Position Title: Healthcare Administrative & Billing Specialist
Location: Nashville, TN (Candidate must be a Tennessee resident by start date)
Work Arrangement: Hybrid
Interview Process: Either Webcam or In-Person Interview
< data-path-to-node="12" dir="ltr">Role Summary
Seeking an Administrative Services Assistant to support public health medical billing, client eligibility processing, and vendor management. This position ensures accurate medical invoice keying, verifies payer requirements, and maintains operational tracking systems for healthcare assistance programs.
< data-path-to-node="14" dir="ltr">Key Responsibilities
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Medical Billing & Invoicing: Process incoming medical services bills by verifying client eligibility, ensuring payer-of-last-resort status, and keying invoices into PTBMIS for authorization.
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Payment Denials & Recoupment: Coordinate vendor correspondence, track payment status, maintain internal spreadsheets, and perform internal processes for payment recoupment.
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Fee Schedule & Vendor Maintenance: Update and distribute program fee schedules and support the annual Authorization to Vendor workflow.
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Application Processing: Assist with reviewing and processing client eligibility applications in specialized tracking systems (RWES).
< data-path-to-node="16" dir="ltr">Required Skills & Qualifications
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Medical Billing & Invoicing: Hands-on experience with medical bill processing, verification of eligibility, and payer hierarchy.
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Data Entry & Systems: Proficiency keying invoices into specialized databases/software and maintaining tracking spreadsheets.
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Administrative Operations: Strong organizational skills to manage vendor correspondence, fee schedules, and authorization documents.
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Communication & Detail: Excellent written and verbal communication skills with high attention to detail for financial and record auditing.
< data-path-to-node="18" dir="ltr">Preferred Qualifications
