Partnerships & Claims Manager

The Role

We are looking for mission-driven team members who are excited to participate actively in growing our offering. Our operations team is small, but there’s an opportunity to have a large impact on our work and the decision-making process. Our approach is to take a data-driven and evidence-based approach to providing high-quality mental health care to families and children, and we are building the platform to enable it. This will be the first of its kind - a platform that focuses on providing a family-centric model to care and one that powers our providers to provide data-driven care. 

Salary: $110,000-$130,000 plus equity

*Exact compensation may vary based on skills, experience, and location. 

Responsibilities:

• Own the end-to-end claims process at Little Otter - optimizing and executing the process, determining areas of improvement, and driving toward improvement.
• Understand the operations at Little Otter to effectively manage relationships with key partners and stakeholders, ensuring smooth collaboration and successful outcomes.
• Take charge of partnership enrollment, including setting up partnerships in our system and managing enrollments across the organization.
• Generate reports related to our partnerships and ensure accurate and up-to-date information is maintained.
• Work closely with the clinical operations team to support efforts related to enrolling and supporting functions related to federal programs.
• Monitor and report patient eligibility, proactively contacting clients to request updated insurance information if necessary or discussing ineligibility status, such as out-of-network or self-pay.
• Prepare and submit claims on a weekly basis, addressing any claim corrections as needed. Monitor and manage individual tasks in our system and develop action plans for claims reporting, including denials, timely filing, and authorization. 
• Monitor patient responsibility through our system, generate invoices, and ensure timely distribution to clients for collection.
• Address insurance and eligibility questions from providers, providing accurate and helpful information.

About You:

We are seeking a dedicated and adaptable individual to join our team. You will be crucial in supporting our organization's partnerships and ensuring smooth billing and claims processes.

You work hard, possess grit, and have a can-do attitude. Your high adaptability and openness to learning something new allow you to thrive in a dynamic environment.

Little Otter Benefits & Perks: 

• Medical, Dental, and Vision for you and your dependents
• Coverage begins on your first day of employment
• Health Flexible Spend Accounts (FSA)
• Flexible PTO
• We observe 11 Federal Holidays: New Year’s Day, Martin Luther King, Jr. Day, Presidents' Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Indigenous Peoples' Day, Veterans Day, Thanksgiving Day, and Christmas Day.
• Parental leave: For any new child, 12 weeks of paid leave with an additional 4 weeks of unpaid leave. Can be taken anytime within the first year of the child being born/adopted/etc
• Company provided laptop
• $400 stipend to outfit your home office
• Technology reimbursement - $50/month