NEW JOB OPENING
HEALTHCARE BILLING & REVENUE CYCLE SPECIALIST
IN Nashville, TN, USA!

Preferred Skills and Experience:

• Medical billing, healthcare revenue cycle, Medicaid, or government healthcare billing

• Claims processing, encounter management, payment posting, and reconciliation

• Investigating billing discrepancies, claim denials, and payment variances

• Intermediate Microsoft Excel skills for reporting, data analysis, and validation

• Workflow analysis, process improvement, and standard operating procedure development

• Data validation, quality assurance, and billing accuracy reviews

• Handling confidential health information in accordance with HIPAA requirements

• PTBMIS

• Star LIMS

• Availity

• 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.





Responsibilities:



Primary Responsibilities

• Billing Operations (approximately 60%)

• Key encounters into 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 supporting 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.



Overview:

• The Client is seeking to support the Billing Program.

• The primary responsibility of this position is to maintain uninterrupted 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.

• This position is expected to continue through November 30, 2027, contingent upon funding availability.

• **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

• **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**