Billing Specialist

TALENT Software Services; Nashville (TN); On-site; USD 28,000 - 41,000; Part time

Job summary

TALENT Software Services is seeking a Billing Specialist in Nashville for a 7-month onsite contract. The role focuses on maintaining uninterrupted Care billing operations and supporting modernization efforts in billing processes.

You will collaborate with laboratory billing staff, procurement, informatics, and fiscal administration to ensure accurate operations and improved revenue cycle performance. Responsibilities include billing for TennCare encounters, payment posting, reconciliation, and

Qualifications

• Experience in healthcare billing and revenue cycle operations.
• Knowledge of HIPAA and confidentiality practices.
• Ability to research billing discrepancies and identify root causes.

Responsibilities

• Care Billing Operations: process TennCare encounters accurately, post payments, maintain records, ensure HIPAA compliance, generate monthly reports, support service continuity.
• Revenue Cycle Support: resolve billing issues, analyze reconciliation differences, document workarounds, monitor timely filing and remittances.
• Billing Process Improvement: map workflows, plan for automation with future third-party solutions, validate new processes, reduce manual data entry and errors, create training materials.

Skills

Medical billing

Revenue cycle

Data entry

Microsoft Excel

Tools

PTBMIS

StarLIMS

Availity

Microsoft Excel

Job description

Job Location: Nashville, Tennessee, 37216 (Onsite)

Work Schedule: Monday-Friday, Standard business hours (8:00 AM-4:30 PM with one-hour lunch)

• The client is seeking a contract employee to support the Care Billing Program.
• The primary responsibility of this position is to maintain uninterrupted Care 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.

Job Title: Billing Specialist

Job Duration: 7 Months

Job Location: Nashville, Tennessee, 37216 (Onsite)

Work Schedule: Monday-Friday, Standard business hours (8:00 AM-4:30 PM with one-hour lunch)

Job Summary

• The client is seeking a contract employee to support the Care Billing Program.
• The primary responsibility of this position is to maintain uninterrupted Care 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.

Job Responsibilities

Care Billing Operations (approximately 60%)

• Key TennCare encounters 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 support 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.

Knowledge, Skills, and Abilities

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

Experience with any of the following is preferred but not required

• PTBMIS
• StarLIMS
• Availity
• Tennessee Medicaid (TennCare)
• 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.

Skills Matrix

• Accounts Payable Novice (1-3 Years)
• Accounts Receivable Novice (1-3 Years)
• Balancing/Reconciling Proficient (4-6 Years)
• Basic Bookkeeping Proficient (4-6 Years)
• Customer Service Proficient (4-6 Years)
• Data Entry Proficient (4-6 Years)
• Microsoft Excel Proficient (4-6 Years)
• Typing Proficient (4-6 Years)