Administrative Services Assistant

generis Tek•Nashville, TN

1d•Onsite

About The Position

The Tennessee Department of Health, Division of Laboratory Services, is seeking a contract employee to support the TennCare Billing Program. The role is responsible for maintaining uninterrupted TennCare billing operations while helping improve billing processes and prepare for a future modernized, automated billing solution. The employee will support billing activities from encounter preparation through reconciliation and identify opportunities to improve efficiency, reduce manual effort, strengthen internal controls, and improve revenue cycle performance. The position works with laboratory billing staff, fiscal administration, procurement, informatics, and external stakeholders. The contract is expected to continue through November 30, 2027, contingent upon funding availability. The schedule is Monday through Friday during standard business hours, 8:00 AM–4:30 PM, with a one-hour lunch. The position is primarily onsite during initial training. After successful completion of training and demonstration of independent proficiency, it may be eligible for a hybrid schedule in accordance with Tennessee Department of Health policies and business needs.

Requirements

Experience in healthcare billing, medical office administration, finance, laboratory operations, or a related field.
Strong analytical and problem-solving skills.
Excellent 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 candidates have 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; handling confidential health information under HIPAA; learning multiple software systems; following detailed written procedures; and working independently while managing competing priorities.

Nice To Haves

Experience with PTBMIS, Star LIMS, Availity, Tennessee Medicaid (TennCare), healthcare billing software, or state government financial processes.

Responsibilities

Enter TennCare encounters into PTBMIS accurately and within established timelines.
Post payments and write-offs, maintain revenue tracking, update billing addresses, and maintain provider information.
Maintain HIPAA compliance and confidentiality standards.
Prepare monthly billing reports and supporting documentation, and provide operational support for continuity of billing services.
Research billing discrepancies, payment issues, claim denials, and reconciliation differences.
Identify root causes of billing errors, recommend corrective actions, review billing trends, and identify recurring reimbursement issues.
Document manual workarounds and standard operating procedures.
Reconcile billing activity with remittances and financial reports, and monitor billing timelines to support timely filing requirements.
Evaluate billing workflows and identify opportunities for automation and reduced manual or duplicate work.
Support planning for implementation of 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.
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.