RCM Manager

Swish Dental•Austin, TX

8d•Onsite

About The Position

The Swish Dental team is looking for a highly motivated RCM Manager to join our team. This role involves developing and implementing strategies to optimize the entire revenue cycle, focusing on maximizing revenue generation and minimizing claim denials. The RCM Manager will oversee all billing, coding, collections, and denial management activities, ensuring accurate and timely claim submission. Additionally, the role manages the credentialing process for all dentists within the organization and negotiates dental fee schedules with insurance companies. Strong leadership and team management skills are essential for guiding the revenue cycle and credentialing teams.

Requirements

Fluent in English; verbal and written
Basic computer skills
Strong interpersonal skills
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.
Excellent communication, interpersonal, and organizational skills.
Proficient in dental practice management software and relevant revenue cycle management tools.
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.
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

Nice To Haves

College degree preferred

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.
Other duties as assigned.