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Member Financial Services Analyst

External
amaehealth logoAmaehealth · Worldwide
Full-timeRemote1d ago
CRMDocumentationREST
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About the role

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. The Team We are clinicians, operators, technologists, and scientists who chose Amae because the problem is hard and the stakes are real. We are not interested in incremental improvements to a broken system Our teams work cross-functionally because the work demands it. The psychiatrist informs the product roadmap. Engineers understand the clinical complexity their technology must solve. Researchers sit alongside the operators running the clinics their work measures. Every function-finance, product, people, growth, technology-exists to serve one goal: better outcomes for the people we care for. 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. As we continue to grow our ability to care for individuals living with severe mental illness (SMI), the teams that support our work are expanding as well. We are excited to hire a patient-centric Member Financial Services Analyst who will be at the center of how we ensure that members can access care, while supporting the providers delivering that care. 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. If you are excited to work at a fast-growing, multi-state behavioral healthcare organization at the intersection of healthcare operations and client services - where no two days look the same - we'd love to hear from you!

Responsibilities

  • 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, keep

Benefits

Health insurance

Additional Information

The Problem Severe mental illness affects over 15 million adults in the United States. Schizophrenia. Schizoaffective disorder. Bipolar I. Treatment-resistant depression. These are the conditions the rest of healthcare has systematically failed to build for. What makes this problem different from most of healthcare is that the tools to solve it do not exist. The clinical protocols, the measurement science, the precision medicine, the technology to deliver coordinated longitudinal outpatient care for this population. None of it has been built. This is a frontier problem, and it requires frontier science and care delivery to solve. We are developing all of it. The care, the science, the technology.


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