Billing Coordinator

Summary

Join Tia as a Billing Coordinator and become a partner in our members' health and wellness journeys. You will navigate the healthcare system, manage billing and claims, and ensure a concierge-level experience. This role demands in-depth knowledge of healthcare billing software and medical insurance policies, along with excellent communication skills. You will collaborate with medical professionals, insurance payers, and internal teams. The position requires managing member communications, resolving concerns, and coordinating resources for seamless care. You will also be responsible for collecting delinquent accounts and ensuring accurate billing practices.

Requirements

• High school diploma or equivalent
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms
• 2-4 years of experience in a healthcare billing/claims or related field
• Comfort with a fast-paced environment and frequent change
• Understanding of healthcare billing and insurance practices, medical terminology, and member engagement in a healthcare context
• Excellent communication, teamwork and management skills
• Empathy and resolute decision-making
• Attention to detail
• Knowledge in using contact center software, member relationship management (CRM) systems, claims/billing systems, and/or Google Workspace
• Excellent problem-solving skills and the ability to remain composed in high-pressure situations
• Solution-oriented approach
• Adherence to strict confidentiality standards and understanding of healthcare data privacy regulations, such as HIPAA

Responsibilities

• Collaborate closely with medical professionals, insurance payers, specialists, and other healthcare stakeholders to ensure seamless care coordination for our members
• Manage day-to-day member communications - managing member questions & feedback, and resolving member concerns (chat & phone support)
• Act as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up
• Respond to customer questions via telephone and written correspondence regarding their insurance claims
• Navigate through complex billing workflows to understand patient’s next steps and clearly communicate to patient and internal team members next steps for the patients
• Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
• Examine patient bills for accuracy and request any missing information for proper claims processing
• Coordinate with other resources and providers to ensure smooth continuum of care for patients and become a subject matter expert in some of the care coordination workflows (billing)
• Ensure if we cannot answer the members' needs that we connect them immediately to someone who can i.e. urgent needs, clinical needs, etc
• Exercise considerable judgment and discretion in establishing and maintaining strong partnering relationships with members
• Suggest changes to leadership in an effective way to improve workflows for self and others
• Manage coordination of care within Tia’s ecosystem, working cross-functionally across different teams to ensure members needs are met
• Clearly document all communications and contacts with providers and personnel in standardized documentation and messaging
• Be cross-trained on additional parts of the care coordination department with a focus on first contact resolution and creating a seamless experience for patients
• Learn complex workflows for Tia services - regarding billing, claims and insurance practices
• Troubleshoot tech issues

Preferred Qualifications

Energized by metrics