Director of Revenue Cycle Management

Plum Dental Group • Plum Dental - Rhode Island, RI

1d

About The Position

The Director of Revenue Cycle Management owns the full revenue cycle for a dental group with more than 30 practices across Rhode Island and Connecticut, spanning strategy through daily billing operations. The role leads the department and directly oversees centralized billing, including patient accounts receivable and complex insurance accounts receivable exceptions that cannot be resolved offshore.

The Director applies deep dental revenue cycle management expertise and a strong operational mindset to build scalable processes across locations, maintain clear team accountability through metrics, and balance revenue goals with patient trust. The position leads billing, collections, coding, compliance, planning, analysis, and policy development; oversees onshore and offshore billing workflows; and works with Operations, Credentialing, and organizational leadership to improve performance and resolve issues.

Requirements

• Bachelor's degree in healthcare administration, business administration, accounting, or a related field.
• At least 7 years of dental billing and/or insurance revenue cycle management experience.
• At least 3 years of people management experience, including leading managers or multi-site teams.
• Strong understanding of the full dental claim lifecycle, coding, reimbursement, and payer regulatory requirements.
• Experience managing both insurance and patient accounts receivable.
• Excellent analytical, problem-solving, and decision-making skills, including the ability to interpret complex financial and operational data.
• Demonstrated success leading projects and driving process improvement.
• Strong communication skills and the ability to explain complex concepts to diverse audiences and build relationships with internal and external stakeholders.
• High degree of composure and interpersonal skill.
• Proficiency with practice management systems and Microsoft Office.

Nice To Haves

• Experience in a multi-location dental group or centralized billing model.
• Experience working cross-functionally with offshore teams.

Responsibilities

• Lead the Revenue Cycle Department, overseeing billing, collections, coding, compliance, planning, analysis, and policy development.
• Improve department productivity and minimize errors through structured auditing, reporting, and follow-up training.
• Standardize scalable revenue cycle processes across practices; have CareStack-related SOP changes reviewed by the Director of Systems & Analytics.
• Collaborate with Operations to align revenue cycle processes with practice workflows.
• Build and maintain effective payer relationships and serve as the organization's subject matter expert in dental billing, coding, and insurance.
• Oversee patient accounts receivable and complex insurance accounts receivable exceptions escalated from the offshore team.
• Ensure timely follow-up on unpaid claims, denials, and underpayments; monitor claim lifecycle performance and improve speed and accuracy.
• Research and resolve complex, high-level billing issues.
• Identify workflow inefficiencies and implement automation and best practices to reduce rework and aging accounts receivable within CareStack change governance.
• Partner with Credentialing to resolve payer enrollment and network-related issues.
• Ensure billing accuracy and compliance with regulatory and payer guidelines, coding standards, and internal policies.
• Maintain internal controls over allowances, adjustments, and write-offs, with appropriate review and approval.
• Ensure deposits reconcile to the practice management system monthly.
• Participate in revenue cycle audits, compliance reviews, and other regulatory activities.
• Deliver monthly revenue cycle metrics to the COO and CFO using certified metrics from the metric catalog.
• Track key performance indicators, including accounts receivable aging, collections, denial rates, and team productivity.
• Monitor areas of concern, identify trends, implement corrective actions, and prepare reports, presentations, and analyses for senior leadership.
• Ensure patient billing inquiries are handled empathetically, clearly, and professionally; support resolution of patient balances while maintaining trust and transparency.
• Manage, coach, and develop the onshore billing team.
• Lead the Offshore Billing Manager and ensure smooth handoffs and clear escalation paths between onshore and offshore teams.
• Oversee daily, weekly, and monthly billing workflows to ensure timeliness and accuracy.
• Lead hiring, onboarding, and training for the department; set team goals and deadlines and ensure they are met.
• Foster a positive, patient-focused, and collaborative team culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Director