Director of Billing

McKinley Children's Center • San Dimas, CA

4d • Onsite

About The Position

The Director of Billing will serve as a chief support to the VP of Contract Compliance and Billing, Senior Vice President of Programs, and Vice President of Mental Health on all matters regarding Mental Health Compliance and the implementation of these programs. McKinley is a highly respected welfare organization with a comprehensive array of programs and services that touch nearly 1,800 lives annually, including short-term residential treatment programs (STRTP), Foster Care, Adoptions, Mental Health Services, and Special Education. McKinley has 5 locations throughout southern California with its main campus located in San Dimas. The company embraces a culture that is H.U.M.A.N. - Hopeful, Understanding, Moral, Awesome, Nurturing. McKinley has created a Hopeful environment, in which they choose optimism in finding the motivation to achieve their greatest dreams. They are a team dedicated to Understanding individual needs and do so by listening and embracing each individual’s stories. They strongly embrace their agency’s Morals by treating everyone with kindness and respect. At McKinley, they acknowledge their team members' and clients' Awesome qualities by celebrating what makes each individual unique. They are dedicated to Nurturing a Trauma-Informed Integrated Care approach that has created a unique culture within the organization. They celebrate diversity by their commitment to cultivating an inclusive and affirming environment for all.

Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field (Master’s preferred)
• Experience in Behavioral Health or County Billing and Revenue Cycle Management
• 5+ years in Supervisory or Management Experience
• Strong knowledge of Medi-Cal Eligibility and Claims Processing
• Experience with County Billing Operations, including denials, violations, and appeals
• Knowledge of DHCS State Procedure Codes, Modifiers and Staff Taxonomy Codes
• Working knowledge of HIPAA Rules and Regulations related to billing, privacy, and data security
• Experience with EDI transactions and claim batching
• Advanced proficiency in Microsoft Excel (tracking, reconciliation, and reporting)
• Working knowledge of Microsoft Access or similar database tools
• Experience with County EHR systems, including IBHIS
• Strong analytical, tracking, and reporting skills
• Excellent written and verbal communication skills
• Ability to manage complex billing, compliance, and regulatory requirements
• Ability to represent the agency professionally and appropriately with internal and external county and state partners
• Must pass pre-employment physical exam, TB and drug screening
• Ability to commute to various sites on and off campus
• DOJ, FBI, Child Abuse Index clearances required
• Insurability Under Corporate Automobile Insurance

Nice To Haves

• Master’s degree
• Preferred knowledge of Welligent EHR

Responsibilities

• Review program and clinical documentation for compliance with HIPAA, regulatory, county, and agency billing requirements, including DHCS procedure and taxonomy codes
• Assist service delivery and clinical staff with correcting billing violations, documentation deficiencies, and EHR billing errors
• Monitor, correct, and rebill denied claims
• Ensure accuracy of billing records, procedure codes, rates, and invoices
• Submit and manage electronic billing through county EHR systems, including Welligent, using EDI and EFT platforms
• Track and review EDI/EFT data (e.g., 835s, 837s) to monitor claim status and payments
• Develop and maintain billing and funding tracking systems
• Perform monthly billing reconciliation and resolve billing and invoice variances
• Ensure manual county billing is entered, submitted, and processed on time
• Identify training needs and provide training and oversight to billing staff
• Participate in required State and County quality or compliance meetings
• Report documentation and compliance concerns to the VP of Contract Compliance and Billing
• Collaborate with executive leadership and clinical teams to ensure billing accuracy and a high standard of care
• Supervise Billing Staff
• Other related duties as needed

Benefits

• Medical, Dental, and Vision Insurance - 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

What This Job Offers

• Job Type: Full-time
• Career Level: Manager