Billing Compliance Specialist - QA, Audits & Billing Wins

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 with company 3%

Tuition Reimbursement

Employee Rewards Program

Employee Assistance Program

Job summary

McKinley in Southern California seeks a Billing Specialist to ensure accuracy and compliance of client-record documentation, track billing, and reconcile claims while coordinating with external agencies to maintain current procedures and audit readiness.

The role requires a Bachelor’s in a related field, QA experience with IBHIS and billing codes, and proficiency in Excel, Power BI, and Adobe Acrobat. Competitive hourly pay and robust benefits are offered.

Qualifications

• Prior Quality Assurance Experience including knowledge of IBHIS and billing codes requirements or Case Management Experience.
• Word Processing, e-mail, internet, ability to learn clinical software, basic office skills.
• Must pass pre-employment physical exam, TB and drug screening.

Responsibilities

• Tracking and processing county and department documentation.
• Reviewing documentation for regulatory compliance and high level of care.
• Monitor accuracy of records and complete service billing reconciliations.
• Audit readiness and assist with audits and quality improvement activities.

Skills

Attention to detail

Communication skills

Multitasking

Education

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

Tools

IBHIS

Microsoft Excel

Power BI

Adobe Acrobat

Job description

McKinley in Southern California seeks a Billing Specialist to ensure accuracy and compliance of client-record documentation, track billing, and reconcile claims while coordinating with external agencies to maintain current procedures and audit readiness.

The role requires a Bachelor’s in a related field, QA experience with IBHIS and billing codes, and proficiency in Excel, Power BI, and Adobe Acrobat. Competitive hourly pay and robust benefits are offered.