Revenue Cycle Manager

Juniper Services•Sparks, NV

About The Position

The Revenue Cycle Manager oversees and optimizes the organization’s full revenue cycle, from patient registration and treatment-plan financial coordination through insurance billing, payment posting, accounts receivable management, and collections. The role ensures accurate and timely claim submission, effective insurance follow-up, appropriate patient billing, and consistent collection practices. It develops and implements processes to maximize reimbursement, minimize outstanding accounts receivable, reduce claim denials, and improve the organization’s financial performance. The manager leads the revenue cycle team, establishes standardized billing and collection procedures across dental practices, monitors operational and financial performance, and collaborates with practice managers, clinical teams, accounting, IT, and software vendors. The position also maintains compliance with applicable regulations, HIPAA requirements, insurance billing guidelines, and organizational policies, while driving process and systems improvements.

Requirements

High school diploma or equivalent required.
At least 5 years of experience in dental billing, insurance claims, accounts receivable, or revenue cycle management.
Strong knowledge of dental insurance, CDT coding, claims processing, and reimbursement practices.
Proficiency in Microsoft Excel, reporting tools, and dental practice management systems.
Strong analytical, problem-solving, organizational, leadership, coaching, and team-development skills.
Excellent verbal and written communication skills.
Ability to interpret financial reports, identify revenue cycle trends, manage multiple priorities, meet deadlines, and maintain attention to detail and accuracy.
Ability to develop and implement effective policies, procedures, and workflows.

Nice To Haves

Associate's or bachelor's degree in healthcare administration, business administration, accounting, or a related field.
At least 2 years of supervisory or management experience.
Experience managing revenue cycle operations for multiple dental offices.
Experience with dental practice management software and electronic billing platforms, preferably Carestack, DSN, and/or Cloud 9.

Responsibilities

Oversee the complete revenue cycle, including patient financial coordination, claim submission, payment posting, insurance follow-up, patient billing, and collections.
Establish standardized billing and collection procedures across all dental practices and monitor performance to identify opportunities to improve efficiency and reimbursement.
Ensure timely and accurate processing of insurance claims and patient accounts, and develop procedures to reduce revenue leakage, billing errors, and uncollected balances.
Collaborate with practice managers and clinical teams to address revenue cycle challenges.
Oversee dental insurance claim submission, including appropriate CDT codes, narratives, supporting documentation, and attachments.
Monitor claim rejections, denials, and requests for additional information; oversee insurance verification, benefit coordination, pre-authorizations, predeterminations, and appeals.
Identify recurring denial trends and implement corrective action plans; maintain knowledge of carrier requirements, reimbursement policies, and industry changes.
Monitor and manage accounts receivable across all locations, establish aging benchmarks and collection goals, and oversee insurance and patient account follow-up.
Develop strategies to reduce outstanding balances and improve collection percentages; review significant balances, monitor unapplied credits and outstanding payments, and escalate unresolved collection issues.
Establish consistent patient collection procedures while maintaining a positive patient experience.
Oversee posting of insurance and patient payments, adjustments, and contractual write-offs; reconcile ERAs, EFTs, and paper EOBs.
Monitor payment discrepancies, underpayments, and inappropriate adjustments, and maintain appropriate controls for refunds, credit balances, and account adjustments.
Coordinate with accounting to reconcile revenue cycle activity and financial reporting.
Recruit, train, supervise, and develop revenue cycle team members; set responsibilities, productivity expectations, and performance standards.
Conduct performance evaluations, provide coaching, monitor productivity, develop training programs, promote accountability and teamwork, and identify staffing and coverage needs.
Develop and maintain revenue cycle dashboards and performance reports, including KPIs such as collection rates, A/R days and aging, claim denials, first-pass acceptance, claim-submission speed, and unapplied cash and credit balances.
Provide regular reporting and recommendations to executive leadership; identify financial trends and operational concerns, and establish goals and action plans.
Ensure compliance with applicable federal and state regulations, HIPAA, dental insurance billing guidelines, and organizational policies and procedures.
Maintain the confidentiality and security of patient financial and protected health information, ensure accurate account documentation, and support internal and external audits.
Evaluate revenue cycle workflows, recommend improvements, and establish standardized procedures across locations.
Work with IT and software vendors to optimize dental practice management systems, automate revenue cycle tasks, monitor system functionality, and resolve operational issues.