TennCare Billing & Revenue Cycle Specialist

Novalink Solutions; Nashville (TN); Presencial; USD 42.000 - 62.000; Jornada completa

Descripción de la vacante

The Tennessee Department of Health, Division of Laboratory Services, seeks a contract Administrative Services Assistant to support the TennCare Billing Program in Nashville. The role focuses on maintaining uninterrupted billing operations and helping implement a modernized billing solution.

You will process encounters and payments, analyze discrepancies, document procedures, and collaborate with staff and stakeholders to improve efficiency and revenue cycle performance.

Formación

• Experience with healthcare billing, Medicaid, or revenue cycle operations.
• Experience with claims processing or encounter management.
• Experience with process improvement or workflow analysis.
• Experience with data validation and quality assurance.
• Experience learning multiple software systems.
• Ability to follow detailed written procedures.
• Ability to work independently while managing competing priorities.

Responsabilidades

• 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.
• Prepare monthly billing reports and supporting documentation.
• Provide operational billing support to ensure continuity of services.
• Research billing discrepancies, payment issues, and denials.
• Identify root causes and suggest corrective actions.
• Evaluate workflows and participate in automation planning.
• Document procedures and assist in testing for new processes.

Conocimientos

Healthcare revenue cycle operations

Claims processing

Process improvement

Data validation

Quality assurance

Learning multiple software systems

Following procedures

Independent work

Descripción del empleo

The Tennessee Department of Health, Division of Laboratory Services, seeks a contract Administrative Services Assistant to support the TennCare Billing Program in Nashville. The role focuses on maintaining uninterrupted billing operations and helping implement a modernized billing solution.

You will process encounters and payments, analyze discrepancies, document procedures, and collaborate with staff and stakeholders to improve efficiency and revenue cycle performance.