Billing Coordinator
Tia
Role Title: Billing Coordinator
Location: Virtual
Hourly Rate: $18- $20 /hour
Availability: Weekdays, Full-time
DESCRIPTION
As a Tia Billing Coordinator, you will be every Tia member’s partner in their health and wellness journey- helping them navigate both the healthcare system, billing/claims and ensuring that they are getting a concierge-level experience at Tia. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. To succeed in this role, you must possess in-depth knowledge of healthcare billing software and medical insurance policies. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with patients and various insurance payers will form a large part of the job. You’ll also partner with cross-functional teams across the company to empower providers to focus on members' care and support overall business needs.
ESSENTIAL FUNCTIONS
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
MINIMUM QUALIFICATIONS / TARGET EXPERIENCE
- High school diploma or equivalent required
- 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.
- 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.
Founded in 2017 by Carolyn Witte and Felicity Yost, Tia is the modern medical home for women. We are trailblazing a new paradigm for women’s healthcare that treats women as whole people vs. parts or life stages. Blending in-person and virtual care services, Tia’s “Whole Woman, Whole Life” care model fuses gynecology, primary care, mental health and evidence-based wellness services to treat women comprehensively. By making women’s health higher quality and lower cost, Tia makes women healthier, providers happier, and the business of care delivery stronger — setting a new standard of care for women everywhere.
Tia has raised more than $132 Million in venture capital funding to date, including a recent $100 Million Series B investment, one of the largest early-stage rounds ever for a healthcare company focused on women. Tia has ambitious plans to scale its “whole-woman, whole-life” model to more than 100,000 women by 2023. We’ll do this by growing virtual and in-person operations in existing and new markets while expanding its service lines to care for women throughout their entire lives -- from puberty to menopause. Since launching in 2017, Tia has grown to serve thousands of women aged 18-80 with blended in-person and virtual care in New York City, Los Angeles, Phoenix and soon San Francisco.
We’re building a world class team to reimagine women’s healthcare. We’re an interdisciplinary team of clinicians, researchers, designers, technologists and operators who have seen firsthand how broken the healthcare system is for women. We’re united by a powerful mission to enable every woman to achieve optimal health, as defined by herself, as well as a shared set of values and principles that define our business, products, and culture.
Tia is building a culture of excellence — in people, process and product. This is our northstar value;
What is excellence, exactly?
Excellence about constantly elevating yourself, it is the process of constantly striving to perform to the best of your abilities, and identifying your top potential through constant learning, experimentation and evolution. Excellence is not about achieving perfection, as that insinuates a pinnacle. Instead, in our terms, excellence is about the pursuit of constant improvement. We’re looking for people who want to go on that hard journey of constantly setting new personal records, and organizational records.
We practice excellence at Tia by demonstrating the following types of behaviors: We chose (and actively choose) excellence as Tia’s highest order value because it crystalizes into one word several behaviors that we hold dear, specifically:
- A drive to constantly improve through experimentation, reflection. and an insatiable growth mindset — said another way, we’re energized by the possibility of invention, innovation, and iteration
- Being present in and grateful for the journey — not just the goal line. Perfection is static. Excellence is a process (more on this important distinction below)
- Asking why, then why again — because accepting “this is just the way it is” is not good enough
- Grit & perseverance — a maker mentality that involves “rolling up your sleeves”, but also deep care for oneself and for others
- A commitment to uncovering talents to unlock “rock star” potential across every individual
Furthermore, excellence reflects the “bigness” and the “boldness” of Tia’s mission and vision — a world in which every woman can achieve optimal health, as defined by herself.
Said another way, Tia’s mission is NOT to make healthcare incrementally better for women. Instead, we’ve intentionally set out to create a fundamentally new paradigm for modern women’s healthcare that’s truly excellent. We believe that creating a company that operates in a culture of excellence will manifest in our product. Reaching this goal is not an overnight pursuit or a “one and done.” We have not and will not “get it right” with the first swing. Rather, this higher order goal is a moving target — one we have not and will not ever fully “achieve.” By design, we will never be “done” with this work, but instead, we will be continuously in pursuit of our mission. It is this continuous pursuit — the journey, not the finish line — that truly embodies excellence.
This position may require attendance at company and team off-sites and is subject the Company’s vaccine requirement, as permitted by law and subject to reasonable accommodation.