Member Engagement Billing and Data Specialist

Member Engagement Billing and Data Specialist

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The Member Engagement Billing and Data Specialist supports Language Services operations with a primary focus on invoice review, billing coordination, payment integrity, and vendor support. This role ensures the accuracy, completeness, and timely processing of language services invoices, resolves billing discrepancies, and supports vendors in addressing payment and data-related issues. This position will also provide supplemental support to other Member Engagement programs and, across all teams, maintain operational data, support reporting and dashboard needs, monitor key program metrics, and participate in process improvement efforts that strengthen service quality, data accuracy, and operational efficiency across the Language Services and Member Engagement programs.

Estimated Hiring Range:

$28.81 - $35.22

Bonus Target:

Bonus - SIP Target, 5% Annual

Priority will be given to candidates residing in Oregon and Southwest Washington.

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

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Essential Responsibilities

Billing Coordination & Invoice Review

• Review and validate language services invoices for accuracy, completeness, and contract alignment.

• Identify discrepancies, trends, and errors that may impact payment integrity and coordinate invoice corrections with vendors and internal teams.
• Track invoice processing timelines and support timely resolution of outstanding billing issues.
• Coordinate quality control and process improvement projects for language services invoices to increase accuracy, efficiency, and overall data integrity.
• Analyze billing trends and identify recurring issues or opportunities for process improvement.
• Monitor invoice and payment data to identify risks affecting payment integrity and operational performance.

Vendor Support & Coordination

• Engage with interpreter service vendors regarding billing, payment status, data integrity via regular check-ins.

• Support vendors in navigating invoice requirements, corrections, and submission standards.
• Partner with vendors to resolve discrepancies in a timely and collaborative manner.
• Monitor vendor performance related to billing accuracy and data quality. Create and manage tools and dashboards to monitor the quality and performance of vendors and contractors.
• Maintain strong working relationships to support operational efficiency and service quality.
• Support internal partners in resolving vendor-related service quality issues.

Compliance and Reporting

• Maintain and analyze data related to language services, invoices, contracts, and Meaningful Language Access (MLA) metric reporting.
• Perform validation across key datasets.
• Support cross-functional teams with MLA metric data tracking, reporting, and submission requirements for vendors.
• Support the development and maintenance of tools, reports, and dashboards used to monitor vendor quality, billing accuracy, and operational performance.
• Collaborate with business partners and stakeholders to understand reporting needs, define data requirements, and support operational decision-making.
• Apply quality assurance methods and procedures to ensure the accuracy, reliability, and integrity of reporting and operational data.
• Coordinate improvement projects for data collection and reporting of language services data.
• Track interpreter services budget and costs.
• Analyze invoice, vendor, and operational data to identify discrepancies, trends, and improvement opportunities.
• Monitor billing and program data to support operational decision-making and reporting needs.
• Summarize findings and communicate recommendations to support program operations and continuous improvement.

Program Support & Process Improvement

• Coordinate data and billing deliverables identified from strategic language access plans and initiatives to optimize language services.
• Support Member Engagement reporting and data needs, including survey data, incentive program data, operational metrics, dashboard development, and other data analysis and reporting initiatives.
• Participate in cross-functional and cross-regional workgroups and support the deliverables of the strategic plans.
• Participate in internal collaboration and information sharing regarding the member engagement program.
• Support development and maintenance of SOPs related to billing, data validation, and vendor processes.
• Identify opportunities to improve workflows, reduce inefficiencies, and strengthen data integrity.
• Provide clear communication to partners and teams on invoice status, trends, and risks.

​Experience and/or Education

Required

• 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
• Experience working with interpreter services, language access programs, or similar delivery programs
• Experience supporting reporting, operational tracking, or process improvement activities

Knowledge, Skills and Abilities Required

Knowledge

• 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 skills
• 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 reporting platforms
• Knowledge of healthcare operational data and reporting practices (preferred)

• Skills and Abilities

• Strong attention to detail with the ability to identify data discrepancies
• Ability to balance speed and accuracy in a high-volume, detail-oriented environment
• Intermediate to advanced Excel skills, including data validation, formulas, and analysis
• Strong analytical and problem-solving skills
• Ability to analyze operational and billing data, identify trends and discrepancies, and communicate findings to support decision-making and process improvement
• Ability to maintain reports and dashboards that support billing, vendor management, and operational tracking
• Ability to learn and apply reporting and dashboard tools
• Ability to manage multiple priorities and meet deadlines in a fast-paced environment
• Ability to communicate clearly and professionally, both verbally and in writing, using plain language, proper grammar, and correct spelling
• Ability to build effective working relationships and collaborate with internal and external partners
• Ability to exercise sound judgment, maintain confidentiality, and know when to seek guidance
• Ability to work effectively both independently and as part of a team
• Excellent organizational skills and initiative
• Ability to work effectively with diverse individuals and groups
• Ability to learn, focus, understand, and evaluate information and determine appropriate actions
• Ability to accept direction and feedback, as well as tolerate and manage stress
• 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

Working Conditions

Work Environment(s):        ☒ Indoor/Office    ☐ Community      ☐ Facilities/Security     ☐ Outdoor Exposure

Member/Patient Facing:    ☒ No                          ☐ Telephonic        ☐ In Person

Hazards:  May include, but not limited to, physical and ergonomic hazards

Equipment:  General office equipment

Travel:  May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used

Work Location: Work from home

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package.  Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

CareOregon is an equal opportunity employer.  The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.