Billing & AR Resolution Lead

12 hours, 44 minutes ago
Full-time
Mid Level
Operations
Tia

Tia

Tia is a next-generation sexual and reproductive healthcare company founded by millennials for millennials. They offer personalized and affordable virtual and in-person healthcare appointments tailored to women's holistic well-being. With a collaborati...

Health Care Providers & Services
251-1K
Founded 2017
$133M raised

Description

  • Own daily AR follow-up across commercial payers, resolving denials and rejections from root-cause analysis through resubmission.
  • Prioritize claims across queues and payer rules based on aging, dollar impact, and recovery likelihood.
  • Partner with external billing vendors on complex appeals and escalated claims.
  • Monitor denial trends across payers and markets to identify systemic issues before they compound.
  • Provide RCM leadership with data-driven recommendations on AR risks and recovery opportunities.
  • Build and document SOPs, queue structures, escalation paths, reference materials, and training documentation.
  • Identify claims-to-cash process friction and design improvements to address root causes.
  • Serve as the RCM subject matter expert for Billing Care Coordinators and manage escalations through resolution.

Requirements

  • 3+ years of hands-on experience in medical billing, AR follow-up, denials management, and payer rejections.
  • Deep knowledge of commercial payer rules and claim adjudication.
  • Experience improving RCM processes, building SOPs, identifying inefficiencies, and addressing root causes.
  • Experience with billing platforms such as Candid, Athenahealth, Epic, or similar RCM/EHR systems.
  • Experience with multi-state or multi-market billing.
  • Strong pattern recognition and ability to identify emerging data issues.
  • Strong written communication for documentation, payer correspondence, and collaboration.
  • Ability to work independently in a lean, fast-moving environment.
  • Experience building RCM workflows, documentation, or training materials from scratch (preferred).
  • Women’s health or telehealth experience and CPB, CPC, or CRCR certification (preferred).

Benefits

  • $27–$28 per hour.
  • Medical, dental, and vision benefits.
  • 401(k) program.
  • Remote US-wide role.
  • $300 one-time work-from-home stipend.
  • $50 monthly phone and internet reimbursement.
  • Free Tia membership.

Interested in this position?

Apply directly on the company website

Apply Now

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