Member Financial Services Analyst

Remote

Apply with AI Apply

Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Mental Health, BiotechnologyIndustries

Requirements

Candidates should have 3+ years of experience in insurance benefits, billing procedures, and prior authorization processes, with a preference for SMI/BH experience. Experience with commercial insurance payor portals is required, and Medicare/Medicaid experience is highly preferred. The role also requires experience in an externally facing role, comfort with phone-based work, strong communication skills to translate complex issues, high emotional intelligence, adaptability, resilience, and a detail-driven approach to managing multiple tasks.

Responsibilities

The Member Financial Services Analyst will manage the member-facing phone line, providing compassionate and timely support. They will perform Verifications of Benefits (VOBs) to ensure members can access care and collaborate with the member growth team for streamlined onboarding. The analyst will oversee and monitor the Prior Authorization Process, ensuring timely submission of requests, and support member billing, collections, and payment posting in compliance with policies and regulations.

Skills

Financial Analysis

Member Services

Patient-Centric

Healthcare

Data Analysis

Problem-Solving

Communication

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters

2005Year Founded

VENTURE_UNKNOWNCompany Stage

HealthcareIndustries

501-1,000Employees