[Hiring] Billing & AR Resolution Lead @Tia

Role Description

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.

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.
  • 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.

Qualifications

• 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.

Requirements

• 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.

Benefits

• Medical, dental, and vision benefits.
• 401k program.
• $300 one-time WFH stipend.
• $50/month phone and internet reimbursement.
• Free Tia membership.