[Remote] Member Financial Specialist
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a mission-driven organization focused on helping individuals in recovery. As a Member Financial Specialist, you will work directly with members to address their financial questions and needs, ensuring they understand their benefits and payment options while navigating reputed company insurance issues.
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 options 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
Skills
- At least two years of experience with direct 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 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
- Deeply invested in patient reputed company
- Bachelor's degree preferred
- Experience with state reputed company portals, (reputed company and reputed company preferred)
- Experience in a high-growth environment strongly preferred
Company Overview