Job Description

POSITION DESCRIPTION BILLING SPECIALIST

LOCATION: REMOTE
REPORTS TO: CHIEF OPERATING OFFICER

ABOUT OPEN MIND HEALTH

We are a collaborative team of mind-body-spirit experts who provide innovative, evidence-guided, and virtual care to help people heal and thrive in the real world today. Open Mind Health provides virtual psychiatry, talk therapy, and complementary modalities such as hypnotherapy to enhance wellbeing and personal evolution in a coordinated care plan.

We have developed customized Wellness Tracks for all people to address Core Symptoms, Core Life Domains, and Diverse Populations, including LGBTQ+, Veterans, and people of color. Artificial Intelligence-guided ongoing assessment and evaluation uses targeted approaches to realize optimal outcomes for clients. Visit us at openmindhealth.com.

Open Mind Health providers seek to understand the whole person in their encounters with clients, evaluate areas of strength and opportunity, and develop a comprehensive and accountable plan that brings clients to a state of balance, with ultimately progressive movement in their personal evolution. Our concept brings our various healing modalities as appropriate, including medication management, therapy, and complementary & alternative approaches to help our clients live their best lives.

Founded in 2021, Open Mind Health has expanded rapidly to provide services virtually in over 22 states and expects to offer services nationally by the end of 2024. Individuals who thrive in an environment of excitement, expansion, and innovation will likely find a home at Open Mind Health. This is an opportunity to join a fast-growing behavioral health startup, demonstrate your skills and abilities, and position yourself for career growth.

ABOUT THE ROLE

This position will own the coding and billing functions within Open Mind Health and will coordinate with others to assure error-free and appropriate RCM submissions to enable timely cash flow for the company. The lead will also engage in timely follow-up to billing disputes, claim denials, and any other intervening issue that has the potential to interrupt the flow of claims and subsequent payer remittances. This individual will also collaborate with client liaison representatives to offer insights and feedback on encounter readiness and closure processes to identify and rectify errors. Working as a team, the goal is to enable client-provider encounters that are expertly coordinated from end-to-end with zero defects in the spirit of Kaizen (continuous improvement).

JOB RESPONSIBILITIES

• Review completed encounters on an ongoing basis and submit to RCM or via other billing portals as required.
• Communicate errors and coach/cheerlead others to identify recurrent issues in an effort to prevent them.
• Track no-show appointments on spreadsheet and respond to processing directions based on comments by clinical leadership.
• Communicate with insurance companies/referrers/payers to inquire regarding status of payments.
• Bill for client responsibility amounts by credit card or invoice, for copays, deductibles, and no-show charges.
• Meet bi-weekly with representatives from RCM vendor to ascertain payment flow and address any issues.
• Works with and familiarizes self with the practices and policies of assigned insurance carriers.
• Work with outsourced collections company to optimize past due receivables.
• Uses personal computer to communicate by telephone, fax, email, text, EHR message.
• Owns the client experience from end-to-end for groups of clients covered by specific health insurance carriers.
• Other tasks and responsibilities as assigned.

PREFERRED QUALIFICATIONS, ATTRIBUTES, & REQUIREMENTS

• Post-secondary education at AA or beyond is desirable. Medical office certification is preferred.
• Two plus years working in a healthcare setting, preferably in behavioral/mental health working directly with patients/clients and with electronic health records (EHR) systems such as CharmHealth.
• Experience working directly with major insurance carriers.
• Demonstrated billing and coding experience and knowledge, and familiarity with revenue cycle management.
• Excellent people skills to work with clients, payers, and colleagues.
• Exceptional time management and attention to detail.
• Ability to independently self-direct activities in a high-volume remote work environment.
• Excellent problem-solving skills and demonstrable critical thinking abilities.
• High orientation to continuous improvement.
• Familiarity with Zoho CRM and Zoho Voice.
• Knowledge of ICD-10 and CPT codes and terminology.
• Experience working remotely with minimal supervision but with ongoing monitoring.
• Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum, United, Kaiser Permanente, and more.
• Maturity and integrity when handling confidential information, including sensitive HIPAA-governed client information, including the ability to respond to legal information requests and client service inquiries.
• Knowledge of Microsoft Excel, Word, and Outlook.
• Excellent written and verbal communication skills.
• Personal computer with functional camera and audio, second monitor, and reliable high-speed internet (no mobile phone tethering permitted).
• Private and noise- and people-free work environment within the home.

WHAT THE JOB OFFERS

• Competitive pay in the range of $15-$18 per hour depending on experience.
• 10 days PTO per year, with increasing PTO allotment after two years of service.
• 10 paid statutory holidays per year.
• 2 days Compassion & Civics PTO to cover bereavement, voting, family care.
• Employer health care contribution.
• Dental and vision plan.
• 401(k) plan.
• $50 per month technology stipend.
• A culture of caring, compassion, and accountability.
• Opportunities for career growth and personal evolution.

*** Benefit descriptions are for full-time employees only – part-time employees may only receive partial or pro-rated versions of these benefits. 

*** A high volume of billing processing and interactions occur on a daily basis, and as such, the company uses intermittent workflow monitoring audits to ensure productivity.

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