Payer Strategy Specialist

MB2 Dental; Arizona; Vor Ort; USD 45.000 - 70.000; Vollzeit

Zusammenfassung

MB2 Dental is seeking a data-driven Analyst to support Payer Strategy for MB2 Dental Partner offices in Arizona. You will gather and interpret payer data, assist with UCR and Payer Reviews, and present findings to drive informed decisions.

Strong Excel skills and experience with dental billing or credentialing help you translate complex data into actionable insights, while collaborating with Revenue Cycle and Credentialing teams to resolve payer issues.

Qualifikationen

• Associate degree preferred.
• Dental industry experience preferred.
• 2–5 years of dental office management and/or dental plan experience desirable.
• Experience in dental billing and credentialing desirable.

Aufgaben

• Assist Partner Support Managers by supporting UCR Reviews and Payer Reviews.
• Support Partner discussions via data gathering, interpretation, and presentation.
• Critically review data sets for accuracy to ensure a valid basis for decision-making.
• Provide general administrative support, such as monitoring the Payer Strategy inbox, de novo launch process, and PDF to Excel conversions.
• Partner with internal departments, such as Revenue Cycle and Credentialing, to research and resolve Payer-related issues.
• Collect and investigate EOBs when offices encounter payment obstacles or similar challenges.
• Coordinate patient grievance resolution, as needed.
• Perform other related duties, as assigned.

Kenntnisse

Data analysis

Statistics

Critical thinking

Profitability analysis

Ausbildung

Associate degree

Dental industry experience

Tools

Microsoft Excel

Microsoft Office

Adobe

Jobbeschreibung

Overview

Support Payer Strategy's mission to negotiate and maintain the best terms and compensation with dental carriers on behalf of MB2 Dental Partner offices. Primary responsibilities include data analytics, database scrubbing, and general administrative support of Partner Support Managers.

Responsibilities

• Assist Partner Support Managers by supporting UCR Reviews and Payer Reviews
• Support Partner discussions via data gathering, interpretation, and presentation in informative ways
• Critically review data sets for accuracy to ensure a valid basis for decision-making
• Provide general administrative support, such as monitoring and delegation of the Payer Strategy inbox, de novo launch process, and PDF to Excel conversions
• Partner with internal departments, such as Revenue Cycle and Credentialing, to research and resolve Payer-related issues
• Collect and investigate EOBs when offices encounter payment obstacles or similar challenges
• Coordinate patient grievance resolution, as needed
• Perform other related duties, as assigned

Analytical Skills

• Ability to manipulate, interpret, and investigate data sets. Able to turn data into information
• Basic understanding of statistics
• Can think critically/strategically and draw evidence-based conclusions with recommendations
• Able to project revenue lift and conduct profitability analysis

Relationship Management Skills

• Customer Service: strong customer service orientation and skill set
• Teamwork: team perspective, placing the needs of the team and the company first
• Ability to interact effectively with senior management in a cross-functional manner

Communication Skills

• Language: able to read, write, and speak English fluently
• Oral: speaks clearly and persuasively; effectively presents information and responds to questions
• Written: writes professional business correspondence; presents numerical data effectively
• Presentation: effective presentation skills with the ability to present to small groups of people

Organizational Skills

• Time Management: ability to multitask and prioritize workload in a fast-paced environment
• Administrative Skills: meticulous; pays close attention to accuracy
• Self-Management: takes initiative and is self-motivated to improve processes and outcomes
• Productive in a remote environment under minimal supervision
• Strong follow-up skills

Computer Skills

• Computer literate
• Familiarity navigating dental insurance portals
• Software: working knowledge of Microsoft Office, including Outlook, Word, and Adobe
• Software: advanced knowledge of Microsoft Excel, including ability to create, manipulate, analyze, and interpret spreadsheets
• Working knowledge of the Internet, Internet browsers, and search engines

Education and Experience

• Associate degree desired
• Dental industry experience preferred
• Two to five years of dental office management and/or dental plan experience is desirable
• Experience in dental billing and credentialing is desirable
• Equivalent combination of education and experience

MB2 Dental Solutions, LLC is an equal opportunity employer.