The Program Data & Revenue Coordinator plays a vital role in supporting the financial health, operational effectiveness, and regulatory compliance of New Horizons. This position is responsible for coordinating Medicaid billing, third-party reimbursement, program data management, contract reporting, and financial reconciliation activities while ensuring accuracy, timeliness, and compliance with funding requirements. Working collaboratively with program leadership, therapists, and the Finance Department, this position helps ensure services are documented appropriately, reimbursement is maximized, and data supports informed operational decision-making.
Duties and Responsibilities
Revenue Cycle & Billing Management
- Coordinate and complete Medicaid and third-party billing activities for agency clinical services, ensuring claims are submitted accurately based upon finalized therapy documentation, timely, and in accordance with payer requirements.
- Monitor, reconcile, and resolve denied or rejected claims while working with therapists and supervisors to correct exceptions to payment determination and maximize reimbursement.
- Monitor billing deadlines and proactively communicate issues that could delay reimbursement or impact agency revenue. Provide regular reporting to therapist supervisory staff.
Program Data Management & Reporting
- Complete monthly data entry, reporting, and billing activities for the Family and Youth Success (FAYS) Program.
- Enter, review, reconcile, and maintain accurate program data within PEIRS and other required agency databases while ensuring completeness, accuracy, and timely submission.
- Generate reports and assist leadership in tracking program utilization, outputs, outcomes, contractual deliverables, and performance measures.
- Analyze billing, reimbursement, and program data trends to identify discrepancies, improve processes, and provide leadership with information that supports operational and financial decision-making.
- Review program documentation for accuracy, completeness, and compliance with funding requirements while communicating professionally with staff regarding missing, incomplete, or inaccurate documentation and ensuring timely resolution.
- Support internal quality assurance initiatives and external audits by maintaining organized records and providing requested billing, financial, and program documentation.
- Maintain electronic and physical records in accordance with agency policies, confidentiality standards, and applicable regulations.
Financial Operations & Administrative Support
- Support monthly reconciliation activities by comparing billing records, service documentation, program data, and financial reports to ensure accuracy and accountability.
- Support accurate revenue recognition, financial reporting, fiscal sustainability, and continuous improvement of billing and reimbursement processes.
- Assist with financial documentation, administrative projects, and other duties assigned by the Chief Financial Officer that support agency operations.
Collaboration & Professional Responsibility
- Build positive working relationships with program staff, therapists, supervisors, and finance personnel to promote effective communication, accountability, and efficient agency operations.
- Demonstrate exceptional organization, attention to detail, and time management while balancing multiple priorities and meeting established deadlines.
- Protect confidential financial, clinical, and employee information in accordance with HIPAA, agency policy, and applicable regulations.
- Maintain a commitment to continuous learning, professional growth, and process improvement while supporting New Horizons' mission of Keeping Kids First.
Qualifications
- Associate's degree in accounting and/or business-related fields; Bachelor's degree preferred
- Experience with Medicaid billing preferred
- Experience with healthcare reimbursement
- Strong analytical skills
- Excellent attention to detail
- Experience with Excel
- Ability to manage multiple deadlines
- Strong written communication
- Ability to hold others accountable professionally
Working Conditions
Traditional office setting with some interaction with children in care. Some travel will be required to the programs of New Horizons.
Physical Requirements
While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Compensation & Benefits
Salary Range: $50,000-$60,000 annually
Compensation is based on experience, education, and leadership background.
Why Join New Horizons?
At New Horizons, you become part of a mission-driven organization committed to protecting and empowering children. Our leadership team values expertise, encourages innovation, and ensures every voice is heard. We believe that when we care well for our team, they can care exceptionally for kids.
What You Get When You Work for New Horizons
- A generous benefits package currently above industry standards including
- Health Insurance
- Paid Time Off starting on your first day
- 401(k) retirement match after 1 year of employment
- Flexible Spending Account contribution after 2 years of employment
- Paid work anniversary trips beginning at 5 years of service
The services you strengthen, the staff you develop, and the decisions you make in this role will directly impact the lives of children who need safety, stability, and healing.
If you’re ready to lead with purpose and keep kids first in every decision, we’d be honored to meet you.
