Administrative Service Assistant

STI•Nashville, TN

2d•Hybrid

About The Position

The Tennessee Department of Health, Division of Laboratory Services is seeking a contract employee to support the TennCare Billing Program. The position maintains uninterrupted TennCare billing operations while helping improve billing processes and prepare for a future modernized, automated billing solution. Work spans encounter preparation through reconciliation, with a focus on improving efficiency, reducing manual effort, strengthening internal controls, and improving revenue cycle performance. The role collaborates with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders. The position is expected to continue through November 30, 2027, contingent upon funding availability. The position is primarily onsite during initial training because of the complexity of the billing systems and the need to collaborate with the billing team. After successful training and demonstrated independent proficiency, a hybrid schedule may be available under Tennessee Department of Health policies and business needs. The stated schedule is Monday through Friday, 8:00 AM to 4:30 PM, with a one-hour lunch.

Requirements

Experience in healthcare billing, medical office administration, finance, laboratory operations, or a related field is desired.
Strong analytical and problem-solving skills.
Strong organizational and time management abilities.
Ability to identify process improvements and recommend practical solutions.
Strong written and verbal communication skills.
High attention to detail and demonstrated accuracy.
Ability to maintain confidentiality and handle sensitive information.
Preferred experience with medical billing, Medicaid, or healthcare revenue cycle operations; claims processing or encounter management; intermediate Microsoft Excel; investigating billing discrepancies; process improvement or workflow analysis; data validation and quality assurance; maintaining confidential health information (HIPAA); learning multiple software systems; following detailed written procedures; and working independently while managing competing priorities.

Nice To Haves

Experience with PTBMIS.
Experience with StarLIMS.
Experience with Availity.
Experience with Tennessee Medicaid (TennCare).
Experience with healthcare billing software.
Experience with state government financial processes.

Responsibilities

Key TennCare encounters into PTBMIS accurately and within established timelines.
Post payments and 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.
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 affecting reimbursement.
Document manual workarounds and standard operating procedures.
Reconcile billing activity, remittances, and financial reports.
Monitor billing timelines to support timely filing requirements.
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, procurement, informatics, and external stakeholders to resolve billing issues and improve billing processes.