Revenue Cycle QA Analyst
Description D4C Dental Brands is Seeking a Revenue Cycle QA AnalystThe 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:
o Bachelor's degree in Business Administration, Accounting, Finance, Health Administration, or related field preferredJob Related
Experience:
o 1 - 2 years of experience working in dental/healthcare experienceo 1-2 years of experience working in dental billing/collections environmentJob Related Skills/Competencies:
o Ability to interpret payer contracts and explanation of benefits (EOB)o Knowledge of government, third party payers, billing requirements and reimbursement methodso Knowledge of dental terminology preferredo Strong analytical and problem-solving skillso Expert with Microsoft Excelo Strong attention to detail and commitment to ensuring accuracyo Must be a self-starter with a positive attitudeo Ability to work independently and make independent decisions through detailed analysiso Willingness and ability to manage multiple projects and meet deadlineso Want to understand the businesso Identifying opportunities to reduce costs and to improve and streamline processes for greater efficiency and cost savingso Ad hoc projects and other duties as assignedWorking Conditions/Physical Demands:
o Office environmento Local travel on an as needed basisMajor 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:
o Understand and monitor fee schedules and payer contracts, ensuring accuracy in the practice management softwareo Identify patterns and trends that indicate a potential issue and report them to Leadershipo Collect, organize, and maintain a database of fee schedules from all payers across the organizationo Perform analysis on fee schedules to optimize and understand rates and payer mixo Conduct analysis and share findings with team on a frequent basiso Maintain appropriate documents, reports and files in order to comply with all applicable laws and policieso Maintain professional and consistent communication with the team and internal customers to ensure that all needed items are received in a timely mannero Answer and resolve internal calls, emails and inquires that cannot be resolved by other departments or field staffo Participate in team meetings to share status, trends or other appropriate feedback as it relates to Revenue Cycleo Adhere to all compliance guidelines and regulations as established by D4C Dental Brands, Inc.
o Perform other duties as assigned Recommended Skills Analytical Attention To Detail Billing Business Administration Business Process Models Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
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:
o Bachelor's degree in Business Administration, Accounting, Finance, Health Administration, or related field preferredJob Related
Experience:
o 1 - 2 years of experience working in dental/healthcare experienceo 1-2 years of experience working in dental billing/collections environmentJob Related Skills/Competencies:
o Ability to interpret payer contracts and explanation of benefits (EOB)o Knowledge of government, third party payers, billing requirements and reimbursement methodso Knowledge of dental terminology preferredo Strong analytical and problem-solving skillso Expert with Microsoft Excelo Strong attention to detail and commitment to ensuring accuracyo Must be a self-starter with a positive attitudeo Ability to work independently and make independent decisions through detailed analysiso Willingness and ability to manage multiple projects and meet deadlineso Want to understand the businesso Identifying opportunities to reduce costs and to improve and streamline processes for greater efficiency and cost savingso Ad hoc projects and other duties as assignedWorking Conditions/Physical Demands:
o Office environmento Local travel on an as needed basisMajor 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:
o Understand and monitor fee schedules and payer contracts, ensuring accuracy in the practice management softwareo Identify patterns and trends that indicate a potential issue and report them to Leadershipo Collect, organize, and maintain a database of fee schedules from all payers across the organizationo Perform analysis on fee schedules to optimize and understand rates and payer mixo Conduct analysis and share findings with team on a frequent basiso Maintain appropriate documents, reports and files in order to comply with all applicable laws and policieso Maintain professional and consistent communication with the team and internal customers to ensure that all needed items are received in a timely mannero Answer and resolve internal calls, emails and inquires that cannot be resolved by other departments or field staffo Participate in team meetings to share status, trends or other appropriate feedback as it relates to Revenue Cycleo Adhere to all compliance guidelines and regulations as established by D4C Dental Brands, Inc.
o Perform other duties as assigned Recommended Skills Analytical Attention To Detail Billing Business Administration Business Process Models Coordinating Estimated Salary: $20 to $28 per hour based on qualifications.
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