The successful candidate will support billing activities from initial encounter preparation through reconciliation while identifying opportunities to improve efficiency, reduce manual effort, strengthen internal controls, and improve revenue cycle performance. The primary responsibility of this position is to maintain uninterrupted Care billing operations while supporting the Division's efforts to improve billing processes and prepare for implementation of a future modernized and automated billing solution.
Numbers & Facts
Location
Nashville, Tennessee, 37216, TN
Salary
$30–$32 Per Hour
Description
Job Title: Billing Specialist Job Duration: 7 Months Job Location: Nashville, Tennessee, 37216 (Onsite) Work Schedule: Monday-Friday, Standard business hours (8:00 AM-4:30 PM with one-hour lunch)
Job Summary:
The client is seeking a contract employee to support the Care Billing Program.
The primary responsibility of this position is to maintain uninterrupted Care billing operations while supporting the Division's efforts to improve billing processes and prepare for implementation of a future modernized and automated billing solution.
The successful candidate will support billing activities from initial encounter preparation through reconciliation while identifying opportunities to improve efficiency, reduce manual effort, strengthen internal controls, and improve revenue cycle performance.
The position will work closely with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders to ensure accurate billing operations and support long-term modernization efforts.
Job Responsibilities: Care Billing Operations (approximately 60%)
Key TennCare encounters PTBMIS accurately and within established timelines.
Post payments, write-offs, and maintain revenue tracking.
Update billing addresses and maintain provider information.
Maintain HIPAA compliance and confidentiality standards.
Prepare monthly billing reports and support documentation.
Provide operational billing support to ensure continuity of services.
Revenue Cycle Support and Issue Resolution (approximately 20%)
Research billing discrepancies, payment issues, claim denials, and reconciliation differences.
Identify root causes of billing errors and recommend corrective actions.
Review billing trends and identify recurring issues impacting reimbursement.
Document manual workarounds and standard operating procedures.
Perform reconciliations between billing activity, remittances, and financial reports.
Monitor billing timelines to support timely filing requirements.
Billing Process Improvement (approximately 20%)
Evaluate current billing workflows and identify opportunities for automation.
Support implementation planning for a future third-party billing solution.
Participate in workflow mapping and documentation.
Plan, coordinate, and execute testing, validation, and documentation for new billing processes, system enhancements, and future third-party billing solutions.
Recommend efficiencies that reduce manual data entry and duplicate work.
Develop and maintain process documentation and training materials.
Participate in special projects supporting modernization of laboratory billing operations.
Collaborate with laboratory staff, fiscal administration staff, procurement, informatics, and external stakeholders to resolve billing issues and support billing process improvements.
Knowledge, Skills, and Abilities: Preferred candidates will have experience with:
Medical billing, Medicaid, or healthcare revenue cycle operations
Claims processing or encounter management
Microsoft Excel (intermediate level)
Investigating billing discrepancies
Process improvement or workflow analysis
Data validation and quality assurance
Maintaining confidential health information (HIPAA)
Learning multiple software systems
Following detailed written procedures
Working independently while managing competing priorities
Experience with any of the following is preferred but not required:
PTBMIS
StarLIMS
Availity
Tennessee Medicaid (TennCare)
Healthcare billing software
State government financial processes
Desired Qualifications:
Experience in healthcare billing, medical office administration, finance, laboratory operations, or related field.
Strong analytical and problem-solving skills.
Excellent organizational and time management abilities.
Ability to identify process improvements and recommend practical solutions.
Strong written and verbal communication skills.
High attention to detail with demonstrated accuracy.
Ability to maintain confidentiality and handle sensitive information.