Member Engagement Billing and Data Specialist

Job not on LinkedIn

🔥 4 minutes ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $28 - $35 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

🚫👨‍🎓 No degree required

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CareOregon

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1994

🏥 Healthcare

📦 Logistics

🛡️ Insurance

Healthcare • Logistics • Insurance

CareOregon is a community-focused health plan that provides coordinated physical, behavioral, dental and social-support services to Oregon Health Plan members, serving more than 500,000 people. The organization operates provider and member portals, offers care coordination, telehealth, language and tribal services, community grants and outreach, and programs addressing social determinants of health such as housing, nutrition and transportation.

📋 Description

• Review and validate language services invoices for accuracy, completeness, and contract alignment • Identify billing discrepancies, trends, and errors affecting payment integrity • Coordinate invoice corrections with vendors and internal teams • Track invoice processing timelines and resolve outstanding billing issues • Coordinate quality control and process improvement projects for language services invoices • Engage interpreter service vendors regarding billing, payment status, and data integrity • Support vendors with invoice requirements, corrections, and submission standards • Monitor vendor billing accuracy, data quality, and performance • Create and manage vendor and contractor quality dashboards and tools • Maintain and analyze language services, invoice, contract, and Meaningful Language Access data • Validate key datasets and support MLA metric reporting and submissions • Develop and maintain tools, reports, and dashboards for vendor quality, billing accuracy, and operational performance • Track interpreter services budget and costs • Analyze invoice, vendor, and operational data and communicate findings and recommendations • Coordinate billing and data deliverables from strategic language access plans • Support Member Engagement reporting, survey data, incentive program data, operational metrics, and dashboard initiatives • Participate in cross-functional and cross-regional workgroups • Develop and maintain SOPs for billing, data validation, and vendor processes • Identify workflow improvements and strengthen data integrity • Communicate invoice status, trends, and risks to partners and teams

🎯 Requirements

• Minimum 2 years of experience in billing, invoicing, data analysis or operations support • Experience working with Excel and large datasets • Preferred: experience with healthcare billing, Medicaid, OHP, or managed care environments • Preferred: experience with interpreter services, language access programs, or similar delivery programs • Preferred: experience supporting reporting, operational tracking, or process improvement activities • Familiarity with current laws and best practices for interpreting services • Knowledge of basic managed care concepts, the Oregon Health Plan (OHP) and Medicare • Knowledge of program and project management tools and recordkeeping • Understanding of operational reporting, performance metrics, data analysis, and program evaluation concepts • Knowledge of data management, data validation, and data quality practices • Familiarity with dashboarding and data visualization tools such as Power BI, Tableau, or similar platforms • Intermediate to advanced Excel skills, including data validation, formulas, and analysis • Ability to analyze operational and billing data, identify trends and discrepancies, and communicate findings • Ability to maintain reports and dashboards • Ability to manage multiple priorities and meet deadlines • Ability to communicate clearly and professionally in writing and verbally • Ability to exercise sound judgment and maintain confidentiality • Ability to work independently and as part of a team • Ability to work effectively with diverse individuals and groups • Ability to see, read, and hear for at least 6 hours/day • Ability to speak clearly and perform repetitive finger and wrist movement for at least 3-6 hours/day

🏖️ Benefits

• Bonus opportunity: 5% annual SIP target • Medical, dental, vision, life, AD&D, and disability insurance • Health savings account • Flexible spending account(s) • Lifestyle spending account • Employee assistance program • Wellness program • Discounts and supplemental benefits, including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings • Retirement plan with employer contributions • PTO • Paid State Sick Time • Paid holidays • Volunteer time • Jury duty leave • Bereavement leave • 401(k) contributions for non-benefits-eligible employees • Work from home