TennCare Billing Specialist

Job overview

Compensation is $1–$10 per year. The TennCare Billing Specialist role is described as hybrid in Nashville, TN. in the posting narrative. The position supports the Tennessee Department of Health, Division of Laboratory Services, TennCare Billing Program, and is expected to continue through November 30, 2027, contingent on funding. The specialist maintains billing continuity while helping improve processes and prepare for a future modernized, automated billing solution. The work spans encounter preparation through reconciliation, with attention to accurate billing, issue resolution, internal controls, and revenue cycle performance.

What you'll do

• Enter TennCare encounters into PTBMIS accurately and on time
• post payments and write-offs and maintain revenue tracking
• update billing addresses and provider information
• maintain HIPAA compliance and confidentiality
• prepare monthly billing reports
• research billing discrepancies, payment issues, claim denials, and reconciliation differences
• identify root causes and recommend corrective actions
• document workarounds and procedures
• reconcile billing activity, remittances, and financial reports
• monitor filing timelines
• evaluate workflows for automation
• support planning, testing, validation, documentation, and implementation of billing process changes and future third-party solutions
• collaborate with laboratory, fiscal administration, procurement, informatics, and external stakeholders.

What we're looking for

Skills & competencies

tenncare billing specialist

nashville tn

hybrid

novalink solutions

tenncare

medical billing

medicaid

revenue cycle

claims reconciliation

hipaa

billing process improvement

ptbmis

Work arrangement

• Weekend coverage required

Why this role

The posting states the assignment is expected to continue through November 30, 2027, contingent on funding. Experience with PTBMIS, StarLIMS, Availity, and TennCare is preferred but not required.

About the employer

Novalink Solutions LLC is hiring for this role. Industry: Medical Laboratories. Sector: 62.