Member Engagement Billing and Data Specialist

Overview

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 helps ensure language services invoices are accurate, complete, and processed timely, resolves billing discrepancies, and supports vendors with payment and data-related issues.

This position also provides supplemental support to other Member Engagement programs and, across teams, maintains operational data, supports reporting and dashboard needs, monitors key program metrics, and participates in process improvement efforts to strengthen service quality, data accuracy, and operational efficiency.

Estimated Hiring Range

$28.81 - $35.22

Bonus

Bonus - SIP Target, 5% Annual

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

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; 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 to identify recurring issues and 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, and data integrity through regular check-ins.
• Support vendors in understanding 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 vendor/contractor quality and performance.
• 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 vendor submission requirements.
• 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 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 deliverables of 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.

Required Qualifications

• Minimum 2 years of experience in billing, invoicing, data analysis, or operations support.
• Experience working with Excel and large datasets.

Preferred Qualifications

• 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

• 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/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.
• Strong attention to detail with 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 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 (verbal and written) 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 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 to determine appropriate actions.
• Ability to accept direction and feedback 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
• Member/Patient Facing: No
• 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; personal vehicle, local transit, or other means of transportation may be used.
• Work Location: Work from home.

Compensation & Benefits

The organization offers a Total Rewards Program including competitive pay, bonus opportunity, and a comprehensive benefits package.

Benefits eligibility and bonus eligibility depend on factors such as position type and number of scheduled weekly hours.

Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. Benefits may include:

• Medical, dental, vision, life, AD&D, and disability insurance
• Health savings account (HSA), flexible spending account(s), lifestyle spending account
• Employee assistance program, wellness program, discounts
• Multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings)

Retirement plan with employer contributions.

Paid time off (PTO) and Paid State Sick Time accrue 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 receive 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks.

Equal Opportunity Employer

This organization is an equal opportunity employer. It selects the best individual for the job based on job-related qualifications, regardless of protected characteristics. Reasonable accommodations are available to qualified applicants or employees with disabilities unless the accommodation would impose an undue hardship.