Administrative Services Assistant

STI•Nashville, TN

About The Position

The Administrative Services Assistant processes medical services bills received for eligibility clients, including verifying client eligibility, ensuring payer-of-last-resort status, entering invoices in PTBMIS to authorize payment, and checking payment-processing status as needed. The role also assists with payment denials, maintaining and distributing the Fee Schedule for services covered under Ryan White Part B, the annual Authorization to Vendor process, and client eligibility applications in RWES.

Responsibilities

  • Process medical services bills received for eligibility clients.
  • Verify client eligibility and ensure payer-of-last-resort status.
  • Enter invoices in PTBMIS to authorize payment and check payment-processing status as needed.
  • Assist with the payment denials process, including communicating with vendors, maintaining an internal tracking spreadsheet, and completing internal recoupment processes.
  • Assist with maintaining and distributing an updated Fee Schedule document of services covered under Ryan White Part B.
  • Assist with the annual Authorization to Vendor process.
  • Assist with processing client eligibility applications in RWES.
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