Administrative services assistant (billing specialist)- onsite

APPLY ONLY IF YOU ARE LOCAL TO TN AND READY FOR ONSITE ROLE IN NASHVILLE, TN

Position Summary: Seeking a detail-oriented Billing Specialist to support TennCare billing operations, payment posting, reconciliation, issue resolution, and process improvement while preparing for future billing system modernization.

Key Responsibilities:

• Enter TennCare encounters into PTBMIS and maintain accurate billing records.
• Post payments and write-offs, update provider information, and prepare monthly reports.
• Investigate billing discrepancies, claim denials, payment issues, and reconciliation differences.
• Ensure timely billing, HIPAA compliance, and confidentiality of sensitive information.
• Identify workflow improvements, reduce manual processes, and document procedures.
• Support system testing, data validation, workflow mapping, and implementation of future billing solutions.
• Collaborate with laboratory, finance, procurement, informatics, and external teams.

Required / Preferred Qualifications:

• Experience in healthcare billing, medical administration, finance, or revenue cycle operations.
• Knowledge of Medicaid, claims processing, encounter management, and reconciliation preferred.
• Intermediate Microsoft Excel skills and strong analytical abilities.
• Experience with PTBMIS, StarLIMS, Availity, or TennCare is a plus.
• Strong attention to detail, communication, organization, and problem-solving skills.
• Ability to work independently, manage priorities, and maintain HIPAA compliance.