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.