Billing Coordinator

Summary

Join Tia as a Billing Coordinator and become a partner in our members' health and wellness journeys, guiding them through the healthcare system and billing processes. You will handle diverse tasks requiring data analysis, evaluation, and sound judgment, needing in-depth knowledge of healthcare billing software and medical insurance policies. Excellent communication skills are essential for interacting with patients and insurance payers. Collaboration with cross-functional teams is key to supporting providers and business needs. This role involves managing member communications, resolving concerns, and acting as a single point of contact for care coordination. You will also collect delinquent accounts, examine bills for accuracy, and ensure seamless care for patients. The position requires strong problem-solving skills and adherence to confidentiality standards.

Requirements

• High school diploma or equivalent required
• Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down)
• 2-4 years of experience in a healthcare billing/claims or related field
• Comfortable with a fast-paced environment and frequent change and Energized by metrics
• Understanding of healthcare billing and insurance practices, medical terminology, and member engagement in a healthcare context
• Should possess excellent communication, teamwork and management skills, be empathic but resolute in your decision-making, and be attentive 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: Will seek answers to your questions, whether through SOPs or through other team members or leadership
• Adherence to strict confidentiality standards and understanding of healthcare data privacy regulations, such as HIPAA

Responsibilities

• Member Billing Coordination: Collaborate closely with medical professionals, insurance payers, specialists, and other healthcare stakeholders to ensure seamless care coordination for our members
• Day-to-day member communications - managing member questions & feedback, and resolving member concerns (chat & phone support)
• The BIlling Coordinator acts as a single point-of-contact to coordinate resources along the care delivery spectrum, identify gaps, and provide proactive follow-up
• This role is responsible for responding to customer questions via telephone and written correspondence regarding their insurance claims
• Navigates through complex billing workflows to understand patient’s next steps and clearly communicates 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
• Examining patient bills for accuracy and requesting any missing information for proper claims processing
• Coordinates with other  resources and providers to ensure smooth continuum of care for patients and becomes 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
• Ability to exercise considerable judgment and discretion in establishing and maintaining strong partnering relationships with members
• Suggests 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
• Cross trained on additional parts of the care coordination department with a focus on first contact resolution and creating a seamless experience for patients
• Learns complex workflows for Tia services - regarding billing, claims and insurance practices
• Tech troubleshooting