Manager, Revenue Cycle Management

Specialty Dental Brands • Nashville, TN

1h • Hybrid

About The Position

Specialty Dental Brands (SDB) is a leading dental service organization focused on partnering with the best doctors with a proven record of accomplishment of patient care and community involvement. They provide proven operational support, technology, and overall practice management across a nation-wide network of leading class pediatric dentistry, orthodontics, and oral surgery platforms. SDB is looking for a talented and highly motivated individual who has a natural desire to improve and build new processes and thrive in a start-up culture and rapidly growing business. The Manager, Revenue Cycle Management is primarily responsible for supporting RCM functions of the front and back office through training, education, analyzing collections, resolving non-payables special projects, handling inquiries for complex revenue cycle issues, front office auditing, clearing house management, and assistance on any special projects assigned.

Requirements

• High School Diploma or GED
• At least five (5) years in the healthcare or dental RCM functions.
• At least five (5) years in billing and claims resolution.
• At least five (5) years of dental front office RCM functions.
• SME knowledge of billing, coding, and productivity auditing.
• SME knowledge of payer processing and payer policies, Medicaid, and Dental Payers, sometimes medical payers.
• Possess the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail.
• Excellent organizational skills and ability to prioritize and coordinate workload with high proficiency and accuracy.
• Excellent analytical and problem-solving skills.
• Extremely accurate with attention to details, policies, and procedures.
• Ability to report trending data and identify areas of RCM opportunities.
• Agile to move from project to project at a quick pass or be able to change gears quickly.
• Excellent and accurate calculator and computer skills, including the ability to use Microsoft Excel, Microsoft Word, E-Mail, Excel functions, and pivot tables.
• Immediate to High-level knowledge of medical and dental billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding EOBs.
• Strong oral, written, and interpersonal communication skills.
• Strong time management and organizational skills.
• Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills.
• Ability to read, understand, and apply state/federal laws, regulations, and policies.
• Ability to adapt to and train on multiple PM systems.
• Ability to communicate with diverse personalities discreetly, maturely, and professionally.
• Ability to remain flexible and work within a collaborative and fast-paced environment.
• Ability to work easily and cooperatively with other departments.
• Ability to work independently and follow through on tasks without direct supervision.
• Ability to work well under pressure in a flexible, diplomatic, and expeditious manner.
• Ability to work with all levels of teams, Entry-level to Sr. Leadership.

Nice To Haves

• CPB (Certified Professional Biller)
• CMB (Certified Medical Biller)
• CDC (Certified Dental Coder)
• CDBS (Certified Dental Billing Specialist)

Responsibilities

• RCM Manager will be responsible for the team in which they work with, organizing the support of the RCM Specialists that report to them and the regions they support.
• RCM Manager will be responsible for assigning projects to the RCM Specialists that report to them.
• RCM Manager will be responsible for the assigned region's net revenue percentage to ensure the practices increase revenue and decrease RCM errors.
• Ensure RCM processes, policies, and compliance items are followed by working with the Regional Directors and RCM Director.
• Act as SME for the Revenue Cycle process and communicate, educate, and train front and back-office RCM processes.
• Maintain strict confidentiality of patient’s medical records and adherence to all HIPAA and ACHC policies and regulations.
• Develop and update multiple Action Plans and produce positive revenue outcomes.
• Meet established production and quality standards as set by Specialty Dental Brands.
• Perform special projects and other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED
• Number of Employees: 101-250 employees