Retention & Service Recovery…
Added 1 min ago
Renewal and Reporting Analyst
CVS Health
Remote, United States
…customer service, claims, enrollment, billing, and reporting, in support of internal and external…
Added 1 min ago
Assistant General Manager- Front of House - Mountain House - Winter Seasonal
Vail Resorts
Keystone, CO
…house supported by best-in-class central programs, training and support. As such, our in-resort Manager level F&B leaders are responsible for the entire restaurant operation, including…
Added 1 min ago
Stables Manager
Vail Resorts
Keystone, CO
Provide strategic direction and support for sleigh ride operations.
Added 1 min ago
MI
Full-time Nabisco Merchandiser/Order Writer
Mondelez International
Rifle, CO · El Jebel, CO · Glenwood Springs, CO · Carbondale, CO
- $23 to $24 USD / hour
- Full-time
Build and maintain strong relationships with store personnel, such as backroom receivers and store managers, to support execution and visibility of our brands
Added 1 min ago
U
Part Time Preload Supervisor
UPS
STEAMBOAT SPRINGS, CO
- $26.25 to $42.65 USD / hour
- Part-time
Develops and maintains good working relationships with employees, management, and customers.
Added 1 min ago
U
Respiratory Therapist
UCHealth
Steamboat Springs, CO
- $31.61 to $47.41 USD / hour
Practices in technologically complex clinical setting managing ventilator integration to adaptive pulmonary support and airway management throughout multiple levels of care.
Added 1 min ago
Sr Principal Legal Counsel - Direct Sourcing GOSC Legal
Medtronic
Lafayette, CO
Provide strategic legal advice and commercial transactional support within the Global Operations & Supply Chain (GOSC) Legal organization to a broad range of Medtronic business clients…
Added 1 min ago
Clinical Pharmacist Inpatient
Intermountain Health
Wheat Ridge, CO
Supervises and directs activities of interns, technicians, and support personnel as required. Provides medication related clinical consultation and clarification to other health…
Added 1 min ago
Assistant Manager :Ski & Ride School - Salary
Vail Resorts
Vail, CO
…school operations. This role oversees all or key components of program delivery within their team. This posting is for multiple assistant manager positions within the Ski and Snowboard…
Added 1 min ago
Advanced Practice Provider Pulmonary
CommonSpirit Health
Durango, CO
…develop individualized treatment plans, and provide ongoing management of chronic pulmonary diseases. You will collaborate closely with pulmonologists, primary care providers, respiratory…
Added 1 min ago
Assistant Project Manager - Eurofins Environment Testing - Arvada, CO
Eurofins US Network
Arvada, CO
Knowledge of Eurofins' products, testing capabilities, technology, production, support systems, program specifications, and laboratory procedures
Added 1 min ago
Respiratory Therapist PRN-Nights
AdventHealth
Louisville, CO
…Sets up and monitors mechanical ventilators, including airway management and tracheal suctioning. Performs arterial punctures to obtain blood samples for gas analysis, understanding…
Added 1 min ago
U
Respiratory Therapist
UCHealth
Highlands Ranch, CO
- $31.61 to $47.41 USD / hour
Practices in technologically complex clinical setting managing ventilator integration to adaptive pulmonary support and airway management throughout multiple levels of care.
Added 1 min ago
A1
Secretary, Middle School-TEMPORARY
Adams 12 Five Star Schools
THORNTON, CO
- $21.87 to $27.64 USD / hour
School-Based Support/ Secretary, Middle School

Intermountain Centers

Member Services Specialist

Tucson, AZ, United States

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Job details

Posting language: English
Posted: Nov 5, 2026

Original job description

Looking to build a lasting career? Join a team that is inclusive and embraces all individuals. Intermountain Centers is one of the largest statewide behavioral health and integrated care organizations in Arizona. What does building a lasting career look like?

Top-level compensation packages
Exceptional health, dental, and disability benefits
Career and compensation advancement programs
Student loan forgiveness programs
401k company match
Bilingual pay differential
Holiday, PTO and employer paid life insurance
Clinical licensure supervision and reimbursement
Evidence-based treatment approaches, training, and supervision.

Intermountain Centers and its statewide affiliates are currently recruiting career-minded individuals interested in opportunities within the largest adult and child service continuum in Arizona.

GENERAL SUMMARY: The Member Services Specialist is primarily responsible for ensuring all members and customers have a positive experience throughout the provision of services by addressing their needs, questions, concerns, etc. Additionally, the Member Services Specialist is responsible for ensuring payer information is validated prior to and during services provision.

JOB RESPONSIBILITIES:

Enrollment Support (40% Job Effort)

Guide members through the enrollment process.
Verifies eligibility prior to enrollment with an understanding and knowledge of acceptable and/or restrictions with insurance to each program.
Within 24 hours of a new member chart set-up by Medical Receptionist the Member Services Specialist will validate insurance eligibility with designated source of truth.
For new walk-in members: The Member Services Specialist will set up an initial EHR chart and verify/validate insurance eligibility with designated source of truth.
On a weekly basis, validate member eligibility and benefit plan for members coming in for future appointments using designated source of truth.
Explains coverage details, including co-pays, deductibles, and out-of-pocket maximums to members.
Complete a thorough verification of benefits (benefit plan, co-pays/HSA/HRA, co-insurance, prior authorization requirements).
Initiates request for initial prior authorization and passes to Quality Management for maintenance.

Claims Processing Assistance (30% Job Effort)

Reconciles member roster with health plan/AHCCCS/Medicare/etc. (Primary Coverage) two times per week.
Ensures and verifies member eligibility throughout service provision.
Updated member record as needed.
Coordinate and work with the claims/billing department to ensure accurate processing of claims.
Reviewing and correcting the unbilled services report 2 times per week.
Correct all claims/billing discrepancies within 3 business days of notification.
Ensure all critical elements are end dated in the EHR, discharge within 24 hours of notification.
Reports Health Plan and Claim discrepancies to designated department staff. Discrepancies pertaining to eligibility and payers specifically regarding loss of eligibility.

Referral Management (15% Job Effort)

Responds to all referrals; request additional information when needed.
Works with all programs to respond timely to referring programs/coordinators; uploads required documents as directed.
Coordinates scheduling of services with program staff.

Administrative Support to Medical Receptionist: (10% Job Effort)

Provide back-up support when Medical Receptionist is on PTO/PSL or when engaging in Supervisor meeting.
Schedule appointments and manage calendars for behavioral health providers.
Maintain accurate and up-to-date member records in electronic health systems.
Handle correspondence, including emails and phone calls, in a professional manner.

Other (5% Job Effort)

Address member concerns, escalating as needed to Subject Matter Expert (S.M.E.)
Perform other duties as assigned or necessary as they relate to the general nature of the position.
Participates in monthly supervision with State Member Services Manager.
Participate in Member Services training as directed by State Member Services Manager.
Integrates with Program Staff, participating in Program Team meetings and events, and complies with office and attendance policies.
Answering multiline phone system.
Maintains an approved schedule, and acceptable level of attendance
Other duties as they relate to the general nature of the position

QUALIFICATIONS:

Education and Experience – High school diploma or GED. Two years of customer service experience working in the healthcare industry (medical or behavioral health). Experience with Electronic Health Records preferred. Extensive knowledge of eligibility and referral process.

REGULATORY:

Minimum 21 years of age.
Valid AZ DPS Level I fingerprint clearance card (must maintain valid card throughout employment)
CPR, First Aid, AED certification, if required (must possess upon hire and maintain throughout employment).
Initial current negative TB test result, if required (Employer provides).

Questions about this position? Contact us at HR@ichd.net.

Intermountain Centers is an equal opportunity employer. Intermountain Centers does not discriminate based on age, ethnicity, race, sex, gender, religion, national origin, creed, tribal affiliation, ancestry, gender identity, sexual orientation, marital status, genetic information, veteran status, socio-economic status, claims experience, medical history, physical or intellectual disability, ability to pay, source of payment, mental illness, and/or cultural and linguistic needs, as well as any other class protected by law.

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More about this job

Skills

Bilingualism
EHR
Quality assurance procedures
Claims processing
Scheduling
Administrative support
Administer appointments
Customer service
Electronic health records
CPR
First Aid

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