McKinley · 1 month ago
Director of Billing
McKinley is a highly respected welfare organization dedicated to supporting youth, families, and communities. The Director of Billing will oversee the Compliance Billing Department and ensure adherence to regulatory standards while providing support to various leadership roles within the organization.
EducationHealth CareMental HealthTraining
Responsibilities
Oversees, Tracks and Monitors the Compliance Billing Department (i.e. Manual Billing, Internal EHR Billing and County System Billing)
Reviews program documentation for compliance with regulatory and agency standards to match billing requirements and procedure codes
Assists service delivery staff in completing/correcting billing violations and EHR billing errors
Monitor and Correct Denied Claims and Rebills
Monitors the accuracy of billing records, billing procedure codes and rates
Submit electronic billing through the Welligent System using EDI and EFT Sites
Receives and tracks EFT Data for Claiming Status (835s, 837 files, etc.)
Targets the training needs and provides necessary training for billing staff
Develops and implements billing tracking systems to monitor and track funding allocations
Monitors Billing Reconciliation on a monthly basis and monitors billing and invoice variances
Ensures County Manual Billing is entered, submitted and processed on time
Participates in required QIC meetings with State and County agencies
Reports any and all documentation deficiencies and/or compliance concerns to the VP of Contract Compliance and Billing in a timely manner
Works in tandem with VP of Contract Compliance and Billing, Senior Vice President of Programs, Vice President of Mental Health and Clinical Supervisors
Ensures that billing processes reflect a high standard of care
Coordinates any procedural and/or documentation changes with the VP of Contract Compliance and Billing and/or Senior Vice President of Programs
Provides supervision to Billing Staff
Other related duties as needed
Qualification
Required
Master's Degree in Social Work, Psychology, Public Administration or in any other related discipline required
Proficient in Microsoft Office Suite (MS Word, Excel, PowerPoint, Outlook) and other office-related software
Experience with the LACDMH IBHIS System, San Bernardino County My Avatar System as well as the Riverside County ELMR System
Proficient in Welligent EHR System
Possess superior oral and written communication skills as well as interpersonal skills
Detail oriented and organized
Able to work independently and organize multiple projects with minimum supervision
Able to work as a team member
Able to maintain the highest level of confidentiality and professional boundaries with clients and staff
Able to represent the agency professionally and appropriately with all constituencies
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
Insurability Under Corporate Automobile Insurance
Preferred
MA preferred, with a minimum of 3 years of Billing QA experience, including knowledge of the IBHIS System
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
Company
McKinley
Welcome to McKinley – Where Hope Illuminates Our Path! At McKinley, we are guided by the HUMAN values that resonate deeply within us.
Funding
Current Stage
Growth StageRecent News
Company data provided by crunchbase