Welcome to Open Door Billing
Open Door Billing Services
Credentialing
Medical credentialing (the process insurance companies use to access the qualifications of a healthcare provider, to join their network) is necessary for healthcare professionals to participate in health plan networks, provide care to insured patients, and receive in-network payment for services.
Medical Billing
Outsourcing medical billing and coding can lead to improved revenue outcomes by leveraging expertise, efficiency, technology, and strategic approaches to revenue cycle management. It enables healthcare providers to focus on delivering high-quality patient care while optimizing financial performance and practice growth.
Revenue Cycle Audit
At Open Door Billing LLC, we understand the critical balance between financial management and clinical excellence in mental health care. Our Revenue Cycle Audit service is meticulously designed to maximize your revenue and streamline efficiency, integrating key elements like calendaring, workforce development, software and minority business or disabled certifications.
Frances Latimer, CEO
Welcome To Open Door Billing, LLC.
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At Open Door Billing, we are driven by the belief that mental health care should reflect the diversity of the communities it serves. I founded this company with a passion for bridging the gap in mental health services by ensuring cultural considerations are at the forefront of care. A major challenge in today’s system is the shortage of mental health professionals who not only share their clients’ backgrounds—whether in terms of race, faith, or culture—but who also accept health insurance. These barriers limit both access to critical care and the financial growth of these professionals.
Credentialing (the process used by insurance panels to qualify you) is a crucial step toward breaking down these barriers and expanding access to healing communities. My mission is to support you in navigating the complexities of credentialing and optimizing your practice’s revenue cycle management. By streamlining reimbursements and minimizing administrative burdens, I am dedicated to helping your practice thrive, so you can focus on what matters most: providing care to those who need it.
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We collaborate closely with non-profit (501c3) organizations, as well as Non-Emergency Medical Transportation (NEMT) providers, to assist with the credentialing process for Medi-Cal. By helping other start-ups and non-profits navigate the complexities of insurance credentialing and reimbursement, we are making strides toward equitable healthcare access for all.
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I strongly believed I could be of service in this area, so I first returned to college, ultimately receiving certificates of completion and I acquired:
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National Certifications through NHA
(National Healthcare Association)
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Nationally Certified Electronic Health Records Specialist
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Nationally Certified Medical Administrative Assistant
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Nationally Certified Billing and Coding Specialist
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Disabled Owned Business Enterprise (DOBE)
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Women Owned Business Enterprise (WBE)
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Minority Owned Business Enterprise (MBE)
Frequently Asked Questions
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What is insurance credentialing?
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Insurance Credentialing is the process of becoming affiliated with insurance companies. This allows a mental healthcare provider to accept third party reimbursement.
Can you guarantee I will be accepted?
If you are fully licensed, there should be no problem locating insurance companies and third party payers for you to be credentialed with.
What qualifications are reviewed and verified?
Education, training, licensure, certifications and work experience.
Is there a contract between insurance companies and providers?
Yes, you have to agree to the terms and conditions in order to be an In Network provider.
Which Insurance panels are best for me?
Our Specialist will help you decide which panels will best fit your practice.
Are EAP’s (Employee Assistance Programs) part of the credentialing process?
An Employee Assistance Program (EAP), is provided by your employer. An EAP is a voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems. EAPs have trained representatives that can evaluate the needs of the employee and connect them to the best resource to help with that need.
How long do insurance reimbursements typically take?
In most cases, it will take at least 30 days from the date the insurer receives a claim to when your mental health practice will receive reimbursement
What’s the time limit on filing a claim?
This varies from insurer to insurer. Some insurers require claims to be filed very soon after services – 90 days is often a rule among private insurers.
Why should I outsource my billing?
Increased revenue, professional billing and coding companies have the experience and knowledge to optimize the billing process, leading to fewer claim denials and quicker reimbursements.
