NEW JOB OPENING
HEALTHCARE BILLING & ELIGIBILITY SPECIALIST
IN NASHVILLE, TN, USA!

 

Date Posted: 11/09/2026
Hiring Organization: Rose International
Position Number: 510494
Industry: Government/Staffing
Job Title: Healthcare Billing & Eligibility Specialist
Job Location: Nashville, TN, USA, 37243
Work Model: Hybrid
Work Model Details: 2 days onsite/week
Shift: Monday to Friday 8:00 AM to 4:30 PM
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 13
Min Hourly Rate($): 25.00
Max Hourly Rate($): 26.00
Must Have Skills/Attributes: Administrative, Authorization, Scheduling, Spreadsheets
Experience Desired:
Experience processing healthcare invoices, medical claims, or provider payments within a healthcare environment (5 yrs),
Experience verifying client eligibility, reviewing supporting documentation, and determining coverage (5 yrs),
Experience with healthcare billing systems, including invoice entry, payment authorization, reconciliation etc (5 yrs),
Assisting with maintaining and distributing an updated Fee Schedule document of services covered under Ryan White Part B (1 yrs)

**C2C is not available**

 

Job Description
Required/Preferred Experience:
• 3–5+ years of experience processing healthcare invoices, medical claims, or provider payments within a healthcare, Medicaid, or public health environment
• 3+ years of experience verifying client eligibility, reviewing supporting documentation, and determining coverage under healthcare assistance programs
• Demonstrated experience applying payer-of-last-resort requirements, coordinating benefits, and ensuring appropriate payment authorization before processing claims
• Hands-on experience with healthcare billing or payment management systems, including invoice entry, payment authorization, reconciliation, and payment status tracking
• Experience managing denied claims, coordinating directly with healthcare vendors, investigating payment discrepancies, and supporting provider recoupment processes
• Experience maintaining healthcare fee schedules, covered-service documentation, and vendor authorization records while ensuring compliance with program guidelines
• Experience processing eligibility applications and maintaining confidential client records within government-funded healthcare, Ryan White, Medicaid, or similar public assistance programs

Position Responsibilities:
• Processing all medical services bills received for eligible clients, including but not limited to:
• Verification of client eligibility
• Ensuring payer-of-last-resort status
• Keying invoices in PTBMIS to authorize payment
• Status checks of payment processing as needed.
• Assisting with the payment denials process, including but not limited to:
• Correspondence with vendor.
• Maintenance of internal tracking spreadsheet.
• Internal processes to complete the recoupment process.
• Assisting with maintaining and distributing an updated Fee Schedule document of services covered under Ryan White Part B.
• Assisting with the annual Authorization to Vendor process.
• Assisting with the processing of client eligibility applications in RWES.



  • **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.**

 

Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

 

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About Rose

  • Founded in 1993
  • Office Locations Across the U.S.
  • 150+ Clients: Corporations and Government Agencies
  • Employee Oriented Company
  • Challenging Assignments Across the U.S.
  • Continuous Professional Development

I had a very positive experience working for Rose. The entire process is very efficient and easy.

Joanne, Consultant

Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.

Melvon, Consultant

Rose is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.

Samba, Consultant

The interactions that I have had with your representatives have always been prompt and very professional. I am very pleased and impressed with your company and services.

Sioe, Consultant

I am very happy with the Rose International, and the professionalism of the employees.

Robin, Consultant

EMPLOYEE COMMENTS

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