Contract Compliance & Billing Specialist

**Contract Compliance \& Billing Specialist** **Department:** Operations / Finance **Reports To:** CEO **Position Type:** Part\-Time, 25 hours per week, Non\-Exempt (potential to increase to full time in FY28\) **Compensation:** $30/hour **Location:** Hybrid\- in office one day a week on Mondays, remote balance of time **Job Summary** We are seeking a detail\-oriented, highly organized Contract Compliance \& Billing Specialist to join our team. In this role, you will be responsible for managing financial reporting, ensuring compliance with state licensing and grant contracts, and establishing efficient digital infrastructure for expenditure tracking. Additionally, you will play a critical role in building, optimizing, and maintaining our processes and systems for billing Managed Care Organizations (MCOs) for provided services. **Key Roles \& Responsibilities** **Grant Financial Reporting \& Expenditure Tracking** * Prepare and submit accurate monthly financial reports for all active grants in accordance with local, state, and federal guidelines. * Organize, maintain, and audit digital filing systems to ensure every expenditure is correctly mapped to its corresponding grant source and supporting documentation. * Track cash flow, monitor grant budget allocations, and collaborate with the Deputy Director of Internal Operations to prevent over\- or under\-spending. * Collaborate with the contracted bookkeeper to prepare for and lead financial reviews, audits, and site visits conducted by granting agencies. **Billing \& Managed Care (MCO) Operations** * Design, build, and implement standard operating procedures (SOPs) and systems required to bill managed care companies, Medicaid/AHCCCS health plans, and commercial insurers for services rendered. * Oversee claims processing, credentialing, coding compliance, and reimbursement tracking for managed care billing. * Troubleshoot billing rejections, denials, and payment delays; implement corrective actions to maximize revenue collection. * Interface directly with insurance representatives, billing vendors, and internal clinical/administrative staff to resolve complex billing inquiries. **Contract Compliance \& State Licensing** * Oversee all grant contract compliance activities to ensure adherence to scope of work, reporting timelines, restricted expenditures and performance deliverables. * Manage state licensing compliance and regulatory reporting for the Arizona Department of Health Services (ADHS) and the Arizona Health Care Cost Containment System (AHCCCS). * Maintain a central compliance calendar to track license renewals, grant application deadlines, quarterly/annual reporting, and required compliance training. * Serve as the primary liaison during state licensing audits, inspections, and compliance surveys. **Qualifications \& Skills** **Education \& Experience** * **Education:** Bachelor’s degree in Business Administration, Healthcare Administration, Accounting, Finance, or a relate