Billing Compliance Specialist

McKinley Children's Center; Canada; On-site; CAD 60,000 - 80,000; Full time

Job summary

A welfare organization is seeking a Billing Specialist responsible for documentation review, compliance oversight, and billing reconciliation. This role requires a Bachelor's Degree and prior quality assurance experience. The organization offers competitive pay, robust benefits including medical insurance and tuition reimbursement, and a supportive workplace for individual growth. Join us to make a positive impact in people's lives within a respected welfare organization located in Canada.

Benefits

Medical, Dental, and Vision Insurance

Life Insurance

Flexible Spending Account

Paid Time Off

Sick Time

Paid Holidays

403(b) retirement plan with company match

Employee Assistance Program

Tuition Reimbursement

Employee Referral Bonus

Credit Union Membership

Training Opportunities

Qualifications

• Prior Quality Assurance Experience preferred.
• Knowledge of IBHIS and billing code requirements or Case Management Experience strongly preferred.
• Basic office skills (typing, telephone, copier) required.
• Ability to learn clinical software.

Responsibilities

• Tracking and processing county and department documentation.
• Reviewing documentation for compliance with regulatory standards.
• Monitoring and correcting billed claims in the Electronic Health Record (EHR).
• Auditing client charts on a monthly basis.

Skills

Word Processing

e-mail

Microsoft Excel

Power BI

Adobe Acrobat

Education

Bachelor’s Degree in Social Work, Psychology, Public Administration or related discipline

Job description

Career Opportunities with McKinley Children's Center

A great place to work.

The Position

The Billing Specialist is responsible for the review and content compliance of any and all documentation submitted to the client record. This includes day‑to‑day department functions, tracking of billing and claim reconciliation, and working in tandem with outside agencies to maintain current procedures. Duties also involve involvement in audits performed by regulatory agencies, conducting quality assurance activities, and periodic record reviews of all active and discharged clients.

Compensation and Benefits

The pay range we’re offering is $20.00–$22.00 hourly, depending on experience.

Our people are the heart of our organization, which is why we offer robust benefits to support your health and wellness as well as your personal and financial well‑being.

• Medical, Dental, and Vision Insurance – company‑defined contribution of $620/month
• Life Insurance
• Flexible Spending Account
• Paid Time Off
• Sick Time
• Paid Holidays
• 403(b) retirement plan with company match up to 3%
• Employee Assistance Program
• Tuition Reimbursement
• Employee Referral Bonus
• Credit Union Membership
• Training Opportunities to Further Personal and Professional Growth

Qualifications

• Bachelor’s Degree in Social Work, Psychology, Public Administration or a related discipline preferred
• Prior Quality Assurance Experience, including knowledge of IBHIS and billing code requirements or Case Management Experience strongly preferred
• Word Processing, e‑mail, internet, ability to learn clinical software, basic office skills (typing, telephone, copier)
• Microsoft Excel, Power BI and Adobe Acrobat
• Must pass pre‑employment physical exam, TB and drug screening
• Ability to commute to various sites on and off campus
• Ability to work extended hours as needed
• Ability to physically restrain children (if needed)
• DOJ, FBI, Child Abuse Index clearance
• Insurability under Corporate Automobile Insurance

Key Responsibilities

• Tracking and processing county and department documentation
• Reviewing documentation for compliance with regulatory and agency standards and ensuring a high level of care
• Monitoring the accuracy of records, documents, and billing; completing reconciliation of services as needed
• Reporting any documentation deficiencies and/or compliance concerns to the AVP of Contract Compliance, Director of Compliance, Department VPs and Directors in a timely manner
• Monitoring, tracking, and correcting billed claims in the Electronic Health Record (EHR) on a weekly basis
• Entering Riverside and San Bernardino billing into county systems
• Processing denied claims on a weekly basis
• Preparing invoices for all county billings and monitoring payment reports
• Maintaining and running claim reconciliation reports
• Processing county client authorizations
• Auditing client charts on a monthly basis
• Organizing and preparing records for visits and audits
• Actively participating in the agency’s Performance and Quality Improvement (PQI) plan
• Other related duties as needed

Why Should You Apply?

• Our mission – work for an organization that makes a real difference in people’s lives
• Competitive pay
• Several benefit options
• Employee tuition reimbursement
• Great training for staff

Join McKinley to Be Your Best H.U.M.A.N.

McKinley is a highly respected welfare organization with a comprehensive array of programs and services – including short‑term residential treatment, foster care, adoptions, mental health services, and special education – touching nearly 1,800 lives annually. With five locations across southern California and a main campus in San Dimas, we embrace a trauma‑informed, integrated care approach and an inclusive, affirming culture that celebrates diversity and values every individual’s unique contributions.