Jobs in the United States

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Added 2 mins ago
CO
Accounting Technician I/II
City of Santa Clara
Santa Clara, CA
- $38.92 to $49.78 USD / hour
Experience with on-line financial and/or payroll systems;
Added 2 mins ago
L
Litigation Docketing Specialist
lhh
Los Angeles, CA
- $30 to $37 USD / hour
Identify and escalate potential issues to senior docketing staff or the Litigation Docketing Manager
Added 4 mins ago
OM
Payroll Management Analyst
Oregon Metro
Portland, OR
- $77,439.9 to $103,758.91 USD / year
…in maintaining the financial accuracy, accounting integrity, systems, processes, and reporting that keep payroll operations running…
Added 8 mins ago
Restaurant General Manager
Krystal
Oxford, MS
The Restaurant Store Manager performs and directs overall restaurant management. Directs staff to ensure that food safety, product preparation, and cleanliness standards are maintained.…
Added 9 mins ago
SO
L&I Chief Policy Legal Officer
State of Washington
Tumwater, WA
- $7,658 to $11,229 USD / month
Provides strategic oversight and supervises the CSCPS Legal Services program, including the Firm Appeals Program Manager.
Added 9 mins ago
SO
IT Application Development - Senior/Specialist
State of Washington
Olympia, WA
- $99,300 to $133,608 USD / year
…personal leave day), 11 paid holidays, and an Employee Assistance Program. Tuition Reimbursement is available for eligible employees subject to guidelines and funding. You can find more…
Added 9 mins ago
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Administrative Assistant 3 (AA3/DBHR) – Internal
State of Washington
Olympia, WA
- $4,004 to $5,376 USD / month
Serves as a liaison between section manager, supervisors, and other staff, relays assignments and requests status information of assignment.
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Enterprise Architect
State of Washington
Olympia, WA
- $9,478 to $12,437 USD / month
…instrumental in advancing our emerging Artificial Intelligence (AI) Program, helping establish responsible AI governance, evaluate innovative technologies, and develop strategic roadmaps…
Added 9 mins ago
SO
Eligibility Policy Program Manager (HCPM/AHEA)
State of Washington
Remote, United States
- $6,708 to $9,019 USD / month
Eligibility Policy Program Manager (Health Care Program Manager)
Added 9 mins ago
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Environmental Database Coordinator (Environmental Specialist 3) INTERNAL ONLY
State of Washington
Union Gap, WA
- $4,980 to $6,707 USD / month
…Coordinator for the Central Region Office (CRO) of the Toxics Cleanup Program (TCP), you'll serve as a critical hub connecting environmental data, site records, public information, and…
Added 9 mins ago
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Familiar with contact center tools, systems, and methodologies.
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Sustainability Manager
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Raleigh, NC
- $90,640 to $140,476 USD / year
The City of Raleigh is seeking an experienced Sustainability Manager to join its Office of Sustainability. This role leads the team implementing climate action, social advancement, and…
Added 13 mins ago
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Manager of Lighting and Video
Zach Theater
Austin, TX
- $52,000 to $57,500 USD / year
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Added 13 mins ago
Abdominal Transplant Account Manager - Dallas-Fort Worth
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Manager Patient Advocate - MMTP Administration - Full Time/Days
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New York, NY
- $65,193 to $97,790 USD / year
- Full-time
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Program Manager, Discharge Planning-HSO SKILLED NURSING FACILITY TRANSFERS -150 East 42nd Street - Full-Time-Day shift-9A-5P
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New York, NY
- $65,885 to $106,891.29 USD / year
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IT Manager II
State of South Carolina
Columbia, SC
- $115,000 to $130,000 USD / year
…security, criminal investigations, and criminal justice information systems, SLED's diverse responsibilities make it one of the most dynamic law enforcement agencies in the…
Added 16 mins ago
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Property Manager Division Manager
Boulder County
Lafayette, CO
- $7,134 to $10,272 USD / month
The Division Manager also leads operational planning and lease-up for new housing developments, coordinates the transition of properties from construction to operations, and establishes…
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Commercial Account Manager
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- $60,000 to $70,000 USD / year
Experience with CRM systems and sales tracking tools preferred.
Added 24 mins ago
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Commercial Account Manager
GPAC
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- $60,000 to $70,000 USD / year
Experience with CRM systems and sales tracking tools preferred.
Added 24 mins ago
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Commercial Account Manager
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- $60,000 to $70,000 USD / year
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Commercial Account Manager
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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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