Job details

Revenue Cycle Strategy Analyst

Company Description

At Gen4, we pride ourselves on our commitment to providing an incredible patient experience. We are passionate about our craft and the impact we can have on our patients. We aim to foster a doctor-centric organization that allows our doctors to do more of what they love. Culture, high performance, growth, and development are deeply embedded in our business and we have our sights set on finding individuals who are excited to be a part of a growing, flourishing company like ours. We offer competitive pay and a comprehensive benefits package available on the 1st of the month after 30 days of employment for full-time employees.

To learn more about us, check out our website here: https://gen4dental.com/

Job Description

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.

Qualifications

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.

Additional Information

Working Environment & Physical Requirements

Working conditions include those typically seen in an office environment. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times.

Equal Opportunity Employer

Gen4 Dental Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Average salary estimate

$90000 / YEARLY (est.)

min

max

$80000K

$100000K

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What You Should Know About Revenue Cycle Strategy Analyst, Gen4 Dental

Welcome to Gen4! We're excited to announce our search for a passionate Revenue Cycle Strategy Analyst to join our dynamic team in Tempe, AZ. At Gen4, we prioritize an incredible patient experience and create a work culture that enables our doctors to thrive in their practice. As a Revenue Cycle Strategy Analyst, you'll play a crucial role in supporting our revenue cycle functions, including operations, payor relations, and credentialing. Your keen analytical skills will drive insights into our financial health by gathering and aggregating data across multiple datasets. You'll collaborate closely with the Sr. Director of Payor Relations to optimize reimbursement rates through detailed payor mix analyses and market-driven UCR analysis. Plus, you’ll audit EOBs to ensure we receive the reimbursements we're entitled to. We're looking for someone who can develop a streamlined credentialing process and manage our payor contracts efficiently. Your experience in this role will involve creating comprehensive data models and providing ad-hoc analyses to help us identify trends and opportunities for improvement. If you're skilled in tools like Excel and Power BI, have a knack for problem-solving, and possess a background in healthcare revenue cycle, we want to hear from you! Join us at Gen4 and help shape a better future for our dental practices.

Frequently Asked Questions (FAQs) for Revenue Cycle Strategy Analyst Role at Gen4 Dental

What are the responsibilities of a Revenue Cycle Strategy Analyst at Gen4?

As a Revenue Cycle Strategy Analyst at Gen4, you'll handle various responsibilities including supporting revenue cycle operations, conducting payor mix analyses to optimize reimbursement rates, and ensuring accurate auditing of EOBs for proper reimbursement. Additionally, you'll create a streamlined credentialing process and maintain payor contracts, providing crucial insights into the overall financial health of our revenue cycle operations.