The Revenue Cycle Manager is responsible for overseeing the Revenue Cycle Department staff in all efforts to maximize cash flow while supporting practice operations. This includes identifying material reimbursement issues, ensuring that claims, denials, and appeals are efficiently processed by the practices or by staff at the Smile Center. The Manager will work directly with Regional Operations Managers and practice personnel to effectively support the operations team in maintaining accurate and current patient billing and receivables. This individual will serve as a direct liaison between the Smile Center, various benefit payors, and practices under the LPDG umbrella.

Key Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Review, design and implement processes surrounding billing and collections of patient accounts receivable.
• Establish, monitor, and report metrics related to the revenue cycle process including, but not limited to, billing turnaround times, collection rates.
• Manage staff performance by providing regular feedback, performance reviews, and one-on-one meetings.
• Oversee the hiring and training of department staff.
• Proactively monitoring patient account totals in all offices to ensure that all balances are addressed within established standards.
• Work closely with the Credentialing team and Operations team to ensure all fee schedules, new doctor additions to Denticon, all payor fee schedule changes are done timely to ensure no lag in collections.
• Work closely with the Operations team to identify and address account receivable concerns and problems within the offices on a timely basis. This includes developing and delivering training programs to improve performance around patient billing and collections.
• Partner with transitions team to onboard offices and ensure compliance with Lone Peak billing/collection processes.
• Any other tasks that may be assigned.

Position Requirements

• Working knowledge of dental procedures and terminology, professional fee billing, reimbursement, third party payer regulations.
• Working knowledge of regulatory requirements, specifically Medicaid, pertaining to dental operations.
• Minimum of 3+ years in a supervisory role.
• Minimum of 5 + years of experience actively working accounts receivable in a dental practice.
• Experience with practice management software, preferably Denticon.
• Experience with the dentist credentialing process is preferred.
• Demonstrate excellence in time management skills in a fast, multi-tasked environment.
• Exhibit intellectual curiosity, attention to detail, critical and independent thinking skills.
• Superior analytical, problem-solving and decision-making skills.
• Able to function independently while managing and developing strong working relationships within all levels and functions of the organization.
• Must be self-directed and highly motivated. Strong business acumen and interpersonal skills a must.
• Ability to manage changing priorities.
• Superior communication and organizational skills with a keen attention to detail.

Please note this job description is not designed to cover or contain a comprehensive list. Duties, responsibilities and activities may change at any time with or without notice.