Revenue Cycle Manager - Dental

Rock DentalLittle Rock, AR

About The Position

It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business.

Requirements

  • Team Leadership & Performance Management
  • Revenue Cycle Operations Oversight
  • Payer & Issue Resolution Management
  • Process Improvement & Automation
  • Vendor & Cross-Functional Collaboration
  • Reporting & Analytics
  • Claims submission and follow-up
  • Insurance A/R and denial management
  • Post payment, tasks and reconciliation
  • Resolution of aging claims and payer issues
  • Service ticket management with resolution SLA: 24-48 hours
  • Credentialing and fee schedules alignment
  • Root-cause analysis and corrective actions
  • Automation and system enhancements
  • Vendor performance monitoring against SLAs and quality standards
  • Collaboration with Operations/Clinics, Finance/Accounting, Credentialing/Fee Schedule Specialist, IT/Automation teams
  • Working with claims clearinghouse and Dental PMS system vendors
  • M&A integration and onboarding of new practices
  • Reporting on team performance and revenue cycle metrics
  • Data analysis for actionable insights and recommendations

Responsibilities

  • Lead, coach, and develop a team of Revenue Cycle Specialists
  • Establish clear performance expectations, KPIs, and productivity standards
  • Conduct regular 1:1s, performance reviews, and development planning
  • Drive a culture of accountability, ownership, and continuous improvement
  • Manage team capacity, workload distribution, and escalation pathways
  • Oversee daily operations including: Claims submission and follow-up, Insurance A/R and denial management, Post payment, tasks and reconciliation
  • Ensure timely resolution of aging claims and payer issues
  • Monitor and improve key metrics: Volumes by Payer, Days in A/R, Net collection rate, First-pass resolution rate, Denial rate and recovery
  • Standardize workflows across teams and locations
  • Manage service tickets from internal clinic teams, maintaining resolution SLA: 24-48 hours
  • Delegate to Dental AR team members
  • Complex tickets are reviewed and directly handled by lead/manager
  • Serve as escalation point for unresolved or mishandled issues
  • Ensure credentialing and fee schedules are in alignment based on master rosters and claims are being paid appropriately.
  • Act as escalation point for complex payer issues and underpayments
  • Identify trends in denials, rejections, and payer behavior
  • Partner with credentialing team to resolve systemic issues
  • Drive root-cause analysis and corrective actions
  • Identify opportunities to reduce manual work through automation and system enhancements
  • Partner with internal technology teams and vendors to implement scalable solutions
  • Support development of worklists, reporting tools, and workflow optimization
  • Continuously evaluate processes to improve efficiency, accuracy, and turnaround times
  • Serve as primary liaison with RCM vendors and outsourced partners
  • Monitor vendor performance against SLAs and quality standards
  • Collaborate with: Operations / Clinics, Finance / Accounting, Credentialing/Fee Schedule Specialist, IT / Automation teams
  • Work closely with claims clearinghouse and Dental PMS system vendors to ensure timely resolution of issues.
  • Support M&A integration and onboarding of new practices
  • Develop and deliver regular reporting on team performance and revenue cycle metrics
  • Analyze trends and provide actionable insights and recommendations
  • Use data to drive decision-making, prioritization, and resource allocation
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