Davis Behavioral Health (DBH) is actively recruiting for a part-time Off-panel Coordinator/Clinical Records Specialist to join its compliance team.

The Off-panel Coordinator manages relationships and clinical details with our contracted private providers and agencies, ensuring quality care is being provided.

Essential Job Functions

Off-Panel Coordinator

The Off-panel Coordinator/Clinical Records Specialist is responsible for performing the following essential job functions at the expected level and within the expected timeframes:

Responsible for all Off-panel Provider activities, including but not limited to: Complete the full contract process for all off-panel contract providers, including application, document collection, and all other required steps in the process. Complete all functions related to developing and maintaining off-panel contract relationships through active collaboration to answer questions, schedule required meetings, coordinate client referrals, and all other related tasks. In coordination with the Corporate Compliance Office, initiate and complete the authorization process for clients requesting services with off-panel contract providers. Ensure that clients receiving services are following the authorized frequency and duration.

Process all required forms and documentation to ensure timely and accurate payment for services rendered. As outlined in the off-panel contract, approved billing will be paid within 45 business days following approval.

Complete annual contract renewals using the approved off-panel contract protocols and within established timeframes. Notify all internal parties when contracts are not renewed to terminate all related processes (i.e., DACS background screening, disable EHR access, etc.).

Initiate pre-audit tasks for the annual clinical audit for all off-panel providers, including correspondence, document collection, and other related tasks. Audit is completed by the DBH Corporate Compliance Officer. Address all denials and appeals within established timeframes to ensure contractual compliance and timely payment. Coordinate with the DBH Provider Network Specialist on all other activities related to the off-panel contract providers.

Complete ECT authorizations and billing within established timeframes. Residential Placements Work as liaison between DBH and potential residential placement agencies, coordinating with DBH Program Directors and staff at the placement agency to facilitate placement, as needed. Complete authorization letter. Complete follow-up on placement at defined date (30/60 days) for clinical review.

Maintain the spreadsheet to track all services, expiration dates, payment dates, appeals, and other information related to off-panel providers. Clinical Records Specialist Under the direction and guidance of the Corporate Compliance Officer, and in accordance with federal and state privacy laws/rules and internal policies and procedures, oversee the release of information (ROI) processes at DBH. Provide training to DBH staff about the client records release process, as requested and supervised by the DBH Corporate Compliance Officer. Authorization to Use and Disclose Health Information (TPO - Treatment, Payment, and Operations & Non-TPO) Follow the established protocol to accurately process all Authorization to Use and Disclose Health Information forms within the established timeframes. Complete all preparations for copy services of client records. Coordinate with Datavant to ensure that DBH follows their established processes for client records release. Provide excellent customer service to DBH staff, clients, and community partners to address status updates and all other questions about the client record release process.

Client Requests for Own Records Follow the established protocol to accurately process all Client Request for Own Records forms within the established timeframes. Calculate fee Coordinate with client and treatment provider(s) Complete redaction process, as requested by treatment provider(s). All other tasks related to the established protocol.

Coordinate the subpoenas for client records with the treatment provider(s), Corporate Compliance Officer, and DBH Legal Counsel. Other duties and responsibilities and needed and assigned.

Additional Job Functions

In addition to the essential job functions outlined above, the following responsibilities are assigned to this position: Complete all steps to process secondary capitated Medicaid payments for providers in the community, including denials. Serve as back up for the Hospital Liaison, as needed. Schedule and ensure that quarterly fire drills are completed for all required programs as outlined by the State of Utah Department of Health and Human Services Office of Licensing rules. Required Qualifications

Education Bachelor's degree in health administration, health information management, health information technology, or related field. A combination of education and direct professional experience working in a similar role may be substituted for education. Training Complete all required training that is assigned to the Off Panel Coordinator, HIPAA Specialist position by defined deadlines. Additional training specifically related to HIPAA, and related privacy and security may be required. Be fully trained in the Hospital Liaison essential job functions to complete them within established timeframes to ensure continuity of services when backing up this role.

Experience Required

Required Previous experience working in a medical or healthcare office or clinic. Preferred Previous experience with HIPAA and privacy regulations is preferred but not required. Qualifications/Skills/Abilities

The Off-panel Coordinator/HIPAA Specialist must possess the following qualifications, skills, and abilities to successfully perform the essential functions of the job:

Qualifications Must be at least 18 years old. All employees at DBH must successfully pass a pre-employment criminal background check as well as a pre-employment drug screening. Since Davis Behavioral Health works with Federal grants the company and its employees must comply with the Federal drug laws, including no use of medical marijuana. Skills & Abilities

The Off-panel Coordinator/HIPAA Specialist must possess strong verbal communication skills and have demonstrated professional customer service experience. The successful candidate must also demonstrate compassion, courtesy and respect to all clients and their families. Exceptional interpersonal skills with the ability to establish immediate rapport with clients.

Spanish speaking is a bonus.

Compensation & Classification

The starting wage for this position is outlined below: $19.50 per hour base wages for applicants who do not have a bachelor's degree $22.00 per hour base wages for applicants with a bachelor's degree The successful candidate will also be eligible for 1% per year of directly related professional experience on top of base wages at the time of hire. This position is classified as regular part-time and has a non-exempt status. Hours shall not exceed 29 in any given week.

The successful applicant will answer telephones and route calls based on requests or subject matter; schedule, reschedule, and cancel appointments: provide information to the public: greet walk-in and potential clients: refer clients to appropriate staff: accept payments: data entry: process and maintain variety of records, file, type, distribute mail, complete end-of-day receipts: and complete other tasks as assigned. Successful applicant must be flexible and willing to perform some intake work, records, and other office duties.

Schedule & Location

This position has the following set scheduled: Monday through Friday 9:00 am to to 2:30 pm

This position will be housed at the DBH Main Street Clinic located at 934 South Main Street, Layton, UT 84041.

Benefits

The part-time Office Specialist position is not eligible to participate in the agency's benefits program.

All employees at DBH are eligible to utilize the agency's robust Employee Assistance Program (EAP) through Intermountain EAP.

Davis Behavioral Health is an equal opportunity employer.