MBH - Admissions Medical Advisor

This is where you change your story… At Meadows we understand that new directions to career advancing and improvement can be scary, but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives! Who are we? We have been the most trusted name in the industry and have been helping people for 40 years.
Our approach is different and success stories of our patients prove that.
We don’t have one size fits all treatment and there are no quick fixes.
Who are you? Are you compassionate, innovative and have a passion to make an impact? Are you looking to get your foot in the door with a company that will believe in your abilities and train you to advance? 75% of our current top-level executive staff are organic internal promotions from within.
We might be a perfect fit for you! Position Summary: Reviews and evaluates patient admission information to determine medical and clinical appropriateness for admission.
May conduct Doc to Doc reviews with insurance representatives.
Writing and facilitating appeals for denied admissions or coverage.
Primary Responsibilities Receives and reviews inquiry calls to determine medical and clinical appropriateness for admission Identifies callers that meet the admission criteria for the program as well as identifies an appropriate level of care.
Provide professional and thorough communication with external representatives to obtain authorization for admission.
(Doc-to-Doc) Write appeal letters to insurance companies, as needed, when patient admissions is denied May facilities the admission process into the program if the caller meets the admission criteria.
Work closely with medical leadership within the company to determine medical and clinical appropriateness of incoming patients.
Work closely with referring agencies and professionals to coordinate medically complex admissions, including record review, telephonic case review and doc-doc reviews.
Works with Intake and Medical/Psychiatry departments within all MBH programs to assist in determining and facilitating admissions that require medical or psychiatry review and approval.
Receives and reviews inquiry calls to determine medical and clinical appropriateness for admission Identifies callers that meet the admission criteria for the program as well as identifies an appropriate level of care.
Provide professional and thorough communication with external representatives to obtain authorization for admission.
(Doc-to-Doc) Write appeal letters to insurance companies, as needed, when patient admissions is denied May facilities the admission process into the program if the caller meets the admission criteria.
Work closely with medical leadership within the company to determine medical and clinical appropriateness of incoming patients.
Work closely with referring agencies and professionals to coordinate medically complex admissions, including record review, telephonic case review and doc-doc reviews.
Works with Intake and Medical/Psychiatry departments within all MBH programs to assist in determining and facilitating admissions that require medical or psychiatry review and approval.
Education, Skills and Experience Requirements: Graduation form an approved medical school, MD / DO Degree.
Experience in addiction medicine, psychiatry, trauma and eating disorders preferred.
Ability to provide excellent service to internal and external customers.
Ability to effectively listen, process received information, and express ideas both orally and in writing in English.
Ability to initiate action, take personal responsibility, suggest improvements, and solve problems within scope of job without being asked.
Ability to understand and comply with government, regulatory, and company rules.
Ability to record, report, and maintain confidentiality of information and respond to requests for information.
Ability to get assigned work done in an acceptable manner, in the time allotted, with minimal prompting or reminders.
We are a Drug Free Company.
All positions are designated as “Safety Sensitive” positions and in light of our company mission, the Company does not employ medical marijuana cardholders.
Following an offer of employment, and prior to reporting to work, all applicants will be required to submit to and pass a substance abuse screen.
The Meadows is an equal opportunity employer committed to diversity and inclusion in the workplace.
Qualified candidates will receive consideration without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status or any other factor protected by applicable federal, state or local laws.
The Meadows provides reasonable accommodations to individuals with disabilities and if you need reasonable accommodation during any time of the employment process please reach out to recruitment@meadowsbh.
com