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Pacific Dental Services · 5 days ago
Associate Analyst, ROC Quality Improvement
Irving, TX
Full-time
Onsite
Mid Level
3+ years exp
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Insider Connection @Pacific Dental Services
Responsibilities
Daily account audits to determine alignment with standard operating procedures
Summarizes analyses and reports findings to leadership for ongoing transparency and improvement.
Assessing functionality and relevancy of quality improvement tools and processes
Read and interpret quality data reporting for effective analysis.
Perform database queries to validate test data.
Continuously look at functions and process of ROC team and identify and resolve any noticeable patterns of errors by conferring with the management team.
Investigate frequent errors occurred in processes.
The candidate will be working in a fast-paced environment and will need to work well within our team, on multiple applications & applicable technologies.
Research, document, and present trends in each department around quality and quantity.
Draw up audit findings in a professional manner and prepare to discuss with management.
Analyze claims, accounts, and patient information to ensure quality and quantity standard compliances.
Oversee and interact with other PDS departments and team members regarding certain administrative operations within practices, including plan credentialing, eligibility, fees, pre-authorizations, billing, auditing, medical and claims follow-up.
Other duties as assigned by management.
Qualification
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Required
3+ years of experience working directly in claim billing lifecycle (centralized billing functions)
Experience in dental industry, claims processing, and general knowledge of HMO/PPO insurances
Ability to read and interpret EOBs (Explanation of Benefits)
Epic software applications
Microsoft Office Applications w/ intermediate knowledge of Excel
Preferred
Bachelors Degree from accredited institution w/ focus on Healthcare, Business Administration or related field
Prior quality assurance/account auditing experience
Experience reporting analytics into summaries, charts, graphs, etc.
Experience with change controls and tracking updates to shared documents
Benefits
Medical, dental, and vision insurance
Paid time off
Tuition Reimbursement
401K
Paid time to volunteer in your local community
Company
Pacific Dental Services
PDS is one of the country’s leading dental support organizations.
10,001+ employees
H1B Sponsorship
Pacific Dental Services has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Trends of Total Sponsorships
2023 (8)
2022 (4)
2021 (7)
2020 (5)
Funding
Current Stage
Late StageLeadership Team
Stephen Thorne
Founder & CEO
Jeremy Jonckheere
Vice President, Strategic Payor Partnerships
Recent News
2022-05-11
2022-01-12
Company data provided by crunchbase
