- Bachelor's degree in Business Administration, Accounting, Finance, Health Administration, or related field preferred
- 1 – 2 years of experience working in dental/healthcare experience
- Proficient in Microsoft Excel
- 1-2 years of experience working in dental billing/collections environment
- Ability to interpret payer contracts and explanation of benefits (EOB)
- Knowledge of government, third party payers, billing requirements and reimbursement methods
- Knowledge of dental terminology preferred
- Strong analytical and problem-solving skills
- Expert with Microsoft Excel
- Strong attention to detail and commitment to ensuring accuracy
- Must be a self-starter with a positive attitude
- Ability to work independently and make independent decisions through detailed analysis
- Willingness and ability to manage multiple projects and meet deadlines
- Want to understand the business
- Identifying opportunities to reduce costs and to improve and streamline processes for greater efficiency and cost savings
- Ad hoc projects and other duties as assigned
- Office environment
- Local travel on an "as needed" basis
- Understand and monitor fee schedules and payer contracts, ensuring accuracy in the practice management software
- Identify patterns and trends that indicate a potential issue and report them to Leadership
- Collect, organize, and maintain a database of fee schedules from all payers across the organization
- Perform analysis on fee schedules to optimize and understand rates and payer mix
- Conduct analysis and share findings with team on a frequent basis
- Maintain appropriate documents, reports and files in order to comply with all applicable laws and policies
- Maintain professional and consistent communication with the team and internal customers to ensure that all needed items are received in a timely manner
- Answer and resolve internal calls, emails and inquires that cannot be resolved by other departments or field staff
- Participate in team meetings to share status, trends or other appropriate feedback as it relates to Revenue Cycle
- Adhere to all compliance guidelines and regulations as established by D4C Dental Brands, Inc.
- Perform other duties as assigned
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Revenue Cycle QA Analyst - Atlanta, United States - D4C Dental Brands
Description
D4C Dental Brands is Seeking a Revenue Cycle QA AnalystJob Summary:The analyst will handle all aspects of Posting & Payer analysis in the Revenue Cycle process for a large dental group. Candidates should be analytical, well organized and able to work under pressure in a strong team environment. This support is crucial to the delivery of the company's mission of helping children achieve a lifetime of great oral health.
Education/Credentials:
Job Related Experience:
Job Related Skills/Competencies:
Working Conditions/Physical Demands:
Major Duties and Responsibilities:The QA Analyst will be responsible for a portion, if not all, of the functions below. In addition, the QA Analyst is expected to complete and/or assist other team members with the tasks below:
About D4C Dental Brands:
Exclusively Supporting Pediatric and Orthodontic Practices.As the fastest growing and largest pediatric dental and orthodontic specialty network in the United States; our success comes from our focus on supporting high quality patient care and our shared vision of "Raising the Standard in children's oral health."
