Benefits, Eligibility,

Overview

Finni Health empowers autism care providers to start, run, and grow their own practices. We democratize autism care by providing access to our insurance network, purpose-built EHR software, HR solutions, and clinical support. We seek bright, driven individuals eager to innovate in a dynamic, fast-paced environment.

• Benefits & Eligibility Oversight: Ensure the accuracy and timeliness of benefit and eligibility checks performed by our 3rd-party vendor. Step in directly to resolve escalations or complex cases that require additional investigation, payer communication, or specialized follow-up.
• Prior Authorization Escalation Management: Handle edge cases related to prior authorization submissions, such as denials, urgent approvals, or unclear payer requirements. Ensure providers have what they need to start or continue services without interruption.
• Vendor Support & Partnership: Serve as the escalation point for the vendor, answering their questions, clarifying requirements, and stepping in when situations fall outside standard workflows. Build a collaborative relationship to improve efficiency and accuracy.
• Cross-Team Coordination: Work closely with Provider Success, Billing, and RCM teams to ensure escalated benefit or authorization issues are resolved quickly. Keep providers and internal stakeholders informed of resolution timelines and outcomes.
• Documentation & Compliance: Maintain accurate and detailed records of escalations, payer communications, and final resolutions. Ensure all documentation complies with payer policies, HIPAA, and Finni Health standards.
• Continuous Process Improvement: Identify recurring edge cases or vendor pain points, and work with leadership to improve processes, training, or documentation that can reduce future escalations.
• Adaptable Responsibilities: As Finni Health grows and evolves, your role may expand to include new responsibilities that support our mission and improve the provider and patient experience.

• You are a problem-solver who thrives on untangling complex situations and ensuring patients get uninterrupted access to care. Based in the Philippines, you bring strong attention to detail, excellent follow-through, and confidence in working directly with payers and vendors to resolve issues.
• Experience: 1–3 years of experience in benefits verification, eligibility checks, prior authorizations, or healthcare operations. Hands-on experience resolving payer escalations is highly valued.
• Problem-Solving: Strong ability to investigate, troubleshoot, and resolve complex benefit and authorization issues with persistence and accuracy.
• Collaborative & Independent Contribution: Capable of working independently on escalations while keeping internal teams informed and aligned.
• Administrative Acumen: Organized, detail-oriented, and confident in reviewing insurance documentation, payer guidelines, and vendor reports.
• Communication & Collaboration: Excellent communicator, able to explain complex payer requirements clearly to providers, families, vendors, and internal teams.
• Organizational & Time Management: Skilled at managing multiple escalations and prioritizing urgent cases without losing track of long-term follow-ups.
• Tech Proficiency: Proficient in Google Suite, Slack, CRMs/support systems, and comfortable learning new EHR and RCM tools.
• Mission Alignment: Passionate about Finni’s mission to democratize autism care by ensuring families experience smooth, uninterrupted access to services.
• Adaptability & Agility: Thrives in a fast-paced startup, embraces change, and approaches ambiguity with a proactive, solution-focused mindset.

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Human Resources
• Industries: Hospitals and Health Care