Operations Specialist

Operations Specialist

We're looking for a detail-oriented and collaborative Operations Specialist to join our team. In this role, you'll help ensure that service activity is accurate, complete, and ready for billingplaying an important part in supporting both our operational teams and overall revenue cycle.

As a key connection point between service delivery and billing, you'll work closely with Client Care, Clinical teams, Caregivers, and Revenue Cycle Management (RCM) to resolve issues, improve processes, and help services move smoothly from delivery to reimbursement.

What You'll Do

In this role, you'll spend your time reviewing service activity to help ensure everything is complete, accurate, and ready to move forward for billing. You'll take a thoughtful, detail-oriented approachcatching anything that may need a second look and helping resolve it before it becomes a delay.

A big part of your day will involve connecting with others. You'll collaborate with caregivers, Client Care Coordinators, and Clinical team members to gather missing information, clarify documentation, and make sure services are aligned with care plans and authorizations. Rather than just identifying issues, you'll play an active role in helping solve them and keep things moving.

You'll also keep an eye on patterns and trends, noticing when certain types of issues come up more often. By sharing those insights and working alongside your team, you'll help improve processes over time and make things smoother for everyone involved.

Overall, your work will help create a more seamless path from service delivery to billingsupporting both the team and the organization in delivering consistent, high-quality outcomes.

What Success Looks Like

In this role, success shows up in smoother, more consistent billing processes and fewer delays along the way. You'll help ensure that services are ready to be billed without unnecessary hold-ups, leading to a reduction in unbilled or delayed items. Over time, your attention to detail and follow-through will contribute to stronger first-pass claim acceptance and quicker resolution of documentation gaps.

Your work will also support more reliable revenue capture and improved cash flow for the branch. Just as importantly, you'll help create a sense of clarity and consistency across teams, making it easier for everyone to do their part effectively.

What You Bring

You bring a strong attention to detail and a natural curiosity for solving problems. You're comfortable working with service documentation and have a solid understanding of pre-claim review processes, including EVV systems and requirements.

You enjoy working with others and are able to collaborate across teams, whether operational, clinical, or billing-focused. You're someone who can manage multiple priorities in a fast-paced environment while still maintaining accuracy and follow-through.

You're also someone who notices when something isn't working as well as it could and feels motivated to help improve itwhether that's a small workflow adjustment or a broader process improvement.

Tools You'll Use

In your day-to-day work, you'll use tools like Pavillio (or a similar EVV or service activity platform) to review and validate service records. You'll also work within billing and documentation tracking systems, along with reporting tools that help monitor service activity and claim readiness. These tools will support your ability to stay organized, track progress, and identify areas for improvement.

Reporting Structure

You'll report to Operations Leadership or the RVP and will work closely with a variety of teams across the organization, including Client Care, Clinical teams, Caregivers, and Revenue Cycle Management (RCM). This role is highly collaborative, offering the opportunity to build strong working relationships while contributing to shared goals.

Qualifications

• Strong understanding of pre-claim processes, EVV, and service documentation requirements
• High attention to detail with strong problem-solving skills
• Ability to work cross-functionally with operational, clinical, and billing teams
• Experience identifying and resolving workflow or documentation issues
• Comfortable working in fast-paced, high-volume operational environments

If you are a dedicated professional looking to make a difference in the lives of clients and caregivers, we'd love to hear from you!!

This is an in person position Monday-Friday 8am-5pm.

Job Type: Full-time

CBH1