Job Description

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