Amae Health logo
Amae Health

Creating the Center of Excellence for Severe Mental Illness

Member Financial Services Analyst

Financial Planning and AnalysisFinancial Planning and AnalysisFull TimeRemoteMid LevelTeam 11-50H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$52K - $85K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Member Financial Services Analyst

Amae Health

Role Description Amae Health is seeking a Member Financial Services Analyst to support our mission of delivering world-class, whole-person care for adults living with serious mental illness. Reporting to the Manager of Member Enrollment & Financial Services, you will function as part of a dynamic team optimizing for excellent member service and streamlined revenue cycle operations. - Own and manage the member-facing phone line and email, delivering compassionate, timely, and solutions-oriented support. - Review and educate members on Verifications of Benefits (VOBs) so they can access care without delay. - Member Financial Advocacy & Education: - Serve as the primary contact for members and families on benefits, authorization status, financial responsibility, payment options, and financial assistance, including self-pay cost breakdowns and de-escalating coverage concerns. - Authorization Management: - Track prior authorizations and proactively communicate outcomes (approved date ranges, units/days, expirations, next steps) partnering with clinical, UM, enrollment, and RCM teams. - Financial Assistance Program (FAP) Administration: - Support the Financial Assistance Program end to end (intake, documentation, tracking, and communicating determinations) alongside senior MFS staff. - Uninsured Member & Coverage Management: - Own the Uninsured Member Tracker: outreach on lapsed/terminated coverage, evaluate alternatives (plan transitions, self-pay, FAP, discharge planning), and reconcile coverage data across systems. - Cross-Functional Case Management: - Coordinate insurance, billing, and continuity-of-care cases across departments, escalating complex or sensitive situations to senior MFS staff. - Payer Portal & Eligibility: - Verify coverage, authorization requirements, and network participation through payer portals across commercial, Medicare, Medicaid, and state-specific rules in all Amae markets. - Monthly Statement Review: - Prepare and review monthly patient statements, audit self-pay balances, and resolve billing discrepancies in line with billing and privacy policies. - Ticketing & Documentation: - Document and manage MFS workflows in CRM, keeping timely, accurate case records across Foundry, Canvas, Candid, and Drive. - Process Improvement: - Surface recurring member pain points and workflow improvements to the MFS team. Qualifications - 2–3+ years of experience working within insurance benefits, billing procedures, and prior authorization processes. SMI/behavioral health experience preferred. - Experience using commercial insurance payer portals required; Medicare and Medicaid experience highly preferred. - Experience in an externally facing role, ideally working directly with patients; comfort with phone-based work required. - Strong communicator who can translate complex payer or process issues into clear action steps across teams. - High EQ and service orientation — you build trust quickly with colleagues, partners, and members. - Adaptable and resilient; you thrive in fast-moving, ambiguous environments. - Organized and detail-driven; you can manage multi-step processes without dropping details. - Familiarity with CRM systems, EMR platforms, and operational documentation practices. - Ability and comfort operating on Pacific Time. Benefits - Compensation includes a base salary of $52,000-$85,000 (based on level & experience) plus equity ownership. - Total compensation includes comprehensive medical/dental/vision, unlimited PTO, parental leave, and programs built around employee well-being. Company Description 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. We design and operate high-acuity, in-person clinics across the United States. - Our model integrates psychiatry, therapy, primary care, dietitians, and community health workers under one roof to deliver coordinated, longitudinal care for a population that has historically been fragmented across systems. - Leading health systems collaborate with Amae to bring this model to their communities, including NewYork-Presbyterian, Cedars-Sinai, Mass General Brigham, Novant Health, and CommonSpirit Health. - Our investors include health systems such as Cedars-Sinai and CommonSpirit Health, organizations that evaluated our model clinically and chose to back it.

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