Revenue Cycle Manager - Rock Dental Brands

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.The Revenue Cycle Manager is responsible for leading and developing a team of Revenue Cycle Specialists to drive optimal financial performance across claims processing, accounts receivable, and payer management.This role balances people leadership, operational execution, and continuous improvement, ensuring timely reimbursement, reduced revenue leakage, and scalable processes across the organization. The Manager serves as a key liaison between internal teams, external vendors, and payers while driving accountability through data, automation, and standardized workflows.Core ResponsibilitiesTeam Leadership & Performance ManagementLead, coach, and develop a team of Revenue Cycle Specialists Establish clear performance expectations, KPIs, and productivity standardsConduct regular 1:1s, performance reviews, and development planningDrive a culture of accountability, ownership, and continuous improvementManage team capacity, workload distribution, and escalation pathwaysRevenue Cycle Operations OversightOversee daily operations including:Claims submission and follow-upInsurance A/R and denial managementPost payment, tasks and reconciliationEnsure timely resolution of aging claims and payer issuesMonitor and improve key metrics:Volumes by PayerDays in A/RNet collection rateFirst-pass resolution rateDenial rate and recoveryStandardize workflows across teams and locationsManage service tickets from internal clinic teams, maintaining resolution SLA: 24-48 hoursDelegate to Dental AR team members Complex tickets are reviewed and directly handled by lead/managerServe as escalation point for unresolved or mishandled issuesEnsure credentialing and fee schedules are in alignment based on master rosters and claims are being paid appropriately. Payer & Issue Resolution ManagementAct as escalation point for complex payer issues and underpaymentsIdentify trends in denials, rejections, and payer behaviorPartner with credentialing team to resolve systemic issuesDrive root-cause analysis and corrective actionsProcess Improvement & AutomationIdentify opportunities to reduce manual work through automation and system enhancementsPartner with internal technology teams and vendors to implement scalable solutionsSupport development of worklists, reporting tools, and workflow optimizationContinuously evaluate processes to improve efficiency, accuracy, and turnaround timesVendor & Cross-Functional CollaborationServe as primary liaison with RCM vendors and outsourced partnersMonitor vendor performance against SLAs and quality standardsCollaborate with:Operations / ClinicsFinance / AccountingCredentialing/Fee Schedule Specialist IT / Automation teamsWork closely with claims clearinghouse and Dental PMS system vendors to ensure timely resolution of issues. Support M&A integration and onboarding of new practicesReporting & AnalyticsDevelop and deliver regular reporting on team performance and revenue cycle metricsAnalyze trends and provide actionable insights and recommendationsUse data to drive decision-making, prioritization, and resource allocationRequired3–5+ years of dental revenue cycle experience (DSO preferred)1–3+ years of team leadership or supervisory experienceStrong knowledge of:Dental billing, CDT codes, and claims workflowsInsurance A/R, denials, and payer processesExperience managing KPIs and operational performanceAdvanced problem-solving and analytical skillsStrong communication skills with ability to interact across all levelsPreferredExperience with Denticon or similar PMSExperience working with automation, RPA, or workflow toolsExperience managing outsourced/vendor teamsBackground supporting multi-location or enterprise environments