If you are interested in joining our practice, please apply by completing the questionnaire at the bottom of this page, AFTER reading all of this information.
@ Easy Processes. We use a simple EHR system to enter our notes and bill all claims. We give you detailed video instructions on how to operate the cloud-based EHR.
@ Independence. We do not tell you how to do your job, only to make sure your notes are Medicaid compliant and that you keep open communication with us and your clients. All services are conducted in the field, such as at a client's home, or via Telehealth. We do not offer in office sessions at this time, although it can become a possibility later on as we grow. If you are not comfortable doing in home sessions, we can guide you through the fears from decades of experience.
@ Easy Payments. Effective 01/01/21, as soon as the claim is paid by the insurance company, and your documentation is turned in, you get paid too, you no longer have to wait months like in the past. You get paid for notes, or claims, that are completed and insurance-reimbursable. It is a "Fee for Service" structure. You get paid on a weekly basis, for all claims that the insurance company paid during that week. On average, when a claim is submitted to an insurance company, it takes them bet 10-20 days to pay. And yes, we bill those claims for you (you don't need to worry about that aspect). More details below.
@ Respect. Nobody wants to work for a company who belittles them, or who micromanages every aspect of your day. Yes, there are always certain rules to follow, but nobody is "your ugly boss". There is no Clinical Director breathing down your neck and making you wish not being a therapist anymore. And even though we are all independent practitioners, we can still rely on each other for help, especially if clinical questions or concerns come up. You will be able to email us at anytime for help. You are never alone.
@ No Meetings. Except for TCMs, which have a required meeting.
Must be someone who has self-discipline, can follow deadlines, and is responsible.
It is great for someone who has a lot of local resources and know where to obtain new cases in the local area.
We are always looking for practitioners in Orange & Seminole (and TCMs statewide), especially those who:
(a) have experience doing Medicaid work,
(b) are responsible and dependable,
(c) are able to generate their own referrals.
Note - Clinicians - You must be licensed in FL, or be a Registered Intern in FL (pursuing licensure - If you are not yet a RI, you can get the info here). If you are not yet registered (and you have completed your MA degree, you may join us, but we ask that you register within 90 days of joining us).
ABOUT US, EXPECTATIONS, & CULTURE
We are a group practice, started in 2010 by my wife and I. Our goal has always been to form a great practice for clinicians and case managers to practice the profession we love. We provide individual and family therapy in homes and in schools. We also have two psychiatric APRNs who operate from our Maitland office. Throughout the years, we have serviced 5000+ clients, and helped many families along the way in the Central Florida area.
Get to know our staff & leadership <Go Here>
As a practitioner in our group practice or company, you will be an independent contractor, but even though you will have no "Clinical Supervisor", you can always count on help and feedback when you need it. You are never alone out there in the field. You make your own hours. You make your own schedule. You control how many cases you carry, etc.
We will not micromanage you. But we will expect you to write a Medicaid compliant note, follow documentation guidelines, contact your clients when supposed to, etc.
For example, being assigned a client and not contacting them for 3 weeks is completely unacceptable and unprofessional. Same goes for writing a progress note that is 1 sentence long, not checking your emails on a regular basis, etc... those are things we cannot tolerate. (if you tend to behave that way, please do not apply).
You are not an "employee" (this not a full time "employment" position or vacancy)... it is 1099 Independent Contractor position; it is like being in private practice, without the overhead and billing and other nightmares. This opportunity is perfect if you want to complement your income while having a full time job.... or if you want to build a case load and do this full time... your choice. 90% of the therapists that contract with us, do this on a part time basis while having other full time jobs. This is an amazing opportunity to make some extra income while doing what you love!
You are expected to:
1. Perform counseling sessions in-home, in-school (as allowed), or via Telehealth.
2. Submit documentation (progress notes etc..) on a timely manner.
3. Complete all notes in a Medicaid-compliant manner according to our instructions.
4. Maintain regular communication with our office (if we email you, you must reply back within 48 hours please)
5. Keep track of deadlines (we suggest you keep everything organized on a spreadsheet so you know when everything is due, we can give you a template)
HOME VISITS & TELEHEALTH
Our code model is based on home-therapy, meaning going to client's homes and schools. With Telehealth rules relaxed, we can also use this method (not sure when or how long the rules will stay like this). If you are not comfortable with home visits, we help you through it and give you suggestions. But this is something you have to decide yourself.
Some therapists get creative. For example... they bring their own patio chairs, umbrella in their cars, to sit with the client outside the home/apartment. Some use a community setting (a private table at a local restaurant, park etc). Always use caution and common sense, and lately you should use masks and hand sanitizers when seeing clients.
Telehealth may be used if both you and the client agree to. We prefer you use Doxy.me since it is free to use and HIPAA compliant.
LIABILITY INSURANCE & BACKGROUND CHECKS
You must have professional liability insurance (if you don't currently have any, we recommend www.cphins.com as a possibility) within 30 days of signing your contract.
If you are already cleared by AHCA as far as background checks, we'll be able to look it up in their system, otherwise you might have to be fingerprinted for clearance. You must pass a Level-2 background check. If you have experience in the field, we might be able to look up your screening in ACHA's portal. But if you are new to the field, or your prints are about to expire, you will need to get those done before seeing clients. If you have to get fingerprinted, you'll have to pay for the $45.00 prints - but remember, you'll be able to use those for any employment while they're valid (not just for us).
Medicaid Rates (for a 60 min Individual Therapy H2019-HR session):
@ Counselors - Registered Intern - $34.00
@ Counselors - Licensed (LMHC/LMFT/LCSW) - $37.00
Up to $41.00 if you eventually work full time.
We also pay a flat rate for other services - 50% of Insurance Payment (60% for intakes)
WHEN DO I GET PAID?
Your note (or claim) must pass these 4 requirements in order to be payable to you. In order to be payable, your note:
Every Friday, we pull a report with all the notes (or claims) that were paid by the insurance company during the past week. Then, we match those notes or claims to the clinician, so we know who to pay.
We also verify that points (a), (b), and (c) above are met.
Most insurance companies pay claims within 30 days (this of course, can vary, depending if there is an issue with the claim.
Every Friday or Monday we send out a Report, which lists which notes were payable on that coming Tuesday via Direct Deposit. That way, when you see an email from Quickbooks Payroll for $X amount, you can figure out which notes were paid this week, and check them off on your own spreadsheet accordingly.
Are the rates $34 for registered interns, and $37 for licensed?
Yes, correct. And if you eventually have a full time caseload, we can talk about increasing those rates up to $41.
Will I receive cases to start with, or am I responsible for self-referring all clients?
Both. If you want to self-refer clients, you are welcome to do so. But in the counties that we serve (Orange and Seminole), you can expect to receive cases assigned to you. Of course, if you are able to self-refer, you are in charge of what TYPE of cases you get, which is a huge plus!
Do I need liability insurance?
Yes! You should always have this, regardless of your job. It protects you in case something bad happens. You can get it after you have one client, if you want to wait.
Do I have to get fingerprinted?
Maybe. In the HR process, you will give us permission to look you up in Medicaid's system. If you prints are active, then no, you don't need to redo them. But if your prints are not active, or not there, you will have to do it, and they will serve you for ANY job you have now or in the future.
When do I get paid?
Take a look at all the information above. It tells you exactly what four (4) steps need to happen for your note to be paid. We don't have a "calendar". Every week we see which notes were paid by the insurance company, and we match those payments to the notes you performed.