Job Description

About the Position: Ascendigo’s Billing Coordinator is a year-round, full-time position that supports the
organization’s day-to-day financial operations, billing processes, and funder compliance. The Billing Coordinator works closely with Ascendigo’s Finance Team and program teams to ensure services are authorized, delivered, documented, billed, and collected in accordance with Ascendigo’s internal procedures and the requirements of third-party funders.

This position supports billing and revenue cycle processes across multiple funding sources, including Medicaid, Department of Vocational Rehabilitation, private insurance, private pay, and other third-party funders. The Billing Coordinator also plays an important role in provider note review, authorization tracking, credentialing support, compliance monitoring, and communication between finance and program departments. Depending on organizational needs, this position may also assist with accounts payable, accounts receivable, payroll, and other administrative finance functions.

Eligibility Requirements

• Must be 18 years of age or older.


• Must successfully complete required background checks.


• Must obtain or possess a current, valid CPR/First Aid certification prior to start date.


• Experience with billing, healthcare administration, Medicaid, insurance, revenue cycle management, or nonprofit financial operations preferred.


• Strong attention to detail and ability to manage confidential information required.

Supervision and Collaboration: The Billing Coordinator works closely with Ascendigo’s Finance Manager and Director of Program Operations. This position also collaborates regularly with clinicians, program administrators, direct service supervisors, administrative staff, revenue cycle management representatives, and external funding sources.

Responsibilities:

• Manage and track authorizations for Medicaid, Department of Vocational Rehabilitation, private insurance, private pay, and other third-party funders.


• Monitor service unit utilization to maximize authorized funding while helping prevent disruptions to client services.


• Work with clinicians and program leaders to ensure appropriate service dosages are assigned to Ascendigo learners and reflected accurately in billing systems.


• Support credentialing of in-house clinicians with applicable funding sources and monitor credentialing requirements for ongoing compliance.


• Collaborate with Ascendigo’s Revenue Cycle Management system and representatives to support accurate, timely billing and collections.


• Review daily service notes for accuracy, completeness, timeliness, and funder compliance.


• Work closely with program supervisors to ensure service notes are collected and corrected in a timely, compliant, and efficient manner.


• Serve as a key liaison between program and finance teams during weekly, monthly, and annual billing cycle closures.


• Support the development of private pay invoices by creating, tracking, and maintaining fee tables consistent with client service agreements.


• Develop and maintain billing systems and workflows that promote efficiency, accuracy, compliance, and strong collection rates.


• Prepare and send invoices for services as they are delivered and as requested by program departments.


• Act as a quality assurance checkpoint for client treatment plans and service documentation to help ensure accuracy and funder compliance.


• Support daily maintenance of service codes in Aloha to accurately reflect services delivered, staff assignments, funding sources, and billing requirements.


• Assist with accounts payable, accounts receivable, payroll, and other finance-related administrative tasks as assigned.


• Maintain accurate records and protect confidential client, staff, financial, and billing information.


• Communicate professionally and promptly with internal teams and external partners regarding billing, authorizations, documentation, and compliance needs.

Physical Requirements and Equipment Used

• Ability to work at a computer for extended periods of time.


• Basic computer skills required, including use of Microsoft Office, email, online systems, and electronic records platforms.


• Personal smartphone with texting capacity required.


• Flexibility to travel occasionally for meetings, professional development, or program-related needs.


• Must be able to lift and move objects up to 25 pounds.

DESTINATION ASCENDIGO: Ascendigo’s mission is to elevate the spectrum by empowering people, inspiring lives, and shattering expectations. We apply this mission to both the people we serve and the people we work with.

Ascendigo is a nonprofit organization that enhances the lives of children and adults living with autism spectrum disorder (ASD) through therapeutic recreation, employment, community integration, education, and an array of behavioral health services. We are head-quartered in Carbondale, CO.

The ASCENDIGO PROMISE to our employees is to provide meaning and purpose in the work we do. We support high performance through thoughtful onboarding and training and acting with integrity. We offer 360° compensation with a path to financial security, personal well-being and fulfillment, and housing assistance.

PERSONAL CHARACTERISTICS: should be committed and passionate about the Ascendigo mission of holistic, active, community-based, independent, and person-centered life. Belief in the dignity and potential of our clients. Ascendigo is committed to a culture of R.E.S.P.E.C.T.

• R-Recognize the inherent worth of your coworkers.


• E- Eliminate derogatory words and phrases.


• S- Speak with people- not at them- or about them.


• P-Protect the culture of your organization- report and support!


• E- Empathize- consider what it is like in others’ situations.


• C-Consider your impact on others before speaking and apologize when you make a mistake.


• T- Treat everyone with integrity, dignity, and respect.

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