What are the responsibilities and job description for the Clinical Director position at Allen Spolden?
Job Description
Essential Duties and Responsibilities :
- Leverage data-mining and reimbursement modeling tools to review and identify underpayments / denials which are due for additional reimbursement from the payer
- Identify 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
Requirements
Knowledge, Skills, Abilities :
Education / Experience :
Benefits
Dental, Medical, Vision and 401K
