Beacon Oral Specialists - Dallas, TX

posted 4 months ago

Full-time
Dallas, TX

About the position

The Revenue Cycle Analyst position at Beacon Oral Specialists is a full-time role based in Dallas, TX, aimed at supporting oral surgeons in building a best-in-class clinical practice. The successful candidate will join a high-growth company that emphasizes creating a center of business excellence. The Revenue Cycle Analyst will be responsible for analyzing key performance metrics within the revenue cycle, developing and refining reports to identify problems and highlight potential opportunities. This role requires a strong understanding of healthcare revenue cycle processes, particularly in relation to third-party billing and denial management. In this role, the analyst will analyze third-party denials and prepare reports regarding trends in payments, denials, and rejections. Collaboration with ancillary departments and third-party payor representatives is essential to identify the sources of denials and develop processes to minimize untimely payments and underpayments. The analyst will also be tasked with preparing and distributing accurate statistics, managing all functions related to third-party billing processes, and creating regular updates to reports that help identify and correct issues impacting revenue. The position demands proficiency in data analysis and the ability to creatively display results. The analyst will monitor denial trends, recommend corrective actions, and actively participate in revenue cycle initiatives. Strong communication and interpersonal skills are crucial, as the role involves working independently and as part of a team to manage multiple complex projects effectively. The ideal candidate will possess a thorough understanding of healthcare revenue cycle management, including knowledge of ICD-10, CPT codes, and third-party reimbursements.

Responsibilities

  • Assist the Revenue Cycle with analysis of key performance metrics.
  • Develop and refine reports that identify problems and highlight potential opportunities.
  • Analyze third-party denials and prepare relevant reports regarding trends in payments, denials, and rejections.
  • Work with ancillary departments and third-party payor representatives to identify sources of denials and develop processes to minimize untimely payments, underpayments, denials, and rejections.
  • Prepare, mine data, evaluate, resolve, distribute, and record statistics accurately and timely.
  • Manage all functions related to third-party billing processes, specializing in denial management and fee schedule reimbursements.
  • Create and provide regular updates to reports that help identify and correct issues negatively impacting revenue.
  • Review individual denials to determine their causes.
  • Monitor denial trends and recommend corrective and preventative actions.
  • Produce ad-hoc reports as needed.
  • Actively participate in revenue cycle initiatives and lead processes affecting operations within the revenue cycle.

Requirements

  • BS/BA in Business or Finance preferred; equivalent work experience (3 years healthcare revenue cycle) acceptable in lieu of degree.
  • Experience with provider billing as opposed to hospital billing is required.
  • Experience in data analysis/data modeling with the ability to analyze data creatively and display results compellingly.
  • Knowledge of database management software (Access, SQL).
  • Strong computer skills; proficiency with Microsoft Office suite.
  • Thorough understanding of ICD-10, CPT codes, HCPCS codes, hospital and physician billing, third-party reimbursements, and contracts.
  • Experience with 835/837 files.
  • Software implementation and project management skills.
  • Excellent interpersonal and superior writing skills.
  • Deadline-oriented with the ability to work independently and in a team environment.
  • Ability to manage multiple complex and concurrent projects.
  • Proven ability to mine and analyze business data creatively and display results compellingly.
  • Strong situational analysis and data-driven decision-making abilities.
  • Demonstrated understanding of healthcare revenue cycle.
  • Proactive problem-solving and critical-thinking skills.
  • Excellent verbal and written communication skills.

Benefits

  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Vision insurance
  • Referral program
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