Clinical Operations Analyst

• Manage the full insurance claim lifecycle, including verification, submission, follow-up, and appeals.
• Investigate claim rejections and denials, collaborating with billing teams to resolve issues and secure timely reimbursements.
• Monitor aging reports and lead coordinated follow-up efforts across multiple dental offices.
• Set up and maintain insurance plans and fee schedules in practice management system (Dentrix Ascend).
• Oversee ERA/EFT enrollments and payer portal access, ensuring seamless remittance workflows.
• Reconcile posting discrepancies and correct misapplied or misallocated payments.
• Track and analyze KPIs such as production, collections, A/R, no-show/cancellation rates, and patient retention.
• Evaluate provider productivity (e.g., chair utilization, procedures per provider) and hygiene recall effectiveness.
• Identify inefficiencies in scheduling, billing, and patient flow, and recommend targeted improvements.
• Deliver recurring and ad hoc reports on revenue performance by provider, location, and service line.
• Analyze payer mix, reimbursement trends, and underpayments to identify opportunities for revenue optimization.
• Present actionable insights to support leadership in strategic planning and operational decisions.
• Conduct routine audits to ensure billing accuracy and compliance with CDT coding and payer policies.
• Standardize insurance data, billing workflows, and fee schedules across practices and systems.
• Support practice management system (PMS) migrations, updates, and integration initiatives.
• Develop and maintain training materials for billing procedures, portal usage, eligibility checks, and ERA/EFT setup.
• Provide onboarding and ongoing training to front office and billing staff.
• Serve as a subject matter expert on insurance policies, billing protocols, and claim troubleshooting.

• Bachelor's degree in healthcare administration, business, data analytics, or related field.
• Education and related work experience can be considered in lieu of Bachelor's Degree.
• Prior experience in a Dental Support Organization (DSO) or multi-location dental practices preferred.
• Proficiency in Microsoft Excel, including pivot tables, advanced formulas, and data visualization.
• Experience with dental practice management software (e.g., Dentrix, Open Dental, Eaglesoft).
• Strong knowledge of dental insurance billing, CDT codes, and payer-specific requirements.
• Hands-on experience with insurance setup and financial workflows in dental PMS platforms, especially Dentrix Ascend.
• Deep understanding of claims processing, A/R management, denials, and appeals.
• Excellent verbal and written communication skills, with the ability to present data to non-technical stakeholders.
• Excellent time management skills with a proven ability to meet deadlines.

• Competitive compensation and benefits.
• Collaborative, team-oriented culture.
• The chance to make an impact in a growing organization while supporting providers and enhancing patient experiences.

Cherry Tree Dental