Billing Specialist

Smart IMS Inc; Nashville (TN); Vor Ort; USD 28.000 - 41.000; Vollzeit

Zusammenfassung

Smart IMS Inc in Nashville, TN is seeking a Billing Specialist to maintain uninterrupted billing operations and support modernization of the revenue cycle. You will handle client encounters in PTBMIS, post payments, manage addresses, and prepare monthly reports while ensuring HIPAA compliance.

This role collaborates with clinical and administrative teams, investigates discrepancies, and supports process improvements for future automation.

Qualifikationen

• Experience in medical billing and healthcare revenue cycle operations.
• Ability to investigate billing discrepancies and resolve issues.
• Familiarity with HIPAA and confidentiality requirements.

Aufgaben

• Enter client encounters into PTBMIS accurately and on time.
• Post payments, write-offs, and maintain revenue tracking.
• Update billing addresses and provider information; prepare monthly reports.

Kenntnisse

Medical billing

Revenue cycle

HIPAA

Analytical skills

Communication

Detail-oriented

Independent work

Tools

PTBMIS

StarLIMS

Availity

Microsoft Excel

Jobbeschreibung

Job Title:

Billing Specialist

Duration (Contract):

8 Months

Client Location:

Nashville, TN 37216

Location Preference:

Onsite

Job Description:

As a Billing Specialist, you will be 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.

Responsibilities:

Client Billing Operations

• Key Client 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

• 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

• 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.

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
• PTBMIS
• StarLIMS
• Availity
• Client Medicaid (Client)
• Healthcare billing software
• State government financial processes
• 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.

The hourly range for roles of this nature are $20.00 to $30.00/hr. Rates are heavily dependent on skills, experience, location, and industry.

cyberThink is an Equal Opportunity Employer.