Job Information
Community Health Access Project Billing Specialist in Mansfield, Ohio
*Position: * Billing Specialist
Date posted: March 26, 2026
Pay: $18.00 - $20.00 per hour
Job description:
Summary
The Billing Specialist supports CHAP's financial and program operations by ensuring accurate invoicing, timely reporting, and proper reconciliation of billable services under the Pathways Community HUB model. This position manages billing workflows for Care Coordination Agencies (CCAs), tracks Community Health Worker (CHW) productivity, prepares invoices for Managed Care Organizations (MCOs), and works closely with CHWs and CCA Supervisors to resolve billing concerns. The Billing Specialist maintains accurate records, safeguards confidential data, and provides routine reporting to support organizational decision-making.
Essential Responsibilities
Billing & Invoicing
- Review data within the Care Coordination System (CCS) to ensure monthly pathways, tools, and visits are accurate and complete prior to billing.
- Approve and reconcile billing submissions for CCAs.
- Prepare monthly MCO invoices for all CCAs and maintain organized logs of all invoicing activity.
- Track payments, identify outstanding balances, and notify the Fiscal Officer upon receipt of funds.
- Maintain accurate, up-to-date payment documentation and reconciliation files.
Data Review & Quality Assurance
- Monitor CCS data for errors, discrepancies, or missing information that could affect billing accuracy.
- Work with CHWs and CCA Supervisors to research and resolve billing issues in a timely manner.
- Ensure compliance with internal policies, MCO billing requirements, and data quality standards.
- Safeguard confidential participant information and sensitive contract details.
Reporting & Administrative Support
- Assist the Executive Director with CCA reporting metrics, productivity tracking, and program analysis.
- Provide regular billing, productivity, and reconciliation reports to organizational leadership.
- Communicate frequently with MCOs regarding invoicing, corrections, or payment confirmations.
- Perform general administrative support tasks as needed.
- Carry out other duties as assigned to support organizational needs
- Carry out other duties as assigned to support organizational needs.
Work Environment
This position operates in a professional office environment. The Billing Specialist uses standard office equipment, computers, and communication tools to complete daily duties.
Physical Demands
- Ability to sit for extended periods while reviewing data and preparing invoices.
- Ability to communicate effectively in person, by phone, and electronically.
- Ability to lift up to 10 pounds as needed.
- Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Education & Experience
· Associate degree in accounting, business, or related field; or an equivalent combination of education and exp