Invoice Specialist

The Invoice Specialist is responsible for the accurate and timely submission of invoices to Coordinated Care Organizations (CCOs) based on documented services in case notes. This position supports HRSN billing operations by reviewing service documentation, verifying eligibility requirements, and entering invoice data in compliance with Medicaid, OHA, and CCO billing guidelines.

This role requires sustained attention to detail, strong analytical skills, and strict adherence to documentation and compliance standards. The majority of the workday is computer-based and focused on documentation review and invoice processing.

• Prepares and submits accurate invoices to CCOs in accordance with established billing guidelines and timelines.
• Reviews case documentation to ensure services meet eligibility and compliance requirements prior to invoicing.
• Maintains accurate billing records and supports quality assurance and audit readiness efforts.

• Reviews case notes and service documentation to identify billable activities.
• Verifies service eligibility, authorization requirements, service codes, modifiers, units, and dates prior to submission.
• Submits invoices to CCOs within required timelines.
• Analyzes documentation to confirm services meet billing criteria and funding guidelines.
• Flags incomplete, unclear, or non-billable documentation and communicates concerns to supervisors or case managers.
• Cross-references services with program requirements and funding rules.
• Tracks invoice submissions, approvals, denials, and resubmissions.
• Assists in resolving billing discrepancies and correcting documentation errors.
• Maintains organized digital records to support internal audits and monitoring visits.
• Ensures compliance with Medicaid, HRSN, HIPAA, and agency documentation standards.
• Participates in internal quality assurance reviews and compliance audits
• Maintains confidentiality of participants and financial information.
• Performs additional duties as assigned in support of billing operations.

• High school diploma or equivalent required.
• Strong attention to detail and ability to maintain accuracy in repetitive workflows.
• Proficiency in computers, data entry, and spreadsheet software.
• Ability to interpret written documentation and follow complex billing guidelines.
• Strong organizational and time-management skills.

• Experience with Medicaid, HRSN, or healthcare billing.
• Familiarity with CCO billing requirements and service codes.
• Experience reviewing case notes or service documentation.
• Knowledge of HIPAA and confidentiality standards.

Just Compassion is committed to supporting the health, well-being, and professional growth of our team members. Benefits for eligible employees may include:

• Medical, dental, and vision insurance plans
• Employee Assistance Program (EAP), providing confidential counseling, financial, and legal support at no cost to team members
• Individual Retirement Account (IRA) retirement savings option
• Paid time off (PTO) for eligible employees
• Paid sick time in accordance with Oregon law
• Paid leave benefits in compliance with Oregon Paid Leave Oregon (PLO), Oregon Family Leave Act (OFLA), and the federal Family and Medical Leave Act (FMLA), as applicable
• Wellness time to support overall employee well-being
• Eleven (11) paid holidays annually
• Professional development opportunities

Just Compassion of East Washington County is committed to a policy of Equal Employment Opportunity with respect to all employees and applicants for employment. This policy prohibits discrimination on all legally recognized bases including, but not limited to, race, creed, color, gender, pregnancy, sexual orientation, gender identity, age, marital status, family relationship, disability, national origin, or service in the uniformed services.