Root Cause Analyst, Revenue Cycle Management

Root Cause Analyst, Revenue Cycle Management

Are you a problem solver with a keen eye for detail? We're looking for a dedicated Root Cause Analyst to help us achieve our mission by pinpointing and resolving issues within our revenue cycle processes. In this vital role, you'll enhance operational efficiency and uphold the accuracy and integrity of our data. If you're passionate about making a difference and driving continuous improvement, apply now to be a part of our dynamic team!

About Heartland Dental

With more than 1,700 dental offices supported across 38 states, over 20,000 team members and over 2,600 supported doctors in our support, Heartland Dental has a proven track record of growth and success. We’re looking for professional individuals who are open, positive and mentally flexible to join our network of support

Early 2018, KKR became Heartland Dental’s new lead investor, With Ontario Teacher’s Pension Plan (OTTP) remaining a minority investor. KKR’s resources and partnership have opened up many new opportunities to further advance the company’s growth. With annual revenues exceeding $1 billion, we continue to expand our profitability and nationwide footprint. Growth is derived from same-office growth, new office development and new affiliations.

This individual will work independently, but also as part of a dynamic team within the Revenue Cycle Management Department to meet company goals. To give you an idea of team structure, this individual will report to the Revenue Cycle Manager.

Below is an overview of the duties and responsibilities you would take on in this role:

• Root Cause Analysis: Systematically identify, investigate, and address the underlying causes of problems within revenue cycle processes.
• Data Collection: Gather relevant data from various sources to understand the problem.
• Investigation: Conduct thorough investigations to understand the contributing factors and how they interrelate.
• Data Analysis: Use analytical tools and techniques to analyze data and identify patterns that point to root causes.
• Process Improvement: Develop and implement strategies to address root causes and improve operational efficiency.
• Reporting: Prepare and present findings to relevant stakeholders, providing actionable insights to improve processes.
• Collaboration: Work with different departments and stakeholders to implement solutions and monitor their effectiveness.
• The position will have access to minimum PHI necessary for performing job-related functions; regular HIPAA training, aligning with the specific role and responsibilities, will be required; and the individual will need to protect PHI and maintain data safeguards.
• Other projects as assigned

Minimum Requirements:

• Practical knowledge of Dental or Medical Insurance and/or Accounts Receivable.
• Strong computer skills, including experience with Microsoft Word, Outlook, Excel, and PowerPoint.
• Strong organizational skills, accuracy, and attention to detail.
• Excellent analytical skills, solutions-oriented.
• Ability to handle sensitive material confidentially.
• Provides explanations and interpretations within area of expertise.
• Strong written and verbal communication skills.
• Ability to work independently and complete tasks without supervision.
• Ability to prioritize multiple tasks, including understanding multiple products and multiple levels of benefits within each project.
• Solid understanding of how to reallocate payments to procedures.
• Identify, manage, and correct complex process issues.
• Practical knowledge of consumer financing.
• Strategic thinker who is comfortable making decisions.
• Demonstrated ability to identify and resolve data discrepancies.
• Three or more years of experience in data analysis or a related field.

Desirable Qualifications:

• A degree in data science, statistics, business administration, or a related field preferred.
• Experience with insurance billing and/or collecting past due balances, preferably in a healthcare setting.
• Knowledge of a variety of hospital, physician, and/or dental billing systems.
• Knowledge of a variety of insurance online systems as well as online status/eligibility inquiry sites.
• Experience in Dental, Hospital, or Physician Billing and Collections.

Physical Requirements:

• Ability to perform essential duties satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position
• Prolonged periods sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

We put our people first at Heartland Dental, and that shows in our generous benefits package.

Company retains the sole discretion to change the duties of the position at any time.

We provide all employees and applicants for employment the protections of federal, state, and local laws affording equal opportunity in employment.