Director of Eligibility and Enrollment

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona. CBI provides residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. 

CBI is the premiere non-profit fully integrated healthcare provider of substance use and behavioral health programs in Arizona, including prevention, education and treatment using cutting-edge, nationally recognized, evidence-based models.

Job Summary

The Director of Eligibility and Enrollment plans, develops, and implements activities regarding eligibility and enrollment administration/process for CBI locations and services (including behavioral health, substance use, and physical health services). The director ensures and oversees adequate internal controls and audits are in place related to areas of responsibility to ensure adherence with the Code of Federal Regulations, Arizona Administrative Code, Arizona Department of Health Services/Department of Behavioral Health Services, Arizona Health Care Cost Containment System Provider Manual, Arizona Office of Medical Facility Licensing, all accrediting bodies for CBI locations, Community Bridges Policies and Procedures, RBHA/TRBHA provider manuals and clinical cost center budgets. This position also provides a central oversight function across the agency regarding all eligibility and enrollment functions, including data reporting and analysis. 

Education and Experience Required

•  Bachelor’s degree, preferably in a field related to behavioral health, required. Master’s degree preferred.
• Minimum of 1-3 years of experience working in the healthcare field with a focus on eligibility verification, benefit management and enrollment required.
• Three to five (3-5) years of progressive management experience required.
• Experience working in a medical related field with a focus on eligibility and enrollment preferred.
• Knowledgeable about how to access information related to eligibility and benefits for all CBI lines of business.
• Knowledgeable in Medicaid, commercial insurance, public health systems of health care terminology to include but not limited to, health plans, eligibility verification, identification of in network and out of network benefits, CPT-4, HCPC and Revenue Codes, prior authorization preferred, resources for obtaining insurance (e.g. Medicaid applications/renewals, marketplace insurance), and benefits associated with various funding streams (e.g. Medicaid, SUBG, MHBG, SOR, etc.). 

CBI Offers an excellent benefits package!

• Generous PTO accrual (5 weeks!),
• Medical, Dental, Vision, Disability, Life, Supplemental plans
• Hospital indemnity/ Critical Illness,
• Pet Insurance,
• Dependent Care Savings, Health Care Savings,
• 401K with employer match - 100% vested upon enrollment,
• Wellness programs,
• Tuition Reimbursement and Scholarship Programs, incentives, and more!
• Very Competitive pay rates

CBI is growing and expanding our services!

• We are experience tremendous growth in this time. As an essential service provider, we value all our employees and their careers in the clinical field.
• *For the past four years, The Phoenix Business Journal has recognized CBI as one of the top ten healthiest mid-size employers in the Valley!

CBI Values your Career and have lots of growth opportunities!

Our staff experience tremendous professional growth through ongoing training and support. Our team is supported by strong and competent leadership. Come join our team of passionate individuals who are serious about making a difference in the lives of our patients and the communities we serve.

About our Culture, commitment to employees!

• We are looking for driven and compassionate individual’s that thrive in an upbeat and safe working environment. We dedicate a lot of thought and effort into work life balance as well as our competitive composition structure.
• We know life happens, that’s why we all start with a 5-week PTO plan as well as a wide range of unique benefits! 

Our Facilities.

Our 26 locations are all state-of-the-art facility that provides top notch integrated care. We are proud to adhere to a “no wrong door” treatment approach that allows our staff to dramatically improve the quality of life for the patients in their care.

CBI treats patients from all different walks of life and believes in maintaining the dignity of human life. Recovery is possible!