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McKinley Children's Center

Billing Compliance Specialist

McKinley Children's Center, San Dimas, California, United States, 91773


Career Opportunities with McKinley Children's CenterA great place to work.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.The Position:

We are looking for a Billing Compliance Specialist, who is willing to embrace McKinley’s mission and H.U.M.A.N values. The Billing Compliance 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, 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 $18.00- $22.00 hourly based on experience.Medical, Dental, and Vision Insurance - we offer a company defined contribution of $550/monthLife InsuranceFlexible Spending AccountPaid Time OffSick TimePaid Holidays403(b) retirement plan with company match up to 3%Employee Assistance ProgramTuition ReimbursementEmployee Referral BonusCredit Union MembershipTraining Opportunities to Further Personal and Professional GrowthQualifications:Bachelor’s Degree in Social Work, Psychology, Public Administration, or any other related discipline preferredPrior Quality Assurance Experience including knowledge of IBHIS and billing codes requirements or Case Management Experience Strongly PreferredWord Processing, e-mail, internet, ability to learn clinical software, basic office skills (i.e. typing, telephone, copier)Microsoft Excel, Power Bi, and Adobe AcrobatMust pass pre-employment physical exam, TB, and drug screeningAbility to commute to various sites on and off campusAbility to work extended hours as neededAbility to physically restrain children (if needed)DOJ, FBI, Child Abuse Index clearanceInsurability Under Corporate Automobile InsuranceKey Responsibilities:Tracking and Processing County and Department DocumentationReviewing documentation for compliance with regulatory and agency standards and to ensure they reflect a high level of careMonitor the accuracy of records, documents, and billing and complete reconciliation of services as neededReport 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 mannerMonitor, track, and correct billed claims in Electronic Health Record (EHR) on a weekly basisEnter Riverside and San Bernardino Billing into County SystemsProcess Denied Claims on a weekly basisPrepare Invoices for all county billings and monitor payment reportsMaintain and run Claim Reconciliation ReportsProcess County Client AuthorizationsAudit client charts on a monthly basisOrganize and prepare records for visits and auditsActively participate in the agency’s Performance and Quality Improvement (PQI) PlanOther related duties as neededWhy Should You Apply?Our Mission - work for an organization that makes a real difference in people’s livesCompetitive paySeveral benefit optionsEmployee tuition reimbursementGreat training for staffJoin McKinley to Be Your Best H.U.M.A.N.McKinley’s response to COVID-19:

The safety of the families, children, clients we serve, as well as our valued team members, is our priority. We are taking all the necessary precautions and safety measures to maintain a safe environment throughout our different locations.

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