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Affordable Dentures & ImplantsCore Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in fee schedule management, charge auditing, and revenue cycle processes, with a strong focus on data analysis and reconciliation. Proficient in building governance processes and delivering comprehensive reporting to support payer relations.
Highest-signal resume keywords
Fee Schedule ManagementCharge AuditingRevenue Cycle ManagementData AnalysisPayer Contracting
About the role
Key responsibilities & impact- Establish and maintain a centralized fee schedule repository covering 100% of active contracts
- Maintain and review fee schedule data for annual regulatory updates, payer-specific revisions, and bundled payment structures
- Implement a fee schedule change log and governance process for amendments, escalators, and code updates
- Review and audit contracted rate tables against payer agreements, allowables, and internal charge/rate references
- Detect and document variances between billed amounts, contracted rates, and paid amounts across payer categories
- Partner with Revenue Cycle Management to reconcile rate tables and correct configuration issues
- Investigate underpayments, coding/billing mismatches, and rate-table configuration problems
- Implement semi-annual fee schedule audits to identify reimbursement leakage
- Resolve rate configuration problems, prevent recurring errors, and recover missed reimbursements
- Build and deliver audit summaries, trend reports, recommendations, monthly dashboards, and semi-annual executive reporting
- Conduct quarterly business reviews with strategic payors
- Perform other duties as assigned by the Director, Payor Relations
Requirements
What you’ll need- Bachelor's degree in Business, Finance, Healthcare Administration, or a related field required; equivalent experience considered in lieu of degree
- 3+ years of experience in charge auditing, revenue cycle management, payer contracting, or a related healthcare finance role
- Experience working with contracted rate tables, fee schedules, and payer reimbursement methodologies
- Strong analytical and reconciliation skills, with the ability to detect variances and root causes in complex rate data
- Advanced proficiency in Excel and other data analysis or business intelligence tools
- Strong cross-functional communication skills, with the ability to partner effectively with RCM
- Excellent organizational skills, with the ability to build and maintain governance processes and reporting cadences
- Detail-oriented with the ability to manage multiple priorities and deadlines independently
- Applicants must be authorized to work for any employer in the U.S.; employment visa sponsorship is unavailable
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge AuditingFee Schedule ManagementPayer Reimbursement MethodologiesVariance DetectionRate Table Configuration
Soft Skills
Analytical SkillsCross-Functional CommunicationOrganizational SkillsDetail-OrientedIndependent Management
Tools & Technologies
ExcelBusiness Intelligence Tools
Industry Keywords
Healthcare AdministrationPayer AgreementsReimbursement LeakageGovernance ProcessesContracted Rate Tables