Member Financial Specialist

Job Summary

A company is looking for a Member Financial Specialist to support members with financial inquiries and issues related to their care.

Key Responsibilities

• Assist members with questions on eligibility, benefits, and payment options before and during treatment
• Educate members about financial responsibilities and available assistance
• Conduct ongoing eligibility checks and resolve complex insurance issues on behalf of members

Required Qualifications

• Bachelor's degree preferred
• At least two years of experience in patient access, financial counseling, or utilization management, preferably in a SUD/Behavioral Health setting
• Experience working with SUD/Behavioral Health patients and navigating payer organizations
• Familiarity with commercial, Medicare, and Medicaid plans related to behavioral health/SUD coverage
• Ability to operate effectively in a remote environment and utilize electronic medical records and technology