Associate Manager, Billing

Summary

Join Tia as an Associate Manager, Billing and lead a team of billing specialists in a remote setting. You will oversee daily operations, manage patient and insurance escalations, and monitor key performance metrics. Responsibilities include team management, resolving billing discrepancies, handling insurance issues, and collaborating cross-functionally. This role requires healthcare and insurance knowledge, strong communication skills, and a bias towards action. The ideal candidate will possess expertise in medical coding and revenue cycle management. Compensation ranges from $70,000 to $80,000 annually.

Requirements

• Basic understanding of medical coding, health insurance policies, and patient billing processes
• Familiarity with insurance claim processing, denials, and appeals, particularly around network status and credentialing
• Knowledge of healthcare regulations and laws, such as HIPAA
• Consistently & reliably completes assigned work within deadlines & proactively flags any risks on misses to manager with explanation & proposed solutions
• Strongly adheres to process but can navigate ambiguity and dive into new workflows without all processes
• Bias towards action
• Able to quickly develop knowledge in new areas and train others on your knowledge to help build the skill set amongst the team
• Knowledgeable of insurance and patient billing and ability to understand complex processes & how they interact with one another
• Strong cross functional partnership, with a compulsion to communicate and close communication loops
• Able to communicate clearly in a way that drives clarity, minimizes confusion, and brings both optimism & a sense of reality

Responsibilities

• Lead, coach, and mentor a team of billing specialists, assigning tasks, conducting regular 1:1 meetings, and ensuring team members are supported and developing professionally
• Facilitate regular team meetings to review performance, discuss challenges, and provide updates on new policies or procedures
• Monitor and report on team metrics (e.g., payment turnaround time, accuracy, volume of disputes) and identify areas for improvement
• Address team escalations, ensuring timely and appropriate resolution
• Handle patient payment discrepancies, including missing payments or payment errors, and work to identify and implement solutions
• Manage patient payment disputes, collecting necessary evidence and liaising with the patient and the relevant departments to resolve
• Address insurance-related patient escalations, focusing on network status issues and credentialing denials
• Investigate trends in network or credentialing problems based on patient escalations, working with the Revenue Cycle Management (RCM) and credentialing teams to address root causes and implement corrective actions
• Collaborate with insurance providers and internal teams to resolve complex claims and denials
• Work closely with the Clinical Operations (ClinOps), Product, and other departments to resolve complex patient and insurance issues
• Identify and communicate trends in patient questions, escalations, or billing errors to improve processes and reduce future issues
• Flag Risks such as delays, errors, bugs, unexpected coverage needs, and workflow gaps early and often
• Maintain a strong understanding of medical coding and its role in the insurance claims process
• Ensure that claims are accurate and compliant with payer requirements, and support the billing team with issues related to coding or claim submission based on provider documentation
• Stay current with health insurance policies, regulations, and industry trends to ensure adherence to all billing and revenue cycle standards
• Partnering with the RCM team to improve patient billing processes
• Provide product feedback creatively, consistently, and in an actionable manner
• Work closely with the Senior Manager, RCM to prioritize feedback and ensure scope accomplishes customer and business goals from both a workflow and patient experience lens
• Support product teams and cross functional partners in gaining a good understanding of current workflows by facilitating shadowing sessions and trainings when needed

Preferred Qualifications

• Creative & open minded
• Keen eye for opportunities for improvement in the product
• High degree of problem perception

Benefits

• Remote work
• $70000 to $80000 a year