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. The Member Financial Services Analyst will support the mission by ensuring members can access care and assisting providers through member advocacy, education, and streamlined 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. 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

• 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

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