Role Summary
The Revenue Strategy Analyst will support all revenue cycle functions, including Revenue Cycle Operations, Payor Relations, and Credentialing, to support Operations and Executive Leadership. The Revenue Strategy Analyst will be responsible for gathering and aggregating data across multiple data sets to provide operations and executive leadership comprehensive insight into the financial health of the end-to-end revenue cycle including fee optimization through payor mix analysis, payor fee comparisons, and market-driven UCR analysis.
Duties & Responsibilities
Work with Sr. Director of Payor Relations to update market-driven UCR analysis for annual increase recommendations, create payor mix analyses and provide insights on optimizing payor mix to improve reimbursement rates and financial performance.
Work with Operations and Revenue Cycle teams to audit EOBs to ensure reimbursements are paid according to the current payor fee schedule and contractual agreements.
Create a streamlined and transparent credentialing process; support the Credentialing and Operations teams to ensure Providers are credentialed/recredential with payors, and CAQH participation, while monitoring the credentialing ticket system. Implement credentialing software for enterprise.
Maintain all payor contracts and support the management of payor contracts in tandem w. Sr. Payor Relations Direction. This includes renegotiation dates, payor fee schedules, and UCR fee schedules.
Independently design, build, and execute a comprehensive data model for all Payor Relations and Revenue Cycle functions; serve as the centralized gateway for all data requests with regards to Payor Relations and Revenue Cycle data.
Create and design centralized workflow functions for a hybrid team which includes offshore and onshore vendor partners.
Provide ad-hoc analysis including revenue trend analysis, payor trend analysis, revenue forecasting, proformas, and monitoring of specific key performance indicators.
Ability to analyze data for anomalies, trends, and opportunities for improvement by workflow changes or technology; able to work and manipulate copious amounts of data on multiple technology platforms and provide results in a presentable format.
Other duties as assigned.
Bachelor’s degree Business Administration, Accounting or Finance. MBA would be preferred.
5-7 years working in healthcare revenue cycle, payor relations, or related field.
Excellent Excel, Power BI, and Microsoft Office Suite.
Excellent problem solving and interpersonal skills.
Basic understanding of practice management software or electronica health records software.
Dental knowledge preferred.
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The Hygiene Director is the mastermind of the office’s service mix execution, gaining case acceptance from the hygiene chair and the overall continuing care program. They work within the parameters set by the Clinical Board to develop, continuously grow, and improve a hygiene program for our patients that strives to help the hygienists understand and become proficient at practicing preventive dentistry. The Hygiene Director position plays an integral role in the business, contributing to a smoothly running, high-morale practice with a happy, productive team and highly-satisfied patients. They are responsible for providing the best training, coaching, communication, and support to the hygiene team while ensuring the front and back office work together to create the most efficient, customer-service-oriented hygiene experience for all patients of record. In this position, the Hygiene Director works to ensure that all systems affecting continuing care and case acceptance are done at a level of mastery based on best practices models and the leader’s vision of success.
The Hygiene Director may have duties involving HR needs for the hygiene team, including but no limited to scheduling, hiring, and growth conferencing.
The Hygiene Lead will work directly with the following:
Chief Clinical Officer
Clinical Excellence Partners
Hygiene Excellence Partners
Operations Directors
People Ops
Clinical Board
Key Responsibilities
Fully utilize the analytics platform and provide weekly/monthly reports
Monitor KPI’s and evaluate performance and identify areas for improvement
Collaborate with Ops Directors/CEP’s to identify priority offices
Partner with the doctors to identify opportunities to improve the hygiene systems and processes, hygiene protocols and philosophy
Monitor the Hygiene Excellence Partners engagement
Track and monitor Hygiene performance using the scorecard and provide quarterly reports to the Sr Hygiene Director/payroll
Maintain and update the appropriate job descriptions and personnel files
Maintain documents in SharePoint
Create monthly newsletters to keep Dental Hygienists up-to-date
Create solution sets for scheduling, perio protocol, patient experience, Recare efficiency, and co-discovery
Support the overall vision, goals, and strategies for the Hygiene Department
Participate in 1:1’s with HEP’s and Hygiene Leads in the practice and provide support as needed
Lead and participate in HEP/Hygiene Lead alignment meetings
Provide support and input on PACA reviews for Dental Hygienists
Coach, mentor and lead Dental Hygienists in the practice focusing on KPI’s and benchmarks
Monitor Hygiene moral and communicate what is going right, and/or concerns
Maintain Standard of Care and look for opportunities to coach
Monitor Service Mix, Case Acceptance, and recare efficiency
Ensure supplies and equipment are maintained for the hygiene team within budget guidelines
Maintain Vendor Relationships
Provide Hygiene training and focus on developing others
Key Goals/Benchmarks of Role
Achieve hourly, daily, monthly and yearly office and hygiene production goals
Maintain a healthy percentage of production
Maintain a healthy service mix:
Perio, Perio Maintenance, Prophy, Adjunctive Services
Maintain a healthy perio appointment percentage
Maintain Recare Efficiency >90%
Maintain the agreed-upon level of Case Acceptance percentage
Hygiene Engagement & eNPS scores on OfficeVibe
Support the overall vision, goals, and strategies, per the annual budget
Participate in 1:1’s and stay engaged with Hygiene Excellence Partners
Passion for excellence in the area of Dental Hygiene
Deep understanding of best practices for hygiene diagnosis and protocols to execute optimal hygiene treatment
Understanding of best practices for CDT code use within a hygiene protocol
In-depth knowledge of the hygiene courses that best support the hygiene team and when to have a team member attend
Influencing skills to direct Hygienists towards optimal patient care:
Ability to train on case acceptance for hygiene procedures
Ability to gain case acceptance from the hygiene chair for the doctor
Knowledge of practice management software as it pertains to hygiene, treatment planning, and the ability to convey information to the front office accurately and in ways that will help them motivate the patient for excellent dental care.
Overall understanding of office philosophy and systems
Teaching skills in regard to x-ray, computer, and other areas that are important to the hygiene department.
A full understanding of existing and emerging technologies that support ideal care
High level of ability to lead, manage and coach others
Experience in conflict resolution and giving feedback on performance
Ability to align and train others on best practices
Able to identify issues and create solutions that are right for the team
Flexible, Decisive, and Solution-Seeking
Excellent Written and Verbal Communication
Relationship-building skills with the doctor & team
Knowledge of hygiene & sterilization concepts
Time management, attention to detail and organizational skills
Ability to multi-task, work efficiently and meet deadlines
Good listening and processing skills
Critical thinking and ability to make decisions quickly
Be open to give and receive constructive feedback
Work independently and collaboratively with the team
Dependability with commitments and able to meet deadlines
Computer skills, typing skills, knowledge base with multiple software systems
Understanding of emerging technologies that support ideal care
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The Sr. Financial Analyst is responsible for preparing and analyzing monthly results, preparation of annual budgets and ad-hoc forecasts to support the company’s strategic growth and financial goals. The Sr. Financial Analyst will be a valued member of the Finance team, working cross-functionally with senior leadership and reporting to the Manager, FP&A. This position is a great opportunity for self-driven, highly motivated individuals, who value teamwork and technology in a strong private equity backed – health care setting within a forward-thinking company, embracing an eternal start-up feel.
Duties & Responsibilities
Education, Experience & Skills/Abilities
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