Unknown Company

Billing Compliance Specialist

san dimas, ca • Posted 1 weeks ago
Onsite Contract General

Billing SpecialistMcKinley: 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.The Company: 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 PositionThe 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 BenefitsThe 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/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 GrowthQualificationsBachelor's Degree in Social Work, Psychology, Public Administration or in 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 IndexInsurability Under Corporate Automobile InsuranceKey ResponsibilitiesTracking 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 AuthorizationsAudits client charts on a monthly basisAssist service delivery staff in completing/correcting documentationOrganize 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.

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