Practice Support Specialist

Advanced Behavioral Health, Inc. is looking for a Practice Support Specialist in our Frederick, MD office location. This position will be responsible for leading all administrative (non-clinical) functions of the Frederick healthcare practice including providing comprehensive case management services and coordinating the day-to-day operations of our clinic. This position works closely with clients, Therapists, and Prescribers to ensure the delivery of high-quality care.

ABH is a family centered mental health program that offers a wraparound approach to treatment. We specialize in Psychiatry, Off-Site Counseling Services, On-Site therapy, and Therapeutic Mentoring. If you share our mission and vision, we invite you to join a team that wants to make a difference within the community.

Location: Frederick, MD
Compensation: $24/hour to $27/hour
Hours: 8 hour work days, 40 hours/week. Office is open from 9:00 am to 7:00 pm, some schedules may vary.

Essential Functions:

Practice Coordination

• Provide direct support and guidance to the Practice Coordinator team.
• Collaborate with other Practice Support Specialists to ensure ongoing support for all ABH site locations.
• Provide Dr. First technical assistance and administrative support as needed.
• Work closely with the Site Directors to ensure appropriate prescriber coverage is in place.
• Ensure necessary office operations are maintained, including opening and closing the office daily and general office upkeep.
• Ensure efficient communication and operations among practice coordination team.
• Oversee the training of new staff members and provide ongoing support.
• Collaborate with Site Directors to ensure timely process and assignment of referrals.
• Provide backup coverage at ABH sites, as needed.
• Assists patients with the check-in and check-out processes, including taking vitals, scheduling of next appointment accurately in Electronic Medical Records (EMR) system, and preparing off work/off school notes for attending scheduled appointments as requested by patients.
• Provides outreach for missed appointments; monitors and tracks no shows and enters data into system.
• Manages and processes medication refill requests for patients enrolled by following company protocols; complete medication prior authorizations as required by Maryland Medicaid through necessary paperwork and/or by calling the insurance company.
• Consistently updates daily authorizations in the Dr. Cloud EMR system.
• Ongoing maintenance of EMR, including updating patient demographic and billing information and compliance check of intake and consent forms in EMR to ensure patient data is accurate.
• Creates medical records for new patients in EMR, uploading and recording authorization information.
• Obtains and verifies insurance eligibility for all applicable patients along with co-pay collection.
• Assists prescribers with administrative duties (email, office communications, reporting, and refills).
• Maintain strong working knowledge of ASO/Optum, regulations and alerts.
• Coordinates with Site Director and Therapists to ensure cases are assigned and discharged regularly.
• Serve as first point of escalation for issues involving Prescribers to include but not limited to scheduling conflicts, incorrect authorizations, and any other admin tasks.
• Conducts ABH patient reminder calls and verifies current and valid authorization information for each patient scheduled with all Doctors and Nurse Practitioners 48 hours prior to scheduled appointments.
• Acts as primary point-of-contact for referring vendors and communicates status of their referrals throughout the referral process and scans and uploads referral documents to clients’ EMR charts upon completion of referral.
• Sorts and distributes clinic mail and correspondence. Respond timely to calls and messages.
• Maintain confidentiality in all aspects of client, staff, and agency information.
• Collaborates with Clinical Resource Specialists to provide coverage and support with case management functions.
• Complies with CARF/COMAR/HIPPA/State compliance regulations.
• Ensure staff compliance with EMR and uphold the 48-hour documentation standard.

Qualifications:

• Bachelor’s degree in Business or related discipline.
• Minimum of five (5) year’s working in the healthcare system primarily within OMHC.
• Must possess excellent communication skills and ability to communicate effectively with patients, other administrative team members, and staff. Able to work well as part of a team.
• Must be computer literate and able to operate standard office equipment, including but not limited to, computers, telephone systems, calculators, copiers and facsimile machines.
• Proficient knowledge of electronic medical records/scheduling system required.
• Proficient knowledge of and experience with healthcare insurance claims, referral processing, patient responsibility, how deductibles and co-pays factor in, etc.
• Bilingual - fluent in English and Spanish preferred, but not required.

Full-Time Employee Benefits:

• Medical, Dental, Vision
• 401(k) Retirement Plan with Employer Match
• Dependent Care Flexible Spending Accounts (FSAs)
• Voluntary Term Life Insurance
• Employer Paid Basic Life Insurance, Short-Term Disability, Long-Term Disability
• Voluntary Insurance Policies: Accident, Cancer, Critical Illness, Hospital Confinement
• Employee Assistance Program (EAP)
• Paid Holidays, PTO Accruals, Floating Holiday, Paid Birthday, Wellness Day

ABH is committed to diversity and to equal opportunity employment. ABH does not discriminate on the basis of race, creed, color, ethnicity, national origin, religion, sex, sexual orientation, gender identity and expression, age, height, weight, physical or mental ability (including HIV status), veteran status, military obligations, or marital status. This policy applies to hiring, internal promotions, training, opportunities for advancement, and terminations and applies to all ABH employees, interns, clients, and contractors.

Join our team and make a difference!

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