Submit and manage monthly billing claims for all active patients under a bundled rate model
Ensure accuracy of billing inputs, including patient eligibility, enrollment status, and service periods
Maintain detailed billing records and audit trails through regular reconciliation processes
Identify, investigate, and resolve billing discrepancies in a timely manner, including denial and appeals management
Track billing changes such as pauses, discharges, or plan transitions and ensure accurate adjustments
Manage different billing systems and claim structures based on the MCO and state specific requirements
Perform routine audits to ensure billing data aligns with internal systems and source-of-truth records
Reconcile billing outputs against enrollment, care delivery, and eligibility data
Collaborate with leadership to validate patient status, authorizations, and billing eligibility
Partner with Finance on invoicing, reporting, and payment tracking
Identify opportunities to improve billing workflows, accuracy, and scalability

Bachelor’s degree in Business, Finance, Healthcare Administration, or comparable experience
1–2 years of experience in billing, finance operations, or a detail-oriented administrative role
Strong attention to detail and commitment to accuracy
Excellent organizational and time management skills
Comfort working with structured data and reconciling across multiple sources
Strong written and verbal communication

Flourish Health

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