Manager, Revenue Cycle Management
6 days ago
Nashville
Job DescriptionDescription: Specialty Dental Brands (SDB) is a leading dental service organization focused on partnering with the best doctors with a proven record of accomplishment of patient care and community involvement. We provide proven operational support, technology, and overall practice management across a nation-wide network of leading class pediatric dentistry, orthodontics, and oral surgery platforms. We are looking for a talented and highly motivated individual who has a natural desire to improve and build new processes and thrive in a start-up culture and rapidly growing business. Manager, Revenue Cycle Management are primarily responsible for supporting RCM functions of the front and back office through training, education, analyzing collections, resolving non-payables special projects, handling inquiries for complex revenue cycle issues, front office auditing, clearing house management, and assistance on any special projects assigned. Job Type: • Full-Time, • Hybrid (after onboarding period), • May require up to 50-75% Travel depending on the need of the practice or region., • RCM Manager will be responsible for the team in which they work with. Organizing the support of the RCM Specialists that report to them and the regions they support., • RCM Manager will be responsible for assigning projects to the RCM Specialists that report to them., • RCM Manager will be responsible for the assigned region's net revenue percentage to ensure the practices increase revenue and decrease RCM errors., • RCM processes, policies, and compliance items are followed by working with the Regional Directors and RCM Director., • SME for the Revenue Cycle process and communicate, educate, and train front and back-office RCM processes., • SME knowledge of billing, coding, and productivity auditing, • SME knowledge of payer processing and payer policies, Medicaid, and Dental Payers, sometimes medical payers., • Possesses the ability to work in a constantly changing environment, good judgment skills, and capable of making decisions with attention to detail., • Must have excellent organizational skills and ability to prioritize and coordinate workload with high proficiency and accuracy., • Must have excellent analytical and problem-solving skills., • Maintains strict confidentiality of patient’s medical records and adherence to all HIPAA and ACHC policies and regulations., • Must be extremely accurate with attention to details, policies, and procedures., • SME knowledge of billing, coding, and productivity auditing, • Ability to report trending data and identify areas of RCM opportunities., • Must develop and update multiple Action Plans and produce positive revenue outcomes., • Must be agile to move from project to project at a quick pass or be able to change gears quickly., • Meet established production and quality standards as set by Specialty Dental Brands, • Excellent and accurate calculator and computer skills. Including the ability to use Microsoft Excel, Microsoft Word, E-Mail. Excel and Data will be a major function of the job; therefore, you must be able to work with Excel functions and pivot tables., • Performs special projects and other duties as assigned., • Immediate to High-level knowledge of medical and dental billing rules, such as coordination of benefits, modifiers, Medicare, and Medicaid, and understanding EOBs., • Strong oral, written, and interpersonal communication skills, • Strong time management and organizational skills, • Strong knowledge of Outlook, Word, Excel (pivot tables), and database software skills, • Ability to read, understand, and apply state/federal laws, regulations, and policies., • Ability to adapt to and train on multiple PM systems., • Ability to communicate with diverse personalities discreetly, maturely, and professionally., • Ability to remain flexible and work within a collaborative and fast-paced environment., • Ability to work easily and cooperatively with other departments., • Ability to work independently and follow through on tasks without direct supervision., • Ability to work well under pressure in a flexible, diplomatic, and expeditious manner., • Reports to: RCM Director, • Other Key Relationships: General Manager, VP of Revenue Cycle, RD for region providing supporRequirements:, • High School Diploma or GED, • At least five (5) years in the healthcare or dental RCM functions., • At least five (5) years in billing and claims resolution, • At least five (5) years of dental front office RCM functions, • Preferred: CPB (Certified Professional Biller), CMB (Certified Medical Biller), CDC (Certified Dental Coder), CDBS (Certified Dental Billing Specialist). Must be willing to obtain certification if asked.