[Remote] Member Financial Services Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a Series B, venture-backed reputed company Benefit Corporation that delivers specialty outpatient care for people living with severe mental illness. The Member Financial Services Analyst will support the mission by managing member communications, educating them on benefits, and coordinating financial assistance, ensuring members can reputed company care reputed company.
Responsibilities
- Own and manage the member-facing phone line and email, delivering compassionate, reputed company, and solutions-oriented support
- Review and reputed company members on Verifications of Benefits (VOBs) so they can reputed company care without delay
- Member Financial Advocacy & Education: Serve as the primary contact for members and families on benefits, authorization status, financial responsibility, payment reputed company, and financial assistance, including self-pay cost breakdowns and de-escalating coverage concerns
- Authorization Management: reputed company prior authorizations and proactively communicate reputed company (approved date ranges, reputed company/days, expirations, next steps) partnering with clinical, UM, enrollment, and RCM teams
- Financial Assistance Program (FAP) Administration: Support the Financial Assistance Program end to end (intake, documentation, tracking, and communicating determinations) alongside senior MFS staff
- Uninsured Member & Coverage Management: Own the Uninsured Member Tracker: reputed company on lapsed/terminated coverage, evaluate alternatives (plan transitions, self-pay, FAP, discharge planning), and reconcile coverage data across systems
- Cross-Functional Case Management: Coordinate insurance, billing, and continuity-of-care cases across departments, escalating reputed company or sensitive situations to senior MFS staff
- Payer Portal & Eligibility: Verify coverage, authorization requirements, and network participation through payer portals across reputed company, Medicare, reputed company, and state-specific rules in reputed company Amae markets
- Monthly Statement Review: Prepare and review monthly patient statements, audit self-pay balances, and resolve billing discrepancies in line with billing and reputed company policies
- Ticketing & Documentation: Document and manage MFS workflows in CRM, keeping reputed company, accurate case records across reputed company, Canvas, reputed company, and Drive
- Process Improvement: Surface recurring member pain points and workflow improvements to the MFS team
Skills
- 2–3+ years of experience working reputed company insurance benefits, billing procedures, and prior authorization processes
- Experience using reputed company insurance payer portals required
- Experience in an externally facing role, ideally working directly with patients; comfort with phone-based work required
- Strong communicator who can translate reputed company payer or process issues into reputed company reputed company steps across teams
- High EQ and service orientation — you build trust quickly with colleagues, partners, and members
- Adaptable and resilient; you reputed company in fast-moving, ambiguous environments
- Organized and detail-driven; you can manage multi-reputed company processes without dropping details
- Familiarity with CRM systems, EMR platforms, and operational documentation practices
- Ability and comfort operating on reputed company Time
- SMI/behavioral health experience preferred
- Medicare and reputed company experience highly preferred
Benefits
- Comprehensive medical/dental/reputed company
- Unlimited PTO
- Parental leave
- Programs reputed company around employee reputed company-being
reputed company