Revenue Cycle QA Analyst

6 days ago

Atlanta, United States D4C Dental Brands Full time
D4C Dental Brands is Seeking a Revenue Cycle QA Analyst

Job 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:
  • Bachelor’s degree in Business Administration, Accounting, Finance, Health Administration, or related field preferred
 
Job Related Experience:
  • 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

Job Related Skills/Competencies:
  • 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

Working Conditions/Physical Demands: 
  • Office environment
  • Local travel on an “as needed” basis

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:
  • 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
 Other Duties:This job description reflects management’s assignment of essential functions.  It does not prescribe or restrict the tasks that may be assigned.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

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."

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