Clinical Director - Nashville, United States - Allen Spolden

Description

Job DescriptionEssential Duties and Responsibilities:

Leverage data-mining and reimbursement modeling tools to review and identify underpayments/denials which are due for additional reimbursement from the payerIdentify and document underpayment root causes by contacting payers via phone and through review of client systems and account documentationSubmit written appeals detailing expected reimbursement and clearly outlining reasons for additional payment, including citation of contract language, policies, and industry standards in a persuasive mannerGain knowledge of general hospital policies and procedures, hospital underpayments, and revenue cycle maximization opportunitiesEnsures productivity and quality standards are metParticipate in internal client meetings, contributing to a greater understanding of project and initiative progressCoaches/Partners with other team membersIdentify and research new placement concept opportunitiesAssist in client reportingStrict adherence to HIPAA privacy and security rules, including following MRI policy at all timesAll other duties as assignedRequirementsKnowledge, Skills, Abilities:Strong analytical, technical, and creative problem-solving skillsDemonstrated ability to analyze, understand, and communicate complex issues and trends.

Demonstrated interpersonal skills. Ability to articulate goals clearly and expectations to team members and communicate results to MRI Management.

Customer-service orientation with the ability to interact with a range of personalities independently and styles to establish effective relationships internally & externally.

A positive and optimistic attitude that is maintained despite tight deadlines and competing priorities.
Genuine enthusiasm for working for an evolving start-up with the ability to embrace new ideas.
Ability to demonstrate high personal ethics consistently, integrity, prudence, energy, initiative, and self-confidence.


Education/Experience:
Bachelor's degree with Healthcare, Business, or relevant background preferredRelevant professional experience within the Hospital/Insurance industry preferredExpertise within the MS Office Suite including Excel, Word, Outlook, and Access preferredBenefitsDental, Medical, Vision and 401K