Billing Compliance Specialist – Audit & QA Focus

McKinley; San Dimas (CA); On-site; USD 28,000 - 30,000; Full time

Benefits offered by this job

Medical, Dental, and Vision Insurance

403(b) retirement plan

Paid Time Off

Tuition Reimbursement

Employee Rewards Program

Training Opportunities

Job summary

McKinley is seeking a Billing Specialist to ensure documentation quality and regulatory compliance across client records. You will review and reconcile billing, collaborate with external agencies, and support audits to maintain accurate county and program records.

The role requires a Bachelor's degree in a related field, experience in quality assurance and billing, and proficiency with Excel, Power BI, and clinical software. On-site work across multiple sites is expected.

Qualifications

• Bachelor’s Degree in Social Work, Psychology, Public Administration or related discipline preferred.
• Prior Quality Assurance experience with IBHIS and billing codes requirements or Case Management experience strongly preferred.
• Proficient with Microsoft Excel, Power BI and Adobe Acrobat.
• Ability to learn clinical software and basic office tasks (typing, telephone, copier).

Responsibilities

• Track and process county and department documentation.
• Review documentation for regulatory compliance and high level of care.
• Monitor accuracy of records, documents, and billing; reconcile services.
• Report deficiencies and compliance concerns to leadership.
• Monitor, track and correct billed claims in the EHR weekly.
• Enter Riverside and San Bernardino billing into county systems.
• Process denied claims weekly and prepare invoices for county billings.
• Maintain and run claim reconciliation reports and county client authorizations.
• Assist service delivery staff with documentation; prepare records for visits and audits.
• Support PQI initiatives and participate in related duties.

Skills

Quality Assurance

Documentation

Microsoft Excel

Power BI

Adobe Acrobat

Clinical software

Word processing & email

Strong communication

Attention to detail

Education

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

Tools

IBHIS

Billing codes system

EHR systems

Job description

McKinley is seeking a Billing Specialist to ensure documentation quality and regulatory compliance across client records. You will review and reconcile billing, collaborate with external agencies, and support audits to maintain accurate county and program records.

The role requires a Bachelor's degree in a related field, experience in quality assurance and billing, and proficiency with Excel, Power BI, and clinical software. On-site work across multiple sites is expected.