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Revenue Cycle Billing Manager

Job Description - Revenue Cycle Billing Manager

Description

The Revenue Cycle Billing Manager leads the day-to-day execution of billing operations across multiple dental specialties, ensuring accurate, timely, and compliant claim processing for multiple practices. This role is a hands-on role, while also supporting team performance, accountability, and operational efficiency, and may contribute to special projects and departmental initiatives as needed.



Responsibilities
  • Oversee daily billing operations, including claims submission, denial resolution, insurance follow-up, and accounts receivable management. Working directly within the functions to assist the team daily.

  • Ensure accurate, timely claim processing and compliance with payer requirements, documentation standards, and billing protocols.

  • Monitor and validate payment posting, balancing, and reconciliation activities to maintain financial accuracy.

  • Identify workflow inefficiencies and implement process improvements to enhance billing performance and operational effectiveness.

  • Serve as the primary escalation point for billing issues, payer challenges, claim discrepancies, and system-related concerns.

  • Provide guidance, performance feedback, and ongoing development support to Billing Leads and Specialists.

  • Support onboarding, training, and continuous education on payer updates, billing requirements, workflow changes, and best practices.

  • Track key performance indicators (KPIs), address performance gaps, and ensure alignment with revenue cycle goals and expectations. Assist team with needed projects to maintain KPI expectations.

  • Assist with development, maintain, and enforce standard operating procedures (SOPs) and established workflows to promote consistency, accuracy, and efficiency.

  • Partner with RCM leadership to identify operational risks, analyze trends, escalate systemic issues, and drive continuous improvement initiatives.



  • Qualifications
    Minimum Qualifications
  • 8+ years w/Bachelor’s degree; 1+ years supervisory/management


  • Additional Experience
  • 10+ years of experience in dental or healthcare billing, including 5+ years in a leadership role

  • Knowledge, Skills, Abilities
  • Strong knowledge of multi-specialty dental billing (General, Ortho, Endo, OS, Perio)

  • Experience in a multi-location dental group or DSO environment

  • Working knowledge of dental PMS systems (Dentrix, Eaglesoft, Denticon, etc.) and/or

  • Knowledge of Microsoft Office; Word, Excel, PowerPoint, Outlook

  • Proven ability to manage teams and drive performance through KPIs

  • Strong problem-solving and escalation management skills

  • High attention to detail with a focus on accuracy and compliance

  • Ability to maintain a quiet, dedicated workspace with minimal interruptions to support a remote work environment

  • Licenses
    • N/A (Not Applicable). '

    Base Pay Information

    The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity.
    Pay Grade D. $ - $


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