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Billing Coordinator

3 months ago

Los Angeles, United States Tia Full time
Job DescriptionJob Description

Role Title: Billing Coordinator

Location: Virtual

Hourly Rate: $18-$20 /hour

Availability: Weekdays, Full-time

DESCRIPTION

As a Tia Billing Coordinator II, 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