Job Title
Medical Biller
Job ID: 45144
Pay Rate: $30.00
Duration: 12 months (Contract)
Location: ONSITE - Nashville, TN 37243
Start Date: ASAP
JOB DETAILS
The Position is Medical Biller. This role is a 12 month contract at a pay rate of $30.00 (W2 only).
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).
RESPONSIBILITIES
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.
Desired Qualifications
- Experience with PTBMIS, StarLIMS and/or Availity.
- Worked with Healthcare billing software.
- Experience in healthcare billing, medical office administration, finance, laboratory operations, or related field.
- State government financial processes.
Calance Consultant 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
ABOUT CALANCE
Calance is a global IT Services firm specializing in end‑to‑end solutions for Development, Managed Service, Security, SAP, Project Control Integration and IT Staffing. Operating in the United States and India, Calance helps clients bring their ideas and strategies to life through talent, technology and tenacity.