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Groups Recover Together logo
Groups Recover Together

We're changing lives—together.

Member Financial Specialist

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteMid LevelTeam 501-1,000Since 2014H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

8 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expEnglish

Job Description

Member Financial Specialist

Groups Recover Together

• 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

Job 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

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