Compliance Billing Specialist

McKinley Children's Center•San Dimas, CA

1d•$20 - $22

About 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.

Requirements

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

Nice To Haves

Bachelors 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

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
Assist service delivery staff in completing/correcting documentation
Organize and prepare records for visits and audits
Actively participate in the agencys Performance and Quality Improvement (PQI) Plan
Other related duties as needed

Benefits

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