The Swish Dental team is looking for a highly motivated
RCM Manager to join our team.
Why You'll Love Swish DentalOur career opportunities come with great benefits including:
- Competitive salary
- Bonus opportunities
- No weekends
- Medical, vision, & dental benefits
- Short-term disability
- Paid holidays and time off
- Opportunities to grow
- And more!
Main Duties and ResponsibilitiesRevenue Cycle Management:
- Develop and implement strategies to optimize the entire revenue cycle, focusing on maximizing revenue generation and minimizing claim denials.
- Oversee all billing, coding, collections, and denial management activities.
- Ensure accurate and timely claim submission to all insurance payers.
- Analyze and identify areas for improvement in the revenue cycle process.
- Manage and monitor key performance indicators (KPIs) such as collection rates, AR days, and denial rates.
- Develop and maintain strong relationships with insurance companies to ensure smooth claim processing and maximize reimbursements.
Credentialing:
- Manage the credentialing process for all dentists within the organization, ensuring timely application submissions and provider enrollment with all necessary insurance companies and healthcare networks.
- Maintain accurate and up-to-date provider information.
- Track credentialing deadlines and proactively manage renewals to avoid disruptions in patient care.
- Negotiate dental fee schedules with insurance companies to secure optimal reimbursement rates for the practice.
Leadership and Team Management:
- Provide strong leadership and direction to the revenue cycle and credentialing teams.
- Develop, coach, and mentor staff to ensure they possess the necessary skills and knowledge to perform their duties effectively.
- Foster a culture of accountability, continuous improvement, and teamwork within the department.
- Implement strategies to mitigate fraud and abuse risks.
- Other duties as assigned.
Skills and Abilities- Fluent in English; verbal and written
- Basic computer skills
- Strong interpersonal skills
- Provide strong leadership and direction to the revenue cycle and credentialing teams.
- Develop, coach, and mentor staff to ensure they possess the necessary skills and knowledge to perform their duties effectively.
- Foster a culture of accountability, continuous improvement, and teamwork within the department.
- Implement strategies to mitigate fraud and abuse risks.
- Excellent communication, interpersonal, and organizational skills.
- Proficient in dental practice management software and relevant revenue cycle management tools.
- Ability to work independently and manage multiple priorities simultaneously.
- Detail-oriented and results-driven with a focus on accuracy and efficiency.
- Proven track record of success in optimizing revenue cycle performance and maximizing collections.
- In-depth knowledge of dental coding and billing practices.
- Strong understanding of dental insurance and reimbursement processes.
Education and Experience- Minimum 5 years of experience in dental revenue cycle management.
- 2+ years of experience managing and leading a team of revenue cycle and credentialing professionals.
- High school diploma or equivalent required
- College degree preferred
Physical Demands and Work Environment- This position may be required to sit or stand for long periods
- This position may be required to work more than 40 hours per week
- This position is in a clinical studio environment which can be noisy and distracting
- This position may be exposed to infectious diseases and/or blood borne pathogens
- This position may be required to handle sharp objects
- This position may be exposed to harmful chemicals and/or gasses
- This position may be required to communicate with others to exchange information
- This position may require repetitive motions that include the wrists, hands and/or fingers
- This position may require the operation of machinery and/or power tools
- This position may require the assessment of the accuracy, neatness and thoroughness of the work assigned
- This position may require moving self in different positions to accomplish tasks in various environments including tight and confined spaces
- This position may require medium work that includes moving objects up to 50 pounds
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
