Member Financial Specialist

🔥 8 minutes ago

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Groups Recover Together

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2014

⚕️ Healthcare Insurance

🌍 Social Impact

🧘 Wellness

Healthcare Insurance • Social Impact • Wellness

Groups Recover Together is a recovery support organization that specializes in helping individuals regain control of their lives from substance use disorders, particularly focusing on opioid recovery. They offer fast access to Suboxone treatment and provide a range of support options, including in-person and virtual treatment, while accepting insurance and Medicaid. With a non-judgmental approach and a strong emphasis on community support, Groups aims to help members rebuild their lives and maintain their recovery effectively.

📋 Description

• Work 1:1 with members prior to member registration and during ongoing treatment to address questions on eligibility, benefits, payment, and more • Educate members about benefits, member responsibility, payment options and financial assistance • Complete ongoing eligibility checks, prior authorizations, and solve complex insurance issues on behalf of our members, working directly with the payer where needed • Communicate with our members over video and insurance companies on the phone where necessary • Review and process prior authorization and other forms

🎯 Requirements

• Bachelor’s degree preferred • At least two years of experience with direct member-facing experience in patient access, financial counseling, and/or utilization management; SUD/Behavioral Health setting strongly preferred • Experience speaking with SUD/Behavioral Health patients to interpret their coverage, benefits, patient responsibility, and more • Experience working with members via telehealth • Experience with state Medicaid portals, (Availity and Zendesk preferred) • Experience speaking directly with payers and navigating payer organizations to solve problems • Experience and working knowledge of commercial, Medicare, and Medicaid plans with behavioral health/SUD coverage and benefits • Experience creating and explaining payment plans to SUD/Behavioral Health members • Skill in responding quickly to member needs • Skill in quickly learning about new insurance plans • Skill in operating effectively in a remote environment • Skill in operating electronic medical records (eClinicalWorks experience preferred) • Skill in operating other needed technology - including video-conferencing, ticketing systems, and more • Experience in a high-growth environment strongly preferred • Deeply invested in patient success

🏖️ Benefits

• Health insurance • Flexible work arrangements • Professional development