Revenue Cycle Manager - Dental at AXPM Dental… · Little…

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.

• Core Responsibilities

1. Team Leadership & Performance Management

- 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

2. Revenue Cycle Operations Oversight

- 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.

3. Payer & Issue Resolution Management

- 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

4. Process Improvement & Automation

- 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

5. Vendor & Cross-Functional Collaboration

- 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

6. Reporting & Analytics

- 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

• Required
• 3–5+ years of dental revenue cycle experience (DSO preferred)

  • 1–3+ years of team leadership or supervisory experience

  • Strong knowledge of:

    • Dental billing, CDT codes, and claims workflows
    • Insurance A/R, denials, and payer processes

  • Experience managing KPIs and operational performance

  • Advanced problem-solving and analytical skills

  • Strong communication skills with ability to interact across all levels

Preferred

- Experience with Denticon or similar PMS
- Experience working with automation, RPA, or workflow tools
- Experience managing outsourced/vendor teams
- Background supporting multi-location or enterprise environments