Contracts and Billing Specialist

Elizabeth Richardson Center Inc•Springdale, AR

1d•$45,000 - $50,000•Onsite

About The Position

The Contracts and Billing Specialist prepares, processes, and tracks Medicaid Waiver prior authorizations, service contracts, invoices, and related documentation. The position also supports billing, donation tracking, and financial recordkeeping. Working collaboratively with Care Coordination, Finance, Development, and program leadership, the specialist helps ensure accuracy, timely processing, compliance, and effective communication across departments. The role has no supervisory responsibility. The position is primarily office-based, with extended computer and telephone use and routine sitting, standing, walking, and reaching. Occasional lifting of up to 20 pounds and moderate noise may occur. Local travel is less than 10%.

Requirements

High school diploma, GED, or equivalent.
At least two years of accounting, billing, accounts receivable, financial administration, or related experience.
Proficiency with Microsoft Word, Excel, and electronic recordkeeping.
Strong organizational skills, attention to detail, and ability to manage multiple deadlines.
Working knowledge of basic accounting, billing, invoicing, and financial recordkeeping.
Ability to review documentation, identify discrepancies, perform accurate calculations, and resolve problems.
Proficiency in Microsoft Office, particularly Excel, and ability to learn billing, accounting, payer, and donor management systems.
Strong communication, confidentiality, independent judgment, and collaboration skills.
Ability to understand and follow applicable payer, contract, authorization, and regulatory requirements.
Pass required background checks, comply with applicable drug testing requirements, have reliable transportation, and complete required training.

Nice To Haves

Associate or bachelor's degree in accounting, finance, business, or a related field.
Three or more years of relevant financial or billing experience.
Experience with Medicaid Waiver programs, prior authorizations, contracts, or healthcare billing.
Experience with nonprofit financial operations, donation tracking, or donor management systems.
Experience with regulatory compliance, audits, or services for individuals with intellectual and developmental disabilities.

Responsibilities

Prepare, submit, revise, and track Medicaid Waiver prior authorizations, ensuring accurate information, complete documentation, and timely follow-up on pending approvals.
Prepare and maintain Waiver service contracts, calculate amounts based on approved hours, units, and rates, process amendments, and coordinate approvals and signatures with the COO.
Monitor contract effective dates, expirations, and annual renewals to keep contracts current and properly documented.
Verify consistency between approved authorizations, contracts, and billing records, and identify and communicate discrepancies.
Collect, review, enter, and track invoices from families and providers, ensuring accuracy and required supporting documentation.
Assist with billing preparation, processing, reconciliation, and follow-up on outstanding invoices, payments, and documentation.
Maintain organized billing and financial records to support reimbursement, reporting, and audits.
Assist with recording, tracking, and reconciling donations and pledges in coordination with Development and Finance.
Maintain donor contribution records, monitor outstanding pledges, and assist with donation reports and information for donor acknowledgments.
Collaborate with Care Coordination, Finance, Development, and program staff to resolve missing information, discrepancies, and issues related to contracts, authorizations, billing, or donations.
Maintain confidentiality and comply with HIPAA, Medicaid and payer requirements, applicable state regulations, and ERC policies and internal controls.
Manage deadlines, maintain audit-ready documentation, and identify opportunities to improve accuracy, efficiency, and financial processes.
Complete required background checks, comply with applicable drug testing requirements, maintain reliable transportation, and complete required training, including HIPAA and applicable regulatory and safety training.
Perform other duties as assigned to support ERC operations and its mission.