Specialty Partner Support Manager

Overview:

MB2 Dental, a first-of-its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Specialty Partner Support Manager. This is an excellent opportunity to work in a highly collaborative team while independently managing multiple job tasks and responsibilities.

MB2 proudly collaborates with more than 740 Dentist Owners and supports over 770 practices across 44 states. Under the visionary leadership of our CEO, Dr. V, you will find a fulfilling career within the MB2 family right from the start. Join us today and discover why MB2 is widely recognized as an exceptional workplace that fosters professional growth and an unparalleled sense of community.

POSITION SUMMARY

Provide payer relations support to MB2 Dental (MB2) Specialty offices using a customized, consultative approach. Responsibilities include optimizing dental plan revenue, serving as key liaison between MB2 offices and the Payers, and providing Payer Relations expertise to the offices, Credentialing and Central Business Office (RCO).

DUTIES AND RESPONSIBILITIES

• Conduct annual payer portfolio review for each assigned office to optimize network participation.
• Conduct annual UCR fee review for each assigned office to calibrate cash fees against industry fee data.
• Serve as payer relations subject matter expert/information resource as an internal consultant.
• Negotiate contracts and compensation with assigned (regional) Payers, pursue member assignments, and prospect/present new payer networks to Operations team for consideration.
• Work closely with assigned payers to ensure proper understanding of payer guidelines, contractual terms and claims processes, and monitor legislation that impacts payer products and reimburement.
• Actively manage assigned payer relationships including regularly scheduled reviews to discuss opportunities and serve as single point of contact and key liaison between MB2 and assigned payers to resolve daily issues.
• Research and resolve payer-related issues on behalf of offices, as well as internal departments such as Credentialing and RCO.
• Communicate value and support implementation of operational efficiencies such as EDI, EFT, ERA, and web portals utilization.
• Coordinate and conduct office training on payer relations topics such as leased/rental networks or how to maximize PPO, DHMO, EPO plan participation.
• Coordinate patient grievance resolution, as needed.
• Coordinate resolution of (large) payer claims disputes, upon request.
• Perform other related duties, as assigned.

COMPETENCIES AND SKILLS

To perform the job successfully, an individual should demonstrate the following competencies:

Analytical Skills

• Analyze information skillfully with ability to create action plans.
• Think strategically and communicate recommendations to senior management and doctors.
• Project revenue streams and draw conclusions with recommendations.

Relationship Management Skills

• Interpersonal Skills: able to develop productive business relationships inside/outside MB2 Dental.
• Able to interact effectively with senior management in a cross-functional manner.
• Strong customer service attitude and consultative skills.
• Positive attitude and desire to collaborate in a team environment

Communication Skills

• Language: able to read, write and speak English fluently.
• Oral: speaks clearly and persuasively; effectively presents information.
• Written: writes professional business correspondence; presents numerical data effectively.
• Presentation: effective presentation skills with ability to present to both large and small groups.

Organizational Skills

• Initiative: self-motivated, requiring minimal supervision while working remotely.
• Time Management: able to organize and prioritize workload and execute tasks in a timely manner.
• Administrative Skills: detail oriented; pays close attention to accuracy.
• Strong follow-up skills.

Computer Skills

• Strong PC skills.
• Software: working knowledge of Microsoft Office, including Outlook, Word, and PowerPoint.
• Software: advanced knowledge of Microsoft Excel, including ability to create, manipulate, analyze, and interpret spreadsheets.
• Working knowledge of dental practice management systems (EX: Dentrix) is a plus.

EDUCATION AND EXPERIENCE

• AA degree desired.
• Dental industry experience required, including working knowledge of PPO, DHMO, EPO, Medicare and Medicaid models.
• 2 to 5 years of Specialty dental office experience required. Preference for multi-specialty experience.
• Equivalent combination of education and experience.

MB2 Dental Solutions, LLC is an equal opportunity employer.

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