5+ years in dental or healthcare revenue cycle management, with a comprehensive understanding of the full cycle.
Experience stabilizing, building, or scaling RCM operations across multiple locations, ideally in a DSO or MSO.
Strong knowledge of PPO, HMO, and Medicaid processes, including verification, claims, coding, and denials.
Proven ability to document workflows and implement training systems, rather than just following established processes.
Experience managing and developing remote teams effectively.
Ability to analyze and act on KPIs to drive operational improvements.
Responsibilities
Oversee the entire revenue cycle from verification through to patient collections.
Monitor and report on critical KPIs such as net collection rate and denial rates.
Standardize workflows and create training systems to ensure consistency in performance.
Lead and develop the in-house verification and claims management team.
Manage vendor relationships, including outsourced billing partners and their performance.
Prepare the revenue cycle operations for new market launches.
Benefits
Autonomy to build and improve revenue cycle processes from the ground up.
High visibility and direct influence on the company's financial success.
Opportunity to work with a growing organization with expansion plans.
Full Job Description
What you'll own
End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets.
KPIs and reporting: net collection rate, days in AR, denial and rejection rates, clean-claim rate, and aging - with regular reporting to leadership.
Process and training: document and standardize workflows, build training systems, and create the SOP's that keep performance consistent across locations.
Team leadership: manage and develop in house verification and claims staff; build the structure and capacity needed as we scale.
Vendor management: own the relationship with any outsourced billing partners - performance, SLAs, audit of their output, and the in-house audit function that works alongside them.
New-market readiness: stand up revenue cycle operations for new markets as we open them.
What we're looking for
5+ years in dental or healthcare revenue cycle management, with a track record of owning the full cycle (not just billing or just verifications).
Proven success stabilizing, building, or scaling RCM operations - ideally across multiple locations in a DSO, MSO, or multi-site group.
Strong command of dental and medical insurance: PPO, HMO, and Medicaid verification and claims; coding; denials and appeals.
Process builder: you've documented workflows, created training, and put metrics and accountability in place - not just worked within someone else's system.
People leader: experience managing and developing distributed/remote teams.
Data-driven: comfortable owning KPIs and using them to drive improvement.
Why this role
A genuine ownership role with the autonomy to build, not just maintain.
High visibility with senior leadership and direct impact on the company's financial performance and growth.
A growing organization with multiple new markets on the roadmap.
