Revenue Cycle Account Manager

SGA Dental Partners•Richmond Hill, GA

1d•Remote

About The Position

The Revenue Cycle Account Manager – Insurance AR serves as the primary revenue cycle consultant for assigned practices, independently evaluating payer trends, office workflow gaps, denial patterns, claim submission issues, and cash-flow barriers. They are responsible for the execution and management of the insurance revenue cycle process from beginning to end for their assigned offices.

Requirements

Strong customer service skills with a focus on providing timely responses to customers.
Excellent problem solving and decision-making abilities.
Strong organizational abilities; detail oriented.
Skilled at managing multiple tasks with goals and deadlines
Excellent verbal and written communication skills.
High school diploma or general education degree (GED) preferred.
2 years of dental revenue cycle and dental billing experience.
Demonstrated experience analyzing revenue cycle performance and developing process improvement recommendations.

Nice To Haves

Knowledge of Eaglesoft, Open Dental, Denticon, and/or Dentrix preferred.

Responsibilities

Serves as primary revenue cycle consultant for assigned practices.
Conducts analysis of payer performance, denial trends, cash flow barriers, and aging trends.
Develops practice-specific action plans to improve collections and AR outcomes.
Advises office leadership regarding workflow redesign and process improvement opportunities.
Reviews KPI performance and recommends corrective actions.
Conducts root-cause analysis of reimbursement delays and claim failures.
Evaluates payer escalation opportunities and recommends appeal strategies.
Identifies training opportunities and operational deficiencies affecting revenue cycle performance.
Develops and presents monthly revenue cycle performance reviews for assigned practices, including presentation of key performance indicators, denial trends, aging trends, reimbursement barriers, and operational opportunities.
Communicates findings and recommendations to Office Managers, Practice Administrators, Operations Leadership, and other stakeholders to support revenue cycle improvement initiatives.
Reviews all patient insurance information needed to complete the billing, collections, appeal processes to ensure clean claim submission to insurance carriers.
Follows up on dental billing and accounts receivable for all payer types.
Processes dental insurance EOBs, appeals, denials, and follows up on denials timely and accurately.
Maintains a clear understanding of insurance EOBs and the appropriate adjustment best practices for posting according to internal guidelines.
Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.
Performs other related duties as assigned.