Clinical Director

Allen Spolden

Behavioral Health Market Context

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Qualifications

  • •Strong analytical, technical, and creative problem-solving skills
  • •Demonstrated 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
  • •5 more items(s)

Responsibilities

  • •y and document underpayment root causes by contacting payers via phone and through review of client systems and account documentation
  • •Submit written appeals detailing expected reimbursement and clearly outlining reasons for additional payment, including citation of contract language, policies, and industry standards in a persuasive manner
  • •Gain knowledge of general hospital policies and procedures, hospital underpayments, and revenue cycle maximization opportunities
  • •Ensures productivity and quality standards are met
  • •Participate in internal client meetings, contributing to a greater understanding of project and initiative progress
  • •Coaches/Partners with other team members
  • •Identify and research new placement concept opportunities
  • •Assist in client reporting
  • •Strict adherence to HIPAA privacy and security rules, including following MRI policy at all times
  • •All other duties as assigned
  • •7 more items(s)