Junior Revenue Cycle QA Analyst

D4C Dental Brands is Seeking a Revenue Cycle QA Analyst

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

* 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