Provider Contracting Manager jobs in Salisbury, NC

POSITION DESCRIPTION
PROVIDER LIAISON REPRESENTATIVE

LOCATION: REMOTE
REPORTS TO: CHIEF CLINICAL OFFICER

*** APPLICANTS - PLEASE VERIFY THAT YOUR BACKGROUND MEETS THE MINIMUM QUALIFICATIONS BELOW PRIOR TO APPLYING ***

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 support and own the client liaison function for various or assigned payer contracts, by telephone, text, email, EHR (electronic health record system) messaging, and fax. The role includes communicating with clients/patients and payers to ensure that all client demographics, insurance information, and appointment details are communicated and recorded in preparation for successful virtual encounters. Additionally, this role supports clinicians by providing initial set-up in the EHR, coordinates completion of encounter notes, supporting ongoing EHR mapping and taxonomy standardization, and stays informed and up-to-date on EHR vendor improvements and new features to most effectively benefit the practice.

JOB RESPONSIBILITIES

• Communicate with insurance companies/referrers/payers to document all details of client referral, insurance information, authorization date ranges and credentials.
• Interact with providers to book therapy, psychiatry, and/or complementary treatment sessions. Communications can and will include gathering payment information, demographic data, further insurance details, and confirming appointment dates and times.
• Works with and familiarizes self with the practices and policies of assigned insurance carriers.
• Uses personal computer to communicate by telephone, fax, email, text, EHR message.
• Owns the provider experience from end-to-end for groups of clients covered by specific health insurance carriers.
• Coordinates effectively with providers to ensure timely completion of encounter notes, troubleshoot and solve user issues with the EHR system, and provide ongoing support where required.
• Work with chief clinical officer to ensure compliance with insurance contracts and assist with periodic contract reviews, and continuous quality improvement projects.
• Other tasks and responsibilities as assigned.

MINIMUM QUALIFICATIONS

• High school diploma: some 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/providers and with electronic health records (EHR) systems.

PREFERRED QUALIFICATIONS, ATTRIBUTES, & REQUIREMENTS

• Excellent people skills to work with providers, payers, and colleagues.
• Exceptional time management and attention to detail.
• Ability to independently self-direct activities in a remote work environment.
• Excellent problem-solving skills and demonstrable critical thinking abilities.
• High orientation to continuous improvement.
• Maturity and integrity when handling confidential information, including sensitive HIPAA-governed client information.
• Knowledge of Microsoft Excel, Word, and Outlook.
• Excellent written and verbal communication skills.
• Personal computer with functional camera and audio, and reliable high-speed internet (no mobile phone tethering permitted).
• Private and noise-free work environment within the home.

WHAT THE JOB OFFERS

• Competitive pay in the range of $15 to $18 per hour depending on experience.
• 10 days PTO per year, with increasing PTO allotment after two years of service.
• 6 paid fixed statutory holidays per year.
• 4 paid flexible 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.
• Exceptional time management and attention to detail.
• 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 benefit

Client and Provider Liaison Representative