Director of Revenue Cycle Management (RCM)

McKinley: Youth, Family, and Community are what we are all about! We offer a great working environment and benefits package! McKinley encourages growth so that you can Be your Best H.U.M.A.N.At McKinley employees share a set of guiding principles: We embrace a culture that is Hopeful, Understanding, Moral, Awesome, Nurturing. - H.U.M.A.N.The Company: 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 5 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. McKinley has created a Hopeful environment, in which we choose optimism in finding the motivation to achieve our greatest dreams. We are a team dedicated to Understanding individual needs and do so by listening and embracing each individual’s stories. We strongly embrace our agency’s Morals by treating everyone with kindness and respect. At McKinley, we acknowledge our team member’s and clients’ Awesome qualities by celebrating what makes each individual unique. We are dedicated to Nurturing a Trauma-Informed Integrated Care approach that has created a unique culture within the organization. We celebrate diversity by our commitment to cultivating an inclusive and affirming environment for all.The Position: The Director of Revenue Cycle Management (RCM) oversees county behavioral health billing and revenue cycle operations to ensure compliance with Medi-Cal, DHCS, County, State, Federal, and HIPAA Rules and Regulations. This position manages billing staff, ensures accurate and timely claims submission, oversees denial and appeal processes, and works closely with the VP of Compliance and Billing and Senior Leadership to support accurate revenue reporting and regulatory compliance.Compensation And BenefitsThe pay range we’re offering is $80,000 - $90,000 annually, depending (Based) on experience.Our people are the heart of our organization, which is why we offer robust benefits to support your health and wellness as well as your personal and financial well-being.Medical, Dental, and Vision InsuranceLife InsuranceFlexible Spending AccountPaid Time OffSick TimePaid Holidays403(b) retirement plan with company match up to 3%Employee Assistance ProgramTuition ReimbursementEmployee Referral BonusCredit Union MembershipTraining Opportunities to Further Personal and Professional GrowthEducation/ExperienceBachelor’s degree in Healthcare Administration, Business Administration, Finance, or a related field preferredExperience in Behavioral Health or County Billing and Revenue Cycle Management5+ years in Supervisory or Management ExperienceStrong knowledge of Medi-Cal Eligibility and Claims ProcessingExperience with County Billing Operations, including denials, violations, and appealsKnowledge of DHCS State Procedure Codes, Modifiers and Staff Taxonomy CodesWorking knowledge of HIPAA Rules and Regulations related to billing, privacy, and data securityExperience with EDI transactions and claim batchingComputer/Office SkillsAdvanced proficiency in Microsoft Excel (tracking, reconciliation, and reporting)Working knowledge of Microsoft Access or similar database toolsExperience with County EHR systems, including IBHISPreferred knowledge of Welligent EHRStrong analytical, tracking, and reporting skillsExcellent written and verbal communication skillsAbility to manage complex billing, compliance, and regulatory requirementsAbility to represent the agency professionally and appropriately with internal and external county and state partnersPhysical Skills RequiredMust pass pre-employment physical exam, TB and drug screeningAbility to commute to various sites on and off campusClearances RequiredDOJ, FBI, Child Abuse IndexInsurability Under Corporate Automobile InsuranceDescription Of DutiesReview program and clinical documentation for compliance with HIPAA, regulatory, county, and agency billing requirements, including DHCS procedure and taxonomy codesAssist service delivery and clinical staff with correcting billing violations, documentation deficiencies, and EHR billing errorsMonitor, correct, and rebill denied claimsEnsure accuracy of billing records, procedure codes, rates, and invoicesSubmit and manage electronic billing through county EHR systems, including Welligent, using EDI and EFT platformsTrack and review EDI/EFT data (e.g., 835s, 837s) to monitor claim status and paymentsDevelop and maintain billing and funding tracking systemsPerform monthly billing reconciliation and resolve billing and invoice variancesEnsure manual county billing is entered, submitted, and processed on timeIdentify training needs and provide training and oversight to billing staffParticipate in required State and County quality or compliance meetingsReport documentation and compliance concerns to the VP of Contract Compliance and BillingCollaborate with executive leadership and clinical teams to ensure billing accuracy and a high standard of careSupervise Billing StaffOther related duties as needed.Why Should You Apply?Our Mission- work for an organization that makes a real difference in people’s livesCompetitive paySeveral benefit optionsEmployee tuition reimbursementGreat training for staffJoin McKinley to Be Your Best H.U.M.A.N.