Billing Compliance Specialist

McKinley Children's Center; Victoria de Durango; Presencial; MXN 200,000 - 400,000; Jornada completa

Descripción de la vacante

A nonprofit organization in community services is hiring a Billing Specialist to ensure documentation compliance and manage billing processes. The ideal candidate will track and process documentation across various departments, ensuring accuracy and compliance with regulatory standards. Required qualifications include a Bachelor’s Degree in a related field and Quality Assurance experience. A competitive compensation package including medical benefits and training opportunities is offered. Join us to make a meaningful difference in lives.

Servicios

Medical, Dental, and Vision Insurance

Life Insurance

Flexible Spending Account

Paid Time Off

Tuition Reimbursement

Employee Referral Bonus

Training Opportunities

Formación

• Experience in Quality Assurance preferred, especially with IBHIS.
• Proficient in Word Processing and clinical software.
• Able to learn quickly and work with diverse documents.

Responsabilidades

• Track and process documentation accurately.
• Ensure compliance with all standards.
• Report deficiencies in documentation promptly.

Conocimientos

Quality Assurance

Microsoft Excel

Power BI

Adobe Acrobat

Educación

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

Descripción del empleo

Career Opportunities with McKinley Children's Center

A great place to work.

Careers At McKinley Children's Center

Current job opportunities are posted here as they become available.

McKinley: Youth, Family, and Community are what we are all about! We offer a great working environment and benefits package! McKinley encourages growth so that you can Be your Best H.U.M.A.N.

At McKinley employees share a set of guiding principles: We embrace a culture that is Hopeful, Understanding, Moral, Awesome, Nurturing. - H.U.M.A.N.

McKinley is a highly respected welfare organization with a comprehensive array of programs and services – which touch nearly 1,800 lives annually – including short term residential treatment program (STRTP), Foster Care, Adoptions, Mental Health Services, and Special Education. McKinley has 5 locations throughout southern California with our main campus located in San Dimas. We embrace a culture that is H.U.M.A.N. – Hopeful, Understanding, Moral, Awesome, Nurturing. McKinley has created a Hopeful environment, in which we choose optimism in finding the motivation to achieve our greatest dreams. We are a team dedicated to Understanding individual needs and do so by listening and embracing each individual’s stories. We strongly embrace our agency’s Morals by treating everyone with kindness and respect. At McKinley, we acknowledge our team member’s and clients’ Awesome qualities by celebrating what makes each individual unique. We are dedicated to Nurturing a Trauma‑Informed Integrated Care approach that has created a unique culture within the organization. We celebrate diversity by our commitment to cultivating an inclusive and affirming environment for all.

The Position:

The Billing Specialist is responsible for the review and content compliance of any and all documentation submitted to the client record. This is to include day to day department functions, tracking of billing and claim reconciliation and work in tandem with outside agencies to maintain current procedures, involvement in audits performed by regulatory agencies, conduct 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 – we offer a 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 in any other related discipline preferred
• Prior Quality Assurance Experience including knowledge of IBHIS and billing codes requirements or Case Management Experience Strongly Preferred
• Word Processing, e‑mail, internet, ability to learn clinical software, basic office skills (i.e. 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
• Insurability Under Corporate Automobile Insurance

Key Responsibilities:

• Tracking and Processing County and Department Documentation
• Reviewing documentation for compliance with regulatory and agency standards and to ensure they reflect a high level of care
• Monitor the accuracy of records, documents, and billing and complete reconciliation of services as needed
• Report any and all documentation deficiencies and/or compliance concerns to the AVP of Contract Compliance, Director of Compliance, Department VPs and Directors in a timely manner
բոլ> Monitor, track and correct billed claims in Electronic Health Record (EHR) on a weekly basis
• Enter Riverside and San Bernardino Billing into County Systems
• Process Denied край d Claims on a weekly basis
• Prepare Invoices for all county billings and monitor payment reports
• Maintain and run Claim Reconciliation Reports
• Process County Client Authorizations
• Audits client charts on a monthly basis
• Organize and prepare records for visits and audits
• Actively participate 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
• qala competitive pay
• Several benefit options
• Employee tuition reimbursement
• Great training for staff

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