As we have transitioned into expanded insurance participation, we are seeking an experienced RCM Manager to lead our revenue cycle strategy and execution. This role is responsible for overseeing all billing, collections, insurance, and patient account functions to maximize cash flow, reduce Insurance AR, and ensure clean financial operations across insurances.
- Do you take pride in spotting the details others might overlook-especially when it comes to identifying claim denials, payment variances, or billing errors?
- Are you someone who thrives in a structured, system-driven environment where your ability to streamline processes directly impacts the bottom line?
- Do you get satisfaction from ensuring every dollar owed is collected-down to the last cent-and can explain the "why" behind every variance on an aging report?
- Have you led or improved processes around benefits verification, pre-authorizations, or claim submissions that cut down A/R days or improved clean claim rates? If so, we want to hear how.
If these questions resonate with you, please complete the following survey so we can better learn more about your traits. This survey should take 4-minutes to complete.
Site: https://go.cultureindex.com/p/oIxg3W8E53qir4PnD
KEY RESPONSABILITIES: Strategic Oversight- Design and implement end-to-end revenue cycle workflows that support scalability and compliance.
Team Leadership - Manage remote RCM team members.
- Hold team members accountable for completing insurance verifications and pre-determinations in a timely, accurate manner.
- Ensure all benefits are verified at least 48 hours prior to patient appointments, and pre-determinations are submitted with sufficient lead time to secure approvals before treatment.
- Facilitate collaboration with the front desk, treatment coordinators, and leadership teams.
Claims and Payer Relations - Oversee accurate claim submission and timely follow-up to reduce rejections and denials.
- Lead efforts in resolving complex payer issues and underpayments.
- Monitor changes in payer policies and CDT coding, and ensure ongoing staff education and compliance.
Patient Financial Experience - Ensure clarity and consistency in patient billing, statements, and financial communication.
- Collaborate with marketing and operations to educate patients on insurance participation and payment expectations.
Reporting and Financial Accuracy - Deliver weekly RCM performance reports to executive leadership.
- Reconcile payments, refunds, adjustments, and write-offs to maintain accurate financials.
- Update code additions or changes correctly in CareStack.
QUALIFICATIONS: - 5+ years of dental billing or revenue cycle experience (periodontal group experience highly preferred).
- Deep understanding of PPO insurance, out-of-network billing, and umbrella network participation.
- MUST HAVE experience with CareStack.
- Strong analytical, communication, and organizational skills.
Preferred Traits: - Periodontal billing or revenue cycle management is strongly preferred.
- Proactive, data-driven contributor who thrives in a fast-paced environment.
- Holds team accountable with a focus on results and transparency.
BENEFITS: SCHEDULE: - Full-time, Monday to Friday 9AM - 5PM CTS
