MidFull TimeEN
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're 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
Required
3–5+ years of dental revenue cycle experience (DSO preferred)
1–3+ years of team leadership or supervisory experience
Strong knowledge of:
Dental billing, CDT codes, and claims workflows
Insurance A/R, denials, and payer processes
Experience managing KPIs and operational performance
Advanced problem-solving and analytical skills
Strong communication skills with ability to interact across all levels
Preferred
Experience with Denticon or similar PMS
Experience working with automation, RPA, or workflow tools
Experience managing outsourced/vendor teams
Background supporting multi-location or enterprise environments
