Payer Strategy Specialist jobs in United States
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MB2 Dental · 1 day ago

Payer Strategy Specialist

MB2 Dental, a Dental Partnership Organization, is seeking a Payer Strategy Specialist to join their team in Carrollton, TX. This role involves negotiating terms with dental carriers and providing administrative support while managing data analytics and partner discussions.

DentalHealth CareInformation TechnologyManagement Consulting
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Growth Opportunities

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

Qualification

Data analyticsMicrosoft ExcelDental industry experienceDental billingCustomer serviceSelf-managementTeamworkCommunication skillsOrganizational skills

Required

Ability to manipulate, interpret, and investigate data sets
Basic understanding of statistics
Can think critically/strategically and draw evidence-based conclusions with recommendations
Able to project revenue lift and conduct profitability analysis
Strong customer service orientation and skill set
Team perspective, placing the needs of the team and the company first
Ability to interact effectively with senior management in a cross-functional manner
Able to read, write, and speak English fluently
Speaks clearly and persuasively, effectively presenting information and responding to questions
Writes professional business correspondence; presents numerical data effectively
Effective presentation skills with the ability to present to small groups of people
Ability to multitask and prioritize workload in a fast-paced environment
Meticulous; pays close attention to accuracy
Takes initiative and is self-motivated to improve processes and outcomes
Productive in a remote environment under minimal supervision
Strong follow-up skills
Computer literate
Familiarity with navigating dental insurance portals
Working knowledge of Microsoft Office, including Outlook, Word, and Adobe
Advanced knowledge of Microsoft Excel, including the ability to create, manipulate, analyze, and interpret spreadsheets
Working knowledge of the Internet, Internet browsers, and search engines
Associate degree desired
Two to five years of experience in dental office management and/or dental plan administration is desirable
Experience in dental billing and credentialing is desirable
Equivalent combination of education and experience

Preferred

Dental industry experience preferred

Company

MB2 Dental

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MB2 Dental is more than a DSO, it’s a Dental Partnership Organization.

Funding

Current Stage
Late Stage
Total Funding
$3.02B
Key Investors
Warburg PincusKohlberg Kravis Roberts
2024-11-13Private Equity· $525M
2024-02-15Debt Financing· $2.34B
2023-05-02Debt Financing· $150M

Leadership Team

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Chris Steven Villanueva
Founder & CEO
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Jonathan Tyroch
Vice President | Business and Corporate Development (M&A)
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Company data provided by crunchbase