Billing Operations Associate

Role Overview

• 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

Requirements

• 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

Benefits

• 401(k) matching
• Home Office Stipend
• Paid Time Off
• Medical, Dental, and Vision Insurance