Revenue Cycle Account Manager at Sgadental

Job 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. Knowledge/Skills/Abilities 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. Education/ Experience: 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 We Offer: 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. In hometown communities, SGA Dental Partners is a beacon of positive energy, delivering the highest level of clinical excellence and patient-centered care. Apply today to join us in making a difference! In order to maintain a high level of clinical excellence, SGA Dental Partners and dental practices affiliated with SGA maintain a drug free and alcohol free workplace. All new hires are required to pass a full panel drug screening as a condition of employment. SGA Dental Partners is an Equal Opportunity Employer and values diversity at every level of our team. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

Requirements

Must-haves

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.
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.
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.
Knowledge/Skills/Abilities
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.

Nice-to-haves

High school diploma or general education degree (GED) preferred.
Knowledge of Eaglesoft, Open Dental, Denticon, and/or Dentrix preferred.

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: workday
Effort: long

Benefits

Benefits detected in the listing.

Dental

Vision

401(K)

Pto

Paid Time Off