Member Account Specialist

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Oversee MSA and MCA custodial accounts in line with account specifications and contractual obligations.

• Review and process medical invoices and other qualifying expenses for disbursement from custodial accounts.

• Check incoming custodial funds for accuracy and adherence to contracts, directing funds to the relevant accounts.

• Assist with fee invoicing and manage the processing of incoming payments.

• Assess new referrals and accurately input account and service details.

• Evaluate and approve pharmacy requests based on account and contractual guidelines.

• Monitor accounts for low balances, temporary shortages, reserve transfers, and other funding requirements.

• Prepare and manage correspondence with members, beneficiaries, healthcare providers, and government entities.

• Address inquiries regarding professionally managed accounts, including questions from CMS.

• Handle necessary documentation for closed or terminated accounts, including the management of remaining funds.

• Ensure compliance with governmental regulations, reporting standards, and company policies.

• Deliver customer service to members and medical providers via phone and email.

• Safeguard confidential and sensitive information.

• Collaborate with team members and liaise with both internal and external stakeholders.

• Perform additional duties as assigned.

⛳️ Requirements

• Required schedule: 8 AM–5 PM Pacific time.

• High school diploma or equivalent necessary.

• 3–5 years of pertinent experience in workers’ compensation, healthcare, medical billing, claims administration, or a related area.

• Excellent customer service and professional communication abilities, including experience assisting customers via phone and email.

• Basic understanding of human anatomy and medical terminology is a must.

• Proficient in Microsoft Office Suite.

• Exceptional attention to detail and capability to work accurately with confidential and sensitive information.

• Preferred: Bachelor’s degree or an equivalent combination of education and relevant work experience.

• Preferred: Workers’ compensation adjuster license.

🏝️ Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance.

• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement.

• Mental Health & Wellness: Complimentary Mental Health & Enhanced Advocacy Services.

• Paid Time Off.

• Holidays.

• Discounts from Preferred Partners.