Billing Compliance Specialist

About Mc Kinley

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 five 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 – and are dedicated to providing a trauma‑informed integrated care approach and an inclusive, affirming environment for all.

The Billing 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. The role involves audits performed by regulatory agencies, conducting quality assurance activities, and periodic record reviews of all active and discharged clients.

The pay range is $20.00–$22.00 hourly, depending on experience.

• 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

• Bachelor’s degree in Social Work, Psychology, Public Administration, or another related discipline is preferred.
• Prior quality assurance experience, including knowledge of IBHIS and billing codes requirements, or case management experience is strongly preferred.
• Proficiency with word processing, e‑mail, internet, and basic office skills (typing, telephone, copier).
• Microsoft Excel, Power BI, and Adobe Acrobat skills.
• Must pass a 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 clearances.
• Insurability under corporate automobile insurance.

• Track and process county and department documentation.
• Review documentation for compliance with regulatory and agency standards.
• 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.
• Audit 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 agency’s performance and quality improvement (PQI) plan.
• Perform other related duties as needed.

• Our mission– work for an organization that makes a real difference in people’s lives.
• Competitive pay.
• Several benefit options.
• Employee tuition reimbursement.
• Great training for staff.

The safety of families, children, clients, and our valued team members is our priority. We take all necessary precautions and safety measures to maintain a safe environment across all locations, provide PPE to team members and visitors, and practice social distancing measures.

Entry level

Full‑time

Finance and Sales

Individual and Family Services