Medical Biller Job at Tia, United States

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Job Description

Role Title: Medical Biller

Manager: Payer Relations Manager

Location: Remote

Status: Full Time (40 Hours per week)

Schedule: Monday - Friday, 9:00 am - 5:30pm or 8:00am - 4:30pm (your timezone- no weekends)

Compensation: $24 - $28/hr

About us:

Tia is a full-stack women's healthcare business that builds products, tools and clinical services virtually and in person to help every woman be her own patient advocate and get meaningfully better healthcare. We're putting the soul back in medicine, one patient and one provider at a time through a care philosophy that is reimagined to listen to and empower women to actively take control of their healthcare. The care philosophy that supports our patients is also built to support clinicians who are the heart and soul of the care Tia is able to provide. In order to do that - we need YOU!

Read more about Tia's:

  • Products: https://asktia.com/article/what-is-product-at-tia
  • Services: https://asktia.com/
  • Care principles: https://www.asktia.com/care-philosophy/

Job Summary:


This role will be responsible for running weekly reports and clearing out billing tasks that are delaying claims submission, in addition to denial management, providing guidance to clinicians on charting requirements, in addition to other tasks related to claims submission. This position will report to the Payer Relations Manager and will partner with the RCM/payer team, 3rd party billing company, 3rd party coding company, providers, and other stakeholders to ensure claims process appropriately in accordance with billing & coding standards in a timely manner.

Qualifications

  • 3-5 years experience in billing and coding.
  • certification in Medical Billing & Coding.
  • detail-oriented, self-motivated, tech-savvy and easily able to adapt to new systems.
  • Excel/G-Suite proficiency.

Preferred Experience

  • Start-up experience desired.

Abilities:

  • Highly goal-oriented and ruthlessly hits deadlines and deliverable targets
  • Maintains a strong understanding of billing and coding practices, specifically E & M codes in a primary care & women's healthcare, outpatient setting
  • Extremely good at prioritization
  • Highly organized & detail-oriented
  • Collaborative and solutions-oriented – ability to work with teams towards a common goal
  • Ability to identify problems and know when and how to escalate them
  • Comfortable in a fast-paced, high-growth environment
  • Can navigate ambiguity and dive into new workflows without all processes pre-established; applies a lens of process-oriented thinking to help build on processes when there are gaps
  • Takes initiative and works independently with minimal guidance
  • Holds people accountable – comfortable driving to clarity and hitting deadlines
  • Retains strong and effective working relationships

Skills:

  • Certified in Medical Billing & Coding
  • Denial management experience
  • Experience in reviewing billing & claims for PCPs
  • Proficiency in core MS word, Google docs
  • Proficiency in Excel/Gsheets mastery; comfort with structuring data in spreadsheets and excel functions
  • Preference for 3-5+ years of billing experience, with strong understanding of this process
  • Experience working within healthcare ecosystem (payer, IPA, medical group, etc.), with experience at a multi-service line, multi-site, digital health startup preferred
  • Familiarity with or comfort learning new softwares
  • Internal "client services" orientation, with the ability to communicate effectively with both colleagues, providers, and business partners
  • Tactful and proficient in conflict resolution
  • Strong and patient verbal communication skills; clear and concise written communications

Responsibilities:

  • Own and resolve billing tasks that hold up claim submission in a timely manner, burning through a high volume weekly
  • Partner with 3rd party billing company to identify and address claim trends that cause billing & coding holds/denials
  • Partner and communicate with 3rd party coding company and providers to rectify coding and documentations errors
  • Create training materials for providers to educate and clarify common issues to minimize coding-related holds
  • Support Payer Relations Manager in ensuring that billing configuration, documentation, & coding related held claims are cleared in a timely manner
  • Support Payer Relations Manager in setting up and maintaining Standard Operating Procedures for billing related work-flows
  • Assist and own new billing and coding workflows as the companies grows and needs evolve

Benefits

  • Remote role with flexibility to work from home
  • Market competitive salary
  • Work from home stipend
  • Medical and dental benefits
  • Paid holidays, vacation, and sick leave
About Us:

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.

Tia is an equal opportunity employer. We believe that diversity of experience, perspectives, and background will lead to a better environment for our employees and a better product for our users and patients. We strongly encourage people of color and members of the LGBTQ+ community to apply.

If you are committed to collaborative problem solving, creating high-quality and user-centric products, and want to make waves in women's healthcare, join us!

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