Amae Health - Member Financial Services Analyst

• 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 • Member Financial Advocacy & Education: • 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 • Authorization Management: • Financial Assistance Program (FAP) Administration: Support the Financial Assistance Program end to end (intake, documentation, tracking, and communicating determinations) alongside senior MFS staff • Financial Assistance Program (FAP) Administration: • 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 • Uninsured Member & Coverage Management: • Cross-Functional Case Management: Coordinate insurance, billing, and continuity-of-care cases across departments, escalating complex or sensitive situations to senior MFS staff • Cross-Functional Case Management: • 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 • Payer Portal & Eligibility: • Monthly Statement Review: Prepare and review monthly patient statements, audit self-pay balances, and resolve billing discrepancies in line with billing and privacy policies • Monthly Statement Review: • Ticketing & Documentation: Document and manage MFS workflows in CRM, keeping timely, accurate case records across Foundry, Canvas, Candid, and Drive • Ticketing & Documentation: • Process Improvement: Surface recurring member pain points and workflow improvements to the MFS team • Process Improvement: • What You'll Have • What You'll Have • 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 • What We’re Building • What We’re Building • Most healthcare companies ask you to optimize an existing system. We’re building one that has never existed. • A national care model designed for the highest-acuity patients in behavioral health. • Precision medicine for severe mental illness, using multimodal clinical, behavioral, and social data to personalize treatment. • A clinical operating system that integrates longitudinal data, real-time patient signals, and purpose-built tools into a single decision layer. • New science and measurement frameworks to define what real outcomes look like in SMI—stability, functional improvement, and hospitalizations avoided. • A health-system partnership model providing coordinated SMI care can work at scale. • If you want to maintain the status quo, this isn’t the place. If you want to build what doesn’t exist yet—and change how an entire population receives care—keep reading.