Revenue Cycle Manager Dental

Its fun to work in a company where people truly BELIEVE in what theyre doing!

Were committed to bringing passion and customer focus to the business.

Core Responsibilities

1. Team Leadership & Performance Management

• Lead coach and develop a team of Revenue Cycle Specialists

• Establish clear performance expectations KPIs and productivity standards

• Conduct regular 1:1s performance reviews and development planning

• Drive a culture of accountability ownership and continuous improvement

• Manage team capacity workload distribution and escalation pathways

2. Revenue Cycle Operations Oversight

• Oversee daily operations including:

  • Claims submission and follow-up

  • Insurance A/R and denial management

  • Post payment tasks and reconciliation

• Ensure timely resolution of aging claims and payer issues

• Monitor and improve key metrics:

  • Volumes by Payer

    • Days in A/R

    • Net collection rate

    • First-pass resolution rate

    • Denial rate and recovery

• Standardize workflows across teams and locations

  • Manage service tickets from internal clinic teams maintaining resolution SLA: 24-48 hours

  • Delegate to Dental AR team members

  • Complex tickets are reviewed and directly handled by lead/manager

  • Serve as escalation point for unresolved or mishandled issues

• Ensure credentialing and fee schedules are in alignment based on master rosters and claims are being paid appropriately.

3. Payer & Issue Resolution Management

• Act as escalation point for complex payer issues and underpayments

• Identify trends in denials rejections and payer behavior

• Partner with credentialing team to resolve systemic issues

• Drive root-cause analysis and corrective actions

4. Process Improvement & Automation

• Identify opportunities to reduce manual work through automation and system enhancements

• Partner with internal technology teams and vendors to implement scalable solutions

• Support development of worklists reporting tools and workflow optimization

• Continuously evaluate processes to improve efficiency accuracy and turnaround times

5. Vendor & Cross-Functional Collaboration

• Serve as primary liaison with RCM vendors and outsourced partners

• Monitor vendor performance against SLAs and quality standards

• Collaborate with:

  • Operations / Clinics

  • Finance / Accounting

  • Credentialing/Fee Schedule Specialist

  • IT / Automation teams

• Work closely with claims clearinghouse and Dental PMS system vendors to ensure timely resolution of issues.

• Support M&A integration and onboarding of new practices

6. Reporting & Analytics

• Develop and deliver regular reporting on team performance and revenue cycle metrics

• Analyze trends and provide actionable insights and recommendations

• Use data to drive decision-making prioritization and resource allocation