Billing & Data Coordinator

VOLUNTEERS OF AMERICA SOUTH CENTRAL LOUISIANA•Lafayette, LA

About The Position

The Billing & Data Coordinator ensures accurate, timely, and compliant billing and data management for Wraparound services. This role supports the agency’s administrative accountability, data integrity, and audit readiness by preparing, submitting, reconciling, and auditing claims in accordance with the Louisiana Medicaid Behavioral Health Services Provider Manual, the 1915(c) HCBS Waiver, Magellan requirements, and internal quality standards. The position is also responsible for the complete and accurate collection, validation, and submission of member-level and program data required under the Louisiana Coordinated System of Care and The Wraparound Model. Working collaboratively with the Wraparound Quality & Assurance Specialist, the Wraparound Billing & Data Coordinator maintains data integrity across WAA information systems, supports dashboards and performance monitoring, and contributes to fidelity, outcome tracking, and responsive care coordination. The Wraparound Billing & Data Coordinator reports to the Director of Wraparound Services.

Requirements

Master’s degree in business administration, health administration, or related fields.
Experience with electronic claim submissions, remittance posting, and denial management, and appeals.
Prior experience with billing wraparound claims.
Two (2+) years of experience working with a CSoC program, including experience with the myEvolv EHR System, and the SFTP Magellan Network.
Five (5+) years of supervisory experience.
Experience with handling Protected Health Information (PHI), Medicaid/Managed Care documentation, or behavioral health programs.
Must maintain a valid Louisiana driver’s license
Proficient in Microsoft 365 (Word, Excel, Outlook)
Clear and professional verbal and written communication skills
Records management and information organization
Effective staff supervision, coaching, and performance management
Organization skills with ability to meet deadlines
Analysis of data and high level of attention to detail
Problem Management
Customer service
Independent decision-making within scope of role
Discretion and confidentiality

Responsibilities

Prepare, verify, and submit electronic claims for Wraparound services ensuring coding, units, and service dates meet Medicaid and Magellan rules and documentation standards meet Magellan and Medicaid rules and documentation standards.
Monitor payer acknowledgements; resolve front-end declinations and payer edits within established timelines.
Ensure all billing aligns with the Louisiana Medicaid Behavioral Health Services Provider Manual and applicable 1915(c) waiver provisions, including service authorization.
Research and correct denials; prepare and submit timely appeals with supporting documentation.
Work with myEvolv billing staff to Post remittances (EOB/ERA), reconcile payments, identify underpayments/overpayments, and coordinate refunds and re-bill as necessary.
Collaborate with the Wraparound Quality & Assurance Specialist to validate member-level data elements that meet Magellan and LDH reporting requirements.
Generate dashboard submissions as determined by program management (weekly, biweekly, monthly); support continuous quality improvement and corrective action plans.
Communicate professionally with Magellan, LDH, and other stakeholders on claim status and documentation needs; respond to payer inquiries within required timeframes.
Assist with staff training on documentation-to-bill workflows, including common denial reasons and prevention measures.
Support internal/external audits and help implement remediation items from the reviews.
Monitor error queues, resolve discrepancies, and ensure data align to Magellan/LDH specifications and internal data dictionaries.
Provide direct supervision and guidance to assigned administrative staff, including onboarding, training, coaching, and performance feedback.
Review and approve employee timecards, leave requests, and schedule adjustments in accordance with agency policy and labor requirements.
Address workflow issues, resolve staff concerns, and escalate personnel matters as appropriate.
Ensure adequate administrative coverage to support program operations and compliance deadlines.
Monitor and update internal spreadsheet/database.
Maintain confidentiality as it pertains to all aspects of clients’ care, staff, and VOASCLA.
Participate in training and development activities as required.
Collaborate with The Quality & Assurance Specialist to conduct internal and external audits.
Perform all other duties as assigned