TennCare Billing and Revenue Cycle Specialist (Hybrid)

Careers Integrated Resources Inc; Nashville (TN); On-site; USD 42,000 - 64,000; Full time

Job summary

Careers Integrated Resources Inc. seeks a Medical Billing Specialist in Nashville to support TennCare billing operations for a 7-month contract with potential extension.

Responsibilities include data entry, posting payments, and maintaining revenue tracking while ensuring HIPAA compliance. The role collaborates with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders to improve processes and prepare for a future modernized billing solution.

Qualifications

• Experience with medical billing, Medicaid, or healthcare revenue cycle operations.
• Claims processing or encounter management experience.
• Proficiency in Microsoft Excel (intermediate level).
• Ability to investigate billing discrepancies and perform data validation.
• Familiarity with HIPAA and confidential information handling.
• Ability to learn multiple software systems and follow detailed procedures.

Responsibilities

• TennCare encounters entered into PTBMIS accurately and on time.
• 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.

Skills

Medical billing

Medicaid

Revenue cycle

Claims processing

Encounter management

Process improvement

Data validation

HIPAA

Documentation

Independent work

Tools

Excel

Job description

Careers Integrated Resources Inc. seeks a Medical Billing Specialist in Nashville to support TennCare billing operations for a 7-month contract with potential extension.

Responsibilities include data entry, posting payments, and maintaining revenue tracking while ensuring HIPAA compliance. The role collaborates with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders to improve processes and prepare for a future modernized billing solution.