Billing Compliance Specialist

United States·San Dimasmid

Legal & ComplianceCompliance Specialist

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Requirements Summary

Bachelor’s Degree in Social Work, Psychology,

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Legal & ComplianceCompliance Specialist

~1 min read

The pay range we’re offering is $20.00- $22.00 hourly, depending (Based) on experience.

✓Medical, Dental, and Vision Insurance

✓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 Rewards Program

✓Credit Union Membership

✓Training Opportunities to Further Personal and Professional Growth

~1 min read

Bachelor’s 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
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

~1 min read

→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 agency’s Performance and Quality Improvement (PQI) Plan
→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