[Hiring] Revenue Cycle Account Manager @SGA Dental Partners

Role Description

The Revenue Cycle Account Manager – Insurance AR serves as the primary revenue cycle consultant for assigned practices, independently evaluating payer trends, office workflow gaps, denial patterns, claim submission issues, and cash-flow barriers. They are responsible for the execution and management of the insurance revenue cycle process from beginning to end for their assigned offices.

Key Responsibilities:

• Practice Consulting & Performance Management
  • Serves as primary revenue cycle consultant for assigned practices.
  • Conducts analysis of payer performance, denial trends, cash flow barriers, and aging trends.
  • Develops practice-specific action plans to improve collections and AR outcomes.
  • Advises office leadership regarding workflow redesign and process improvement opportunities.
  • Reviews KPI performance and recommends corrective actions.
  • Conducts root-cause analysis of reimbursement delays and claim failures.
  • Evaluates payer escalation opportunities and recommends appeal strategies.
  • Identifies training opportunities and operational deficiencies affecting revenue cycle performance.
  • Develops and presents monthly revenue cycle performance reviews for assigned practices, including presentation of key performance indicators, denial trends, aging trends, reimbursement barriers, and operational opportunities.
  • Communicates findings and recommendations to Office Managers, Practice Administrators, Operations Leadership, and other stakeholders to support revenue cycle improvement initiatives.
• Revenue Cycle Operations Support
  • Reviews all patient insurance information needed to complete the billing, collections, appeal processes to ensure clean claim submission to insurance carriers.
  • Follows up on dental billing and accounts receivable for all payer types.
  • Processes dental insurance EOBs, appeals, denials, and follows up on denials timely and accurately.
  • Maintains a clear understanding of insurance EOBs and the appropriate adjustment best practices for posting according to internal guidelines.
  • Effectively utilizes various means for collections, including but not limited to phone, fax, mail, and online methods.
  • Performs other related duties as assigned.

Qualifications

• Strong customer service skills with a focus on providing timely responses to customers.
• Excellent problem solving and decision-making abilities.
• Strong organizational abilities; detail oriented.
• Skilled at managing multiple tasks with goals and deadlines.
• Excellent verbal and written communication skills.

Requirements

• High school diploma or general education degree (GED) preferred.
• 2 years of dental revenue cycle and dental billing experience.
• Demonstrated experience analyzing revenue cycle performance and developing process improvement recommendations.
• Knowledge of Eaglesoft, Open Dental, Denticon, and/or Dentrix preferred.

Benefits

• Paid Holidays and Paid Time Off (PTO)
• 401(k) Retirement Plan
• Health and Vision Insurance
• Employer-Paid Dental Insurance, Life Insurance, Care.com Membership & Employee Assistance Program
• Supplemental Coverage (Disability, Critical Illness, Accident)
• Career Growth and Development Opportunities
• This position is eligible for remote work in the following states: Alabama, Arizona, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, New Mexico, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Wisconsin.