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Director Of Clinical Operations
Recruited by The Bridge Family Center 8 months ago Address , West Hartford, 06107 $85,000 - $105,000 a year

Director Of Clinical Operations

Company

Margin Recovery International
Address , New Orleans, 70123
Employment type FULL_TIME
Salary
Expires 2023-09-14
Posted at 8 months ago
Job Description
Interested in joining a fast-growing company with EVERY Friday off? As an Auditor on MRI’s Audit & Recovery team, you'll help build a growing organization, win over hospital, health system, and surgery center clients with superior customer service and service offerings. You’ll be a critical part of the growth of an emerging leader in hospital revenue cycle solutions. You will work alongside MRI team members to execute project plans which enhance the bottom-line profits for our clients.

The Auditor will be responsible for activities focused on assessing/analyzing third party payments, including Managed Care, Medicare, and Medicaid, as it relates to hospital insurance reimbursement. This includes recording and analyzing data, filing appropriate appeals based on findings to ensure additional payment is received in a prompt manner.

Essential Duties and Responsibilities:
  • Ensures productivity and quality standards are met
  • Gain knowledge of general hospital policies and procedures, hospital underpayments, and revenue cycle maximization opportunities
  • Leverage data-mining and reimbursement modeling tools to review and identify underpayments/denials which are due for additional reimbursement from the payer
  • Submit written appeals detailing expected reimbursement and clearly outlining reasons for additional payment, including citation of contract language, policies, and industry standard in a persuasive manner
  • Identify and document underpayment root causes by contacting payers via phone and through review of client systems and account documentation
  • All other duties as assigned
  • Coaches/Partners with other team members
  • Assist in client reporting
  • Participate in internal client meetings, contributing to a greater understanding of project and initiative progress
  • Strict adherence to HIPAA privacy and security rules, including following MRI policy at all times
  • Identify and research new placement concept opportunities


Knowledge, Skills, Abilities:
  • Genuine enthusiasm for working for an evolving start-up with the ability to embrace new ideas.
  • Demonstrated interpersonal skills. Ability to clearly articulate goals and expectations to team members and communicate results to MRI Management.
  • Ability to consistently demonstrate high personal ethics, integrity, prudence, energy, initiative, and self-confidence.
  • Strong analytical, technical, and creative problem-solving skills
  • Customer-service orientation with ability to independently interact with a range of personalities and styles to establish effective relationships internally & externally.
  • Demonstrated ability to analyze, understand, and communicate complex issues and trends.
  • A positive and optimistic attitude that is maintained despite tight deadlines and competing priorities.


Education/Experience:
  • Relevant professional experience within Hospital/Insurance industry preferred
  • Expertise within the MS Office Suite including Excel, Word, Outlook, and Access preferred
  • Bachelor’s degree with Healthcare, Business, or relevant background preferred


Compensation and Benefits:
  • Four (4) day work weeks
  • Competitive salary commensurate on relevant experience
  • 401(k) plan with employer match after one year of service
  • Paid time off and holidays
  • Health insurance package (partially paid by employer)


Must work a minimum of 40 hours per week.