Contract Medical Billing Analyst - TennCare Revenue Cycle

V Group Inc.; Nashville (TN); Sur place; USD 34 000 - 55 000; Plein temps

Résumé du poste

The Tennessee Department of Health, Division of Laboratory Services, is seeking a contract employee to support the TennCare Billing Program and maintain uninterrupted billing operations during modernization efforts.

The successful candidate will collaborate with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders to ensure accurate billing, resolve issues, and implement process improvements through November 2027.

Qualifications

• Experience in medical billing or healthcare revenue cycle operations.
• Knowledge of claims processing or encounter management.
• Experience with process improvement or workflow analysis.
• Strong data validation and quality assurance skills.
• Ability to maintain HIPAA confidentiality.
• Ability to learn multiple software systems.
• Ability to follow detailed written procedures.
• Strong time management and ability to manage competing priorities.

Responsabilités

• TennCare Billing Operations: Key encounters into PTBMIS accurately and timely.
• Post payments, write-offs, and maintain revenue tracking.
• Update billing addresses and 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: Research billing discrepancies and denials.
• Identify root causes and recommend corrective actions.
• Billing Process Improvement: Evaluate workflows for automation opportunities.
• Support implementation planning for future billing solutions.
• Document testing, validation, and documentation for new processes.

Connaissances

Medical billing

Medicaid revenue cycle

Claims processing

Process improvement

Data validation

HIPAA confidentiality

Software systems familiarity

Following procedures

Independent work

Outils

PTBMIS

StarLIMS

Availity

TennCare

Healthcare billing software

Description du poste

The Tennessee Department of Health, Division of Laboratory Services, is seeking a contract employee to support the TennCare Billing Program and maintain uninterrupted billing operations during modernization efforts.

The successful candidate will collaborate with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders to ensure accurate billing, resolve issues, and implement process improvements through November 2027.