Tia · 7 hours ago
Billing Coordinator
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Responsibilities
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
Qualification
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Required
High school diploma or equivalent required
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
Company
Tia
Tia is a health care provider that specializes in mental health, wellness, general care, and gynecology.
Funding
Current Stage
Growth StageTotal Funding
$132.78MKey Investors
Lone Pine CapitalThreshold
2021-09-14Series B· $100M
2020-05-28Series A· $24.27M
2019-03-06Seed· $6M
Recent News
2024-05-13
2024-04-26
2024-01-30
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