Billing Compliance Specialist

McKinley Children's Center; San Dimas (CA); On-site; USD 27,552 - 30,307; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

Life Insurance

Flexible Spending Account

Paid Time Off

Sick Time

Paid Holidays

403(b) retirement plan

Employee Assistance Program

Tuition Reimbursement

Employee Referral Bonus

Credit Union Membership

Training Opportunities

Job summary

A community-focused organization in San Dimas is seeking a Billing Specialist to review and ensure compliance of documentation and billing processes. The ideal candidate will have a bachelor's degree in a related field, for quality assurance experience, and familiarity with various software tools. Excellent benefits include health insurance, paid time off, and tuition reimbursement. Join us to make a positive impact in people's lives.

Qualifications

• Bachelor’s degree in a relevant field preferred.
• Prior quality assurance or case management experience strongly preferred.
• Ability to learn clinical software and basic office skills.

Responsibilities

• Tracking and processing county and departmental documentation.
• Reviewing documentation for compliance with regulatory standards.
• Monitoring accuracy of records and processing billing reconciliations.

Skills

Quality Assurance Experience

Knowledge of IBHIS

Case Management Experience

Microsoft Excel

Power BI

Adobe Acrobat

Basic Office Skills

Education

Bachelor’s Degree in Social Work, Psychology, Public Administration

Job description

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 (Based) 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
• 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 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
• Competitive pay
• Several benefit options
• Employee tuition reimbursement
• Great training for staff

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