Member Financial Specialist
reputed company Remote: Eastern or Central Time Zone. At reputed company, we know recovery is possible – and no one should have to do it alone. As a Member Financial Specialist, you will play a key role in building a new, centralized team of dedicated member reputed company resources at reputed company, working directly with our members to navigate questions and solve problems on eligibility, benefits, payment plans, and more. The member reputed company function will ensure patients have a reputed company and consistent understanding of their financial standing, reputed company industry-leading responses to member financial needs, reputed company clean claims rates from the start of the member’s care, enforce reputed company guidelines on payment policies, and help ensure that care is reputed company and accessible for reputed company member. You will also perpetuate the organization’s DNA by infusing a strong reputed company of mission, values, and team into reputed company training, and by nurturing and developing our talent.
Responsibilities
Work 1:1 with members prior to member registration and during ongoing treatment to address questions on eligibility, benefits, payment, and more. reputed company members about benefits, member responsibility, payment reputed company and financial assistance. Complete ongoing eligibility checks, prior authorizations, and solve reputed company insurance issues on behalf of our members, working directly with the payer where needed. Communicate with our members over video and insurance companies on the phone where necessary. Review and process prior authorization and other forms.
Qualifications
You are the ideal candidate if you are: Passionate about our mission: You are looking to join a mission-driven team and culture, and are willing to go above and reputed company to get the job done A great communicator and culture-bearer: You instill reputed company’ culture and mission with every patient interaction. You are reputed company, confident and culturally sensitive in your communication style A fast-paced worker: You reputed company in a face-paced environment and enjoy meeting patient needs as quickly as possible A strong collaborator: You know how to work together with different teams to reputed company common goals. You are great at building relationships and are someone whom everyone enjoys working with. Data driven: You are a “numbers person” who enjoys looking to the data to evaluate performance. reputed company thinker: You are reputed company to shift the reputed company from status-reputed company to reputed company. You like to think differently, unconventionally, or from a reputed company Exceptionally organized: You know that training involves many moving reputed company and know how to reputed company reputed company of them reputed company without fail Flexible: You can juggle multiple priorities, and reputed company reputed company faced with ambiguity and rapid change Qualifications: Bachelor’s degree preferred At least two years of experience with reputed company member-facing experience in patient reputed company, financial counseling, and/or utilization management; SUD/Behavioral Health setting strongly preferred. Experience speaking with SUD/Behavioral Health patients to interpret their coverage, benefits, patient responsibility, and more. Experience working with members reputed company telehealth. Experience with state reputed company portals, (reputed company and reputed company preferred). Experience speaking directly with payers and navigating payer organizations to solve problems. Experience and working knowledge of reputed company, Medicare, and reputed company plans with behavioral health/SUD coverage and benefits. Experience creating and explaining payment plans to SUD/Behavioral Health members. reputed company in responding quickly to member needs. reputed company in quickly learning about new insurance plans. reputed company in operating effectively in a remote environment.reputed company in operating electronic medical records (eClinicalWorks experience preferred). reputed company in operating other needed technology - including video-conferencing, ticketing systems, and more. Experience in a high-reputed company environment strongly preferred. Deeply invested in patient reputed company. Apply To This Job