Payer Strategy Specialist

MB2 Dental; Scottsdale (AZ); Vor Ort; USD 50.000 - 80.000; Vollzeit

Zusammenfassung

MB2Dental Solutions is seeking an analytical administrative professional to support Partner Support Managers in UCR and payer reviews. You will gather and interpret data, present insights, and ensure data accuracy to inform decisions.

The role involves collaboration with Revenue Cycle and Credentialing teams and handling payer-related inquiries. The position requires strong Excel skills, excellent English communication, and the ability to work independently in a remote-ready, fast-paced

Qualifikationen

• Ability to manipulate, interpret, and investigate data sets.
• Basic understanding of statistics.
• Critical/strategic thinking with evidence-based recommendations.
• Ability to project revenue lift and profitability analysis.
• Strong customer service orientation and teamwork.

Aufgaben

• Assist Partner Support Managers with UCR and Payer Reviews.
• Support partner discussions through data gathering, interpretation and presentation.
• Review data for accuracy to support decision-making.
• Provide admin support including inbox monitoring and de novo launch processes.
• Coordinate with Revenue Cycle and Credentialing to resolve payer issues.
• Collect and investigate EOBs for payment obstacles.
• Assist with patient grievance resolution when needed.
• Any other related duties as assigned.

Kenntnisse

Data interpretation

Critical thinking

Statistical understanding

Communication

Time management

Administrative skills

Excel proficiency

Familiar with dental portals

Teamwork

Ausbildung

Associate degree

Tools

Microsoft Office (Outlook, Word, Adobe)

Microsoft Excel (advanced)

Jobbeschreibung

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.

Qualifications

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.