Member Financial Services Analyst

Responsibilities

• Manage member-facing phone lines and email to provide compassionate support
• Review and educate members on Verifications of Benefits (VOBs)
• Act as primary contact for members regarding benefits, authorizations, and financial assistance
• Track prior authorizations and communicate outcomes to clinical and RCM teams
• Administer the Financial Assistance Program (FAP) including intake and documentation
• Manage the Uninsured Member Tracker and evaluate coverage alternatives
• Coordinate insurance and billing cases across departments
• Verify coverage and eligibility through payer portals (Commercial, Medicare, Medicaid)
• Prepare monthly patient statements and resolve billing discrepancies
• Document workflows in CRM and EMR systems
• Identify and surface process improvements for the MFS team

Requirements

• 2–3+ years of experience in insurance benefits, billing, or prior authorizations
• Experience using commercial insurance payer portals
• Experience in an externally facing role, ideally working directly with patients
• Comfort with phone-based work
• Strong communication skills for translating complex payer issues
• Proficiency with CRM systems and EMR platforms
• Ability to operate on Pacific Time

Preferred Qualifications

• Experience in SMI or behavioral health
• Experience with Medicare and Medicaid

About the Company

Amae Health is a Series B, venture-backed Public Benefit Corporation that delivers specialty outpatient care for people living with severe mental illness, including schizophrenia, schizoaffective disorder, bipolar I disorder, and treatment-resistant depression.