Title: Billing Specialist Location: IA-Ankeny Type: Full-Time, Hybrid Job Description: Position Summary The Billing Specialist is responsible for performing specified financial tasks in support of the day-to-day operations of the Billing/Revenue Cycle Department.We’re looking for someone with a strong internal drive to solve problems, drive collections, is a team player, and ensure every claim is handled with care and urgency. PTO and benefits available after 30 days of employment. Following training, this will be a hybrid position offering the opportunity to work 3 days in the office and 2 days remotely each week. Position Responsibilities may include, but not limited to - Create billing reports of assigned agencies - Submit accounts receivable claims and/or invoices for weekly/monthly billing of assigned agencies - Reconciliation of assigned state or local agencies - Research and resubmit of billings to assigned agencies - Review quality assurance of all referrals or updated clients from assigned state or local agencies - Make outbound & inbound calls, emails to assigned state or local agencies with the purpose of securing correct information regarding new referrals, updated clients, and billings - Responsible for executing complex billing tasks, mentoring junior staff, and leading cross-functional initiatives - Reduce payment agency backlog - Perform in-depth audits of project data to identify and resolve billing discrepancies - Demonstrate successful performance through accuracy, timeliness, and customer satisfaction metrics - Utilize advanced Excel functions (e.g., VLOOKUP) and reporting tools in CRM and SharePoint - Manage complex billing scenarios including denials, rejections, and aging accounts - Collaborate with Posting teams to resolve discrepancies and support month-end close - Prepare and submit electronic claims, paper claims, and invoices (CMS-1500, UBs, invoices, and payer portals, etc.) - Resolve claim rejections timely and resolve claim denials through research, appeals, claim corrections/resubmission, and follow-up with health plans - Ensure accurate and compliant billing, following specific regulations of multi-state Medicaid and MCO’s,Medicare Advantage, and Older Americans Act programs - Responsible for ensuring aged outstanding balances of assigned payers is kept within department standards - Participate in process improvement initiatives. Collaborate across teams to resolve issues, claims denials, and aging - Other tasks as assigned, including but not limited to, assisting with projects that impact collections or write offs

• Review and approved customer account set up in compliance with company standards ensuring all required billing are details on file • Review contracts, purchase orders, and billing terms, and accurately capture billing details in the management information system (MIS) • Prepare accurate and timely invoices and submit them through multiple billing portals • Maintain clear communication with the project accountant team lead and the digital innovation CSM/FSR team via email and messaging portal • Process expense transfer to the correct accounts within the MIS and ensuring proper approval and maintain a clear audit trail • Support the Project Accountant team lead and Digital Innovation CSM/FSR team in coordinating and monitoring billing and collection • Process billing voids and write-offs with appropriate approval • Maintain accurate customer account records, including invoices and contract documentation • Initiate and manage customer account close-outs to ensure all MIS records are complete and accurate • Review and monitor customer record updates in the CRM system, ensuring supporting documentation aligns with MIS billing records • Accurately process payment and follow up with the relevant internal teams where necessary • Monitor collections, maintain AR ledger comments, and engage directly with customers when required • Escalate unresolved collection matter (60+ days outstanding) to the Project Accountant Team Lead and Digital Innovation CSM/FSR team • Ensure compliance with the CSP process • Participate in company wide initiatives, including quality assurance and continuous improvement.

• Review contracts, purchase orders and billing details, enter accurate information into the MIS • Prepare and submit invoices via multiple portals • Monitor collection account files, contract documentation, and account close-outs. • Coordinate with Project Accountant Team Lead, Digital Innovation CSM/FSR team, ARM and Risk Management teams • Support quality assurance, continuous improvement initiatives and other duties as assigned • Prepares and submits invoices through various billing portals

• Process invoices and monthly retainers including applicable credit memos. • Issue monthly customer statements to aid collection. • Ensure that all billable expenses are properly invoiced and reconcile any discrepancies. • Set up accrued revenue journal entries for invoices unable to post at month-end closes. • Support Client Accounting Manager daily to ensure that all processes related to billing are done effectively and in a timely • Review and post all accounts receivable entries for both invoicing and credits memos. • Update the customer master file with proper contact • Apply customer payments to close out open invoices. • Support Senior Accountant when needed to ensure that all daily collections are processed and posted properly for commissions due. • Prepare any reporting requirements and ad-hoc projects as needed.