Billing Coordinator

Tia

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇺🇸 United States

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Salary

💰 $20 - $22 per hour

Job Level

JuniorMid-Level

About the role

  • 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

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.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
healthcare billingclaims processingmedical terminologycare coordination workflowspayment arrangementsproblem-solvingdocumentationtech troubleshootingmember engagement
Soft skills
communicationteamworkmanagementempathyattention to detailjudgmentdiscretionsolution-orientedcomposure under pressure