计费与应收账款解决负责人
Billing & AR Resolution Lead
关于Tia
Tia正在打造一种全新的女性健康护理模式,这种模式将女性视为完整的个体,而非单独的病症或生命阶段。通过将初级护理、心理健康、妇科、皮肤科和健康保健整合到线下和线上多种场景中,Tia正在改善治疗效果、降低费用,并为患者和医护人员创造更好的体验。
职位介绍
Tia正在寻找一位账单与应收账款(AR)解决负责人,负责我们的索赔跟进、拒付和保险公司拒收功能。这是一个需要亲力亲为的岗位。你每天都会处理索赔,解决拒付问题,并推动逾期应收账款得到解决。这也是一个适合想要构建系统的人:你需要建立可重复使用的流程、文档和队列结构,以便在团队扩大和规模增长时更容易交接。
你将与RCM高级经理紧密合作,成为其在精简团队中的得力助手。全面负责应收账款跟进,提前发现可能演变为收入问题的保险公司趋势,并提出该职能未来发展的良好建议。如果你看到混乱的队列并希望解决背后的系统问题,而不仅仅是清理积压的事务,那么这个岗位适合你。
为什么加入Tia
- 有机会参与塑造和扩展一种全新的女性健康护理模式
- 一个以使命为导向的环境,专注于改善女性在各个生命阶段的医疗体验
- 一个协作、细致的团队,致力于提升患者和医护人员的体验
- 一种融合临床护理、运营、技术和创新的现代医疗模式
- 一个有意义的机会,帮助构建可扩展的系统、流程和实践
- 远程岗位,在快速发展的高成长医疗环境中工作
- 这是一个难得的机会,去塑造一个职能,而不仅仅是人员配置。你将真正掌握Tia的应收账款和拒付工作的运作方式,直接与RCM领导层保持沟通,并随着团队的成长而获得发展空间。如果你是一个无法抗拒地想要改进流程的人,并且喜欢成为别人信任的了解数字背后真实情况的人,我们期待你的加入。
你将负责的工作
应收账款跟进、拒付与保险公司拒收
- 负责商业保险公司日常的应收账款跟进,从根源问题识别到重新提交,解决拒付和保险公司拒收问题。
- 在多个队列和保险公司规则集之间处理索赔,根据金额影响、逾期时间和回收可能性进行优先级排序。
- 与Tia的外部账单合作伙伴合作处理复杂的申诉和升级的索赔问题,向他们提供所需的文件
查看英文原文
About Tia
Tia is building a new model for women’s healthcare, one that treats women as whole people, not separate conditions or life stages. By integrating primary care, mental health, gynecology, dermatology, and wellness across both in-person and virtual settings, Tia is improving outcomes, lowering costs, and creating a better experience for patients and providers alike.
About the Role
Tia is looking for a Billing & AR Resolution Lead to take ownership of our claims follow-up, denials, and payer rejection functions. This is a hands-on role. You'll work claims, resolve denials, and push aging AR to resolution every day. It's also a role for someone who wants to build something: the workflows, documentation, and queue structure that make this work repeatable and easier to hand off as we scale and the team grows.
You'll partner closely with the Senior Manager of RCM as a true right hand on a lean team. Take full ownership of AR follow-up, flag payer trends before they turn into revenue problems, and bring good ideas for how the function should grow. If you see a messy queue and want to fix the system behind it, not just clear the backlog, this role is for you.
Why Tia
- Opportunity to help shape and scale a new model of women’s healthcare
- Mission-driven environment focused on improving care for women across life stages
- Collaborative, thoughtful team committed to patient and provider experience
- Modern care model that integrates clinical care, operations, technology, and innovation
- Meaningful opportunity to help build scalable systems, workflows, and practices
- Remote role in a fast-moving, high-growth healthcare environment.
- This is a rare chance to shape a function, not just staff it. You'll have real ownership over how AR and denials work at Tia, direct visibility with RCM leadership, and room to grow as the team does. If you're someone who can't help but build a better process, and you like being the person others trust to know what's really going on in the numbers, we'd love to hear from you.
What You’ll Do
AR Follow-Up, Denials & Payer Rejections
- Own day-to-day AR follow-up across commercial payers, resolving denials and payer rejections from root-cause identification through resubmission.
- Work claims across multiple queues and payer rule sets, prioritizing by dollar impact, aging, and likelihood of recovery.
- Partner with Tia's external billing partner on complex appeals and escalated claim issues, giving them the documentation and context they need to resolve them.
- Own day-to-day AR follow-up across commercial payers, resolving denials and payer rejections from root-cause identification through resubmission.
- Work claims across multiple queues and payer rule sets, prioritizing by dollar impact, aging, and likelihood of recovery.
- Partner with Tia's external billing partner on complex appeals and escalated claim issues, giving them the documentation and context they need to resolve them.
- Track denial reasons and outcomes closely enough to know which patterns are just noise and which ones are the start of something bigger, monitoring trends across payers and markets to surface systemic issues (eligibility, contract terms, coding, payer behavior changes) before they compound.
- Bring data and recommendations to RCM leadership on where the biggest AR risks and opportunities are, not just a status update on what's outstanding.
Workflow & Process Design
- Build and document the SOPs, queue structures, and escalation paths that turn AR follow-up from institutional knowledge into a repeatable process.
- Spot friction points in the claims-to-cash workflow and design the fix, not just flag the problem.
- Create the reference materials and training documentation that help new team members ramp up quickly as the function grows.
Cross-Functional Support
- Serve as the subject matter expert on RCM-related questions and concerns for Tia's Billing Care Coordinators, who field most patient billing inquiries directly.
- Take ownership of escalations that need a claim edit, payer-specific fix, or other RCM-level intervention and ensure timely follow-up through to resolution.
What You’ll Bring
Requirements:
- 3+ years of hands-on experience in medical billing, AR follow-up, denials management, and payer rejections in a healthcare setting.
- Deep working knowledge of commercial payer rules and claim adjudication.
- A track record of not just clearing a queue, but improving how it works: building SOPs, spotting inefficiencies, and fixing root causes.
- Comfortable working independently in a lean, fast-moving team where you'll wear multiple hats and help shape your own scope.
- Sharp pattern recognition. You notice when something's off in the data before it becomes a bigger issue.
- Strong written communication for internal documentation, payer correspondence, and cross-functional collaboration.
- Experience with billing platforms such as Candid, Athenahealth, Epic, or similar RCM/EHR systems.
- Multi-state/multi-market billing.
Nice to have:
· Experience building or improving RCM workflows, documentation, or training materials from scratch.Exposure to women's health and telehealth. A demonstrated interest in growing into broader ownership as Tia's RCM function scales.Certification such as CPB, CPC, or CRCR.
Work Location
This is a remote role (US-wide)
Compensation & Benefits
Tia is committed to pay equity and pay transparency. Compensation for this role will be determined based on job-related factors, including experience, skills, qualifications, location, role leveling, business needs, and market conditions.
The expected compensation for this role is: $27 to $28 per hour
You are also eligible for:
- Medical, dental, and vision benefits
- 401k program
- $300 one-time WFH stipend
- $50/month phone and internet reimbursement
- Free Tia membership
About Tia
Tia is on a mission to transform healthcare for women by increasing access, improving outcomes, and delivering a better care experience. Our “Whole Woman, Whole Life” model integrates primary care, gynecology, mental health, dermatology, and wellness across in-person care and a national virtual platform.
We are a Series D, venture-backed company trusted by more than 120,000 women across four markets. Through our technology-enabled care model and partnerships with leading health systems, Tia is building one of the most comprehensive preventive care models for women.
About Tia’s Culture
Tia is building a culture of excellence in people, process, and product. For us, excellence is not perfection. It is the ongoing pursuit of improvement through learning, reflection, experimentation, curiosity, grit, and care for ourselves and others. We are looking for people who are energized by building, iterating, asking why, and helping create a fundamentally better healthcare experience for women.
This position may require attendance at company and team off-sites.
Scam Notice
Tia will never ask for payment, gift cards, or sensitive financial information during the hiring process. All communication from our team will come from an official company email address ending in @asktia.com. If something feels off, please contact .
Equal Opportunity
Tia is an equal opportunity employer. We believe diversity of experience, perspectives, and background leads 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, high-quality work, and making waves in women’s healthcare, we’d love to hear from you.
Originally posted on Himalayas