Associate Manager, Care Coordination and Billing Operations
New
T
TiaHealthcare operations
This is a fully remote position. US-wide.Full-TimeManager
Salary61,000 - 76,000 USD per year
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Job Details
- Experience
- Minimum of 3 years of experience in healthcare operations, care coordination, or contact center management within a membership-based healthcare setting.
- Required Skills
- Google WorkspaceHIPAA
Requirements
- Have a minimum of 3 years of experience in healthcare operations, care coordination, or contact center management within a membership-based healthcare setting.
- Demonstrate leadership experience managing teams and driving performance.
- Have a strong understanding of healthcare processes and medical terminology.
- Bring proven billing and revenue cycle management (RCM) experience and exposure.
- Be able to communicate effectively verbally and in writing and engage empathetically with members and teammates.
- Be proficient with contact center software, member relationship management (CRM) systems, and Google Workspace.
- Have problem-solving skills and the ability to remain composed in high-pressure situations.
- Understand healthcare data privacy regulations such as HIPAA and adhere to confidentiality standards.
- Have strong organizational and multitasking abilities and adapt to changing priorities.
- A bachelor's degree in Healthcare Administration, Business Management, or a related field is preferred.
Responsibilities
- Manage Care Coordinators, Billing Care Coordinators, and offshore billing support, providing coaching, training, and oversight.
- Support onboarding, performance management, professional development, and goal setting.
- Oversee care coordination and billing workflows, including task assignment, queues, workload distribution, SLAs, and invoice and payment processes.
- Partner with RCM and co-management to maintain performance, audit work, balance resources, and align frontline operations with revenue cycle goals.
- Resolve complex member care and billing issues as the final escalation point and conduct root-cause analysis.
- Oversee quality assurance and peer-coaching processes to maintain service quality, accuracy, and compliance.
- Represent Care Coordination and Billing Operations in cross-functional initiatives and partner with SMEs and RCM to improve workflows and identify automation opportunities.
- Use member satisfaction, turnaround time, and team performance data to guide coaching and process improvements.
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