Director of Revenue Cycle Management (RCM)
The Company
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.
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 Benefits
The 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 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 Referral Bonus, Credit Union Membership, Training Opportunities to Further Personal and Professional Growth.
Description Of Duties
- Review program and clinical documentation for compliance with HIPAA, regulatory, county, and agency billing requirements, including DHCS procedure and taxonomy codes
- Aid service delivery and clinical staff with correcting billing violations, documentation deficiencies, and EHR 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 EHR systems, including Welligent, using EDI and EFT platforms
- Track and review EDI/EFT data (e.g., 835s, 837s) to monitor claim status and payments
- Develop and maintain billing and funding tracking systems
- Perform monthly billing reconciliation and resolve billing and invoice 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
Physical Skills Required
- Must pass pre-employment physical exam, TB and drug screening
- Ability to commute to various sites on and off campus
Clearances Required
- DOJ, FBI, Child Abuse Index
Why Should You Apply?
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