Member Financial Specialist

Job Summary

A company is looking for a Member Financial Specialist.

Key Responsibilities

• Assist members with eligibility, benefits, and payment inquiries before and during treatment
• Educate members on financial options and complete eligibility checks and prior authorizations
• Communicate with members and insurance companies to resolve complex issues

Required Qualifications

• Bachelor's degree preferred
• At least two years of direct member-facing experience in patient access or financial counseling
• Experience with SUD/Behavioral Health patients and navigating payer organizations
• Familiarity with commercial, Medicare, and Medicaid plans related to behavioral health
• Ability to operate effectively in a remote environment and use electronic medical records