Note: The job is a remote job and is open to candidates in USA. Amae Health is a Series B, venture-backed Public Benefit Corporation that delivers specialty outpatient care for people living with severe mental illness. They are seeking a Member Financial Services Analyst to support the mission of ensuring members can access care while optimizing revenue cycle operations.
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, 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
Skills
- 2–3+ years of experience working within insurance benefits, billing procedures, and prior authorization processes
- Experience using commercial insurance payer portals required
- 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
- SMI/behavioral health experience preferred
- Medicare and Medicaid experience highly preferred
Benefits
- Equity ownership, giving you a meaningful stake in Amae's growth
- Comprehensive medical/dental/vision
- Unlimited PTO
- Parental leave
- Programs built around employee well-being
Company Overview