The Business of Neurorehab: From Aspiring Doctor to Practice Leader with Tiffany Miller-Bolerjack

Send us Fan MailNeuropsych testing looks clinical from the outside, but from the inside it is a high-stakes mix of patient anxiety, complex logistics, and constant financial pressure. We sit down with Tiffany Miller-Bolerjak, Office Manager and Administrator at Dallas Neuro Rehab Centre and the CEO behind a credentialing and consulting firm, to show what it really takes to run a specialist neurorehabilitation and neuropsychology clinic day to day. We talk about the patient journey across the lifespan, from children being assessed for ADHD, autism, learning issues, anxiety, and behaviour challenges to older adults worried that memory testing will take away their independence. Tiffany explains how neuropsychological assessment batteries vary by age, education, and background, why some appointments must start with the clinician to reduce fear, and how the final report turns into practical treatment plan recommendations around sleep, movement, hydration, diet, and cognitive strategies. Then we go behind the scenes into healthcare operations: six-week psychometrist training, costly materials, scoring platforms, and the shift to subscription-based assessment tools that require continual retraining. We also dig into accessibility and affordability, including the reality of patients delaying care for financial reasons and how insurance deductibles create dramatic seasonal demand swings that can distort clinic growth strategy and staffing. Finally, Tiffany shares leadership lessons that apply to any medical practice: listening to office managers, building flexibility into policies, reducing no-shows through better communication, and creating a workplace culture that keeps good people. If you found this useful, subscribe, share it with a practice owner or clinic manager, and leave a review to help more healthcare teams find the show.Guest BiographyTiffany E. Miller-Bolerjack, MHSA is the Office Manager and Administrator at Dallas NeuroRehab Center, where she oversees the operational and administrative systems behind a specialist neurorehabilitation practice serving children, adults, and geriatric patients. She also serves as CEO and Managing Member of Dragon Slayers Credentialing and Consulting, supporting healthcare organisations with credentialing, policy development, and operational improvement. With a background spanning in-home care, case management, psychiatric practice management, and healthcare administration, Tiffany brings a practical, systems-level perspective on staffing, patient experience, referral growth, and the realities of running complex specialist clinics.LinksWebsite: www.dallasneurorehabcenter.comLinkedIn: https://www.linkedin.com/in/tiffany-emmalee-miller/Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.