Medical Biller (Nashville)

Calance; Nashville (TN); On-site; USD 34,000 - 49,000; Full time

Benefits offered by this job

EPO/PPO Medical Plans

HMO/PPO Dental programs

Vision - VSP (Vision Plan Summary)

401K Retirement vesting program (VOYA)

Paid Bi-Weekly/Direct Deposit

Flex Spending Plan

Voluntary Life, AD&D, STD or LTD plans

Job summary

Calance is seeking a Medical Billing Analyst to maintain uninterrupted billing operations and support modernization of billing processes. The role requires collaborating with laboratory staff, fiscal administration, procurement, informatics, and external stakeholders to ensure accurate billing and improve revenue cycle performance.

The position is onsite in Nashville, TN with training conducted on-site. After training, a potential hybrid schedule may be available.

Qualifications

• 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).
• Strong written and verbal communication skills.

Responsibilities

• Billing Operations (approximately 60%): Enter key encounters accurately, post payments and write-offs, update provider info, maintain HIPAA standards, prepare monthly billing reports, provide operational billing support.
• Revenue Cycle Support and Issue Resolution (approximately 20%): Research billing discrepancies, root causes, and corrective actions; review trends; document workarounds; reconcile activity and remittances; monitor timely filing.
• Billing Process Improvement (approximately 20%): Evaluate workflows, map processes, plan/testing for future billing solutions, document enhancements, and reduce manual data entry; support modernization projects.

Skills

Medical billing

Medicaid

Revenue cycle

Claims processing

Excel

Discrepancy investigation

Process improvement

Data validation

HIPAA compliance

Communication skills

Job description

*** We will NOT work with C2C/3rd Party Agencies for ANY reason***

JOB DETAILS:

Position: Medical Biller

JOB REF#: 45144

Duration: 12 Months (Contract)

Location: ONSITE - Nashville, TN 37243

Pay Rate: $30.00 (W2 only)

IMPORATANT: We are only accepting LOCAL CANDIDATES for this role

• Schedule: Must work ONSITE during training. Upon completion of training and demonstration of independent proficiency, the position may be eligible for a hybrid work schedule
• HOURS: Monday - Friday (8:00 AM-4:30 PM with one-hour lunch)

Seeking to hire a Medical Billing Analyst 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. They 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. They 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.

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 work arounds 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.

REQUIRED SKILLS/EXPERIENCE:

• Experience with either 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)
• Strong written and verbal communication skills.

Calance Benefits Offerings:

• EPO/PPO Medical Plans
• HMO/PPO Dental programs
• Vision - VSP (Vision Plan Summary)
• 401K Retirement vesting program (VOYA)
• Paid Bi-Weekly/Direct Deposit
• Flex Spending Plan
• Voluntary Life, AD&D, STD or LTD plans