Director of Billing

Askanas Human Resources Consulting has been retained to conduct the search for McKinley Children’s Center for a Director of Billing.

McKinley Children`s Center in San Dimas, California is a highly respected child welfare organization with a comprehensive array of program services including short term residential treatment program (STRTP), Foster Care, Adoptions, Mental Health Services, and Special Education.

Reports to: VP of Contract Compliance and Billing

Education/Experience

• Bachelor’s degree in Healthcare Administration, Business Administration, Finance or a related field (master’s preferred).
• 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.
• Supervisory experience required.
• Proficient in Welligent EHR system preferred.

Responsibilities include:

• 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 HER 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 HER systems, including Welligent, using EDI and EFT platforms.
• Track and review EDI/EFT data (e.g., 835’s 827’s) to monitor claim status and payments
• Develop and maintain billing and funding tracking systems.
• Perform monthly billing and reconciliation and resolve billing and invoices 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.

Computer/Office Skills:

• Advanced proficiency in Microsoft Excel (tracking, reconciliation and reporting)
• Working knowledge of Microsoft Access or similar database tools.
• Experience with County HER systems, including IBHIS.
• Preferred knowledge of Welligent EHR.
• Strong analytical, tracking and reporting skills.
• Ability to manage complex billing, compliance and regulatory requirements.
• Ability to commute to various sites on and off campus.

For consideration, please forward your resume to Leslie Askanas or Malorie Simpson

Leslie@askanashrc.com | Malorie@askanashrc.com