Member Financial Specialist
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Member Financial Specialist working with patients to clarify eligibility, benefits, and payment options in a remote role. Collaborating with healthcare providers to ensure affordable care access.
Responsibilities:
- Work 1:1 with members prior to member registration and during ongoing treatment to address questions on eligibility, benefits, payment, and more
- Educate members about benefits, member responsibility, payment options and financial assistance
- Complete ongoing eligibility checks, prior authorizations, and solve complex 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
Requirements:
- Bachelor’s degree preferred
- At least two years of experience with direct member-facing experience in patient access, 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 via telehealth
- Experience with state Medicaid portals, (Availity and Zendesk preferred)
- Experience speaking directly with payers and navigating payer organizations to solve problems
- Experience and working knowledge of commercial, Medicare, and Medicaid plans with behavioral health/SUD coverage and benefits
- Experience creating and explaining payment plans to SUD/Behavioral Health members
- Skill in responding quickly to member needs
- Skill in quickly learning about new insurance plans
- Skill in operating effectively in a remote environment
- Skill in operating electronic medical records (eClinicalWorks experience preferred)
- Skill in operating other needed technology - including video-conferencing, ticketing systems, and more
- Experience in a high-growth environment strongly preferred
- Deeply invested in patient success
Benefits:
- Health insurance
- Flexible work arrangements
- Professional development
Similar Jobs
Finance Administrator Trainee
Finance Administrator Trainee working remotely to handle billing, invoicing, and accounting tasks for a multinational company. Supporting financial documentation and daily transaction management.
Senior Finance Functional Consultant
Consultor Funcional Financeiro Sênior ao liderar implementações no Microsoft Dynamics 365 Finance & Operations. Trabalhar em projetos desafiadores com múltiplos stakeholders e soluções financeiras de alto impacto.
Director of Finance – Temp Contract
Director of Finance leading a finance team and managing core financial operations at 3iQ, a digital asset management company. Ensuring compliance and accuracy in financial reporting for a temporary contract.
Finance & Strategy Manager
Lead financial planning and performance management for Tilt's Mexico business. Collaborate with leadership to drive strategic initiatives and operational excellence.
FP&A Analyst
FP&A Analyst supporting financial planning and analysis across Atari's business units. Ideal for someone with finance experience and passion for games.
Data Visualization Analyst – Power BI, FP&A
Analista de Visualização de Dados em Home Office, focando em FP&A e Business Intelligence. Colaboração global para insights financeiros e otimização de processos com SQL e Power BI.
Finance Business Partner
Finance Business Partner at Hadley Designs focusing on scalable finance systems and profitability. Leading financial strategy and supporting growth towards $100M with precision and clarity.
Director, FP&A
Director of FP&A overseeing financial planning and analysis for utility-scale energy storage projects. Translating market dynamics into financial insights for decision-making across the organization.
VP Finance, Builder Division
VP of Builder Division Finance responsible for financial performance and long-term growth strategies in builder joint ventures. Overseeing budgeting and guiding management with financial insights.
Financial Operations Analyst
Financial Operations Analyst supporting OXIO’s telecom-as-a-service platform with global finance processes. Handling accounts payable, receivable, and financial data management.
Financial Professional
Remote Financial Professional helping clients with financial needs and analyses from home. Offering flexible schedules and commission-based earnings.
VP of Finance
VP Finance overseeing finance operations while shaping financial systems and leading a growing team at QSIC. Responsible for compliance, close processes, and revenue recognition across multi-entity operations.
FP&A Analyst
FP&A Analyst role at Nylas focusing on financial modeling and execution. Utilizing AI for enhanced productivity in financial planning and analysis.
Senior Financial Analyst
Senior Financial Analyst at G.E.H.A providing data-driven financial insights and strategies. Responsible for analysis, budgeting, and guiding senior management in decision making.
Financial Advisor Associate – Training & Licensing Provided
Financial Advisor Associate at Strategic Financial Concepts providing financial guidance. Role includes training, mentorship, client relationship building, and professional development opportunities.
Experienced Financial Advisor
Experienced Financial Advisor with One Legacy Financial Group managing client relationships and providing tailored financial planning strategies. Focusing on mentorship, community influence, and practice growth through a collaborative culture.
VP Financial Planning & Analysis – Interim
Vice President of FP&A overseeing financial planning and analysis functions. Collaborating with CFO and senior leadership for strategic business performance in healthcare.
Financial Operations Analyst
Financial Operations Analyst supporting automation and financial operations improvements at Orion. Working remotely to handle fund operations and enhance operational workflows.
VP, Financial Planning & Analysis
VP of Financial Planning & Analysis at Quavo, leading financial strategies for a B2B SaaS firm. Managing forecasting, board reporting, and financial systems while driving growth and improvement.
Principal Specialist, FP&A
Principal Specialist, Financial Analyst at RTX leveraging financial modeling for cost management and digital transformation initiatives. Join a leading aerospace and defense company to make a difference.