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About the Role
Swish Dental is seeking a motivated Revenue Cycle Management (RCM) Manager to optimize revenue generation, minimize claim denials, and oversee billing, coding, collections, and denial management.
Responsibilities
- Develop and implement strategies to optimize the entire revenue cycle, focusing on maximizing revenue generation and minimizing claim denials.
- Oversee all billing, coding, collections, and denial management activities.
- Ensure accurate and timely claim submission to all insurance payers.
- Analyze and identify areas for improvement in the revenue cycle process.
- Manage and monitor key performance indicators (KPIs) such as collection rates, AR days, and denial rates.
- Develop and maintain strong relationships with insurance companies to ensure smooth claim processing and maximize reimbursements.
- Manage the credentialing process for all dentists within the organization, ensuring timely application submissions and provider enrollment with all necessary insurance companies and healthcare networks.
- Maintain accurate and up-to-date provider information.
- Track credentialing deadlines and proactively manage renewals to avoid disruptions in patient care.
- Negotiate dental fee schedules with insurance companies to secure optimal reimbursement rates for the practice.
- Provide strong leadership and direction to the revenue cycle and credentialing teams.
- Develop, coach, and mentor staff to ensure they possess the necessary skills and knowledge to perform their duties effectively.
- Foster a culture of accountability, continuous improvement, and teamwork within the department.
- Implement strategies to mitigate fraud and abuse risks.
- Perform other duties as assigned.
Requirements
- Minimum 5 years of experience in dental revenue cycle management.
- 2+ years of experience managing and leading a team of revenue cycle and credentialing professionals.
- High school diploma or equivalent required.
- College degree preferred.
- Ability to work independently and manage multiple priorities simultaneously.
- Detail-oriented and results-driven with a focus on accuracy and efficiency.
- Proven track record of success in optimizing revenue cycle performance and maximizing collections.
- In-depth knowledge of dental coding and billing practices.
- Strong understanding of dental insurance and reimbursement processes.
- This position may be required to sit or stand for long periods.
- This position may be required to work more than 40 hours per week.
- This position may be exposed to infectious diseases and/or blood borne pathogens.
- This position may be required to handle sharp objects.
- This position may be exposed to harmful chemicals and/or gasses.
- This position may require repetitive motions that include the wrists, hands and/or fingers.
- This position may require the operation of machinery and/or power tools.
- This position may require the assessment of the accuracy, neatness and thoroughness of the work assigned.
- This position may require moving self in different positions to accomplish tasks in various environments including tight and confined spaces.
- This position may require medium work that includes moving objects up to 50 pounds.
Skills
- Fluent in English; verbal and written
- Basic computer skills
- Strong interpersonal skills
- Excellent communication, interpersonal, and organizational skills.
- Proficient in dental practice management software and relevant revenue cycle management tools.
Location
- Onsite
Work Type
- Full-time
Experience Level
- 5+ years in dental revenue cycle management
- 2+ years in leadership/management
Education Level
- High school diploma or equivalent
- College degree preferred
Salary/Compensations
- Competitive salary
- Bonus opportunities
Benefits
- Medical, vision, & dental benefits
- Short-term disability
- Paid holidays and time off
- Opportunities to grow
About the Company
- Swish Dental is a dental practice.
Equal Opportunity
- Swish Dental is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, gender identity, sexual orientation, disability, protected veteran status, age, or any other characteristic protected by law.