Revenue Cycle Manager (Dental)

Please Note: This position is full-time on-site at our Melville, NY headquarters office, Monday through Friday.
OUR POSITION:

We are seeking an experienced and dedicated insurance & credentialing manager to join our dental support organization within the Revenue Cycle department. This role is crucial in ensuring the smooth and efficient management of various insurance-related processes, including credentialing, auditing, clinical and medical billing, legal compliance, insurance and patient accounts receivable, claim processing, and appeals. The ideal candidate will have a strong background in these areas and be able to lead a team to achieve organizational objectives.
RESPONSIBILITIES:

Management/Auditing:

• Directly reporting to the Chief Insurance Officer on all matters regarding responsibilities listed below
• Overseeing allocated responsibilities amongst team and leading by example, implementing best practices
• Conduct regular audits of clinical and billing processes to ensure accuracy and compliance with industry standards and legal requirements.
• Implement corrective actions based on audit findings to improve processes and reduce errors.

Clinical and Medical Billing:

• Oversee the billing process, ensuring timely and accurate submission of claims.
• Work closely with clinical staff to ensure proper documentation and coding for services rendered.
• Oversee the processing of insurance claims from submission to payment.
• Handle claim denials and appeals, working to resolve issues and secure appropriate reimbursement

Credentialing:

• Manage the credentialing process for all providers to ensure compliance with insurance requirements and regulations.
• Maintain up-to-date records and documentation for all credentialed providers.

Legal Compliance:

• Ensure all billing practices comply with state and federal regulations, including HIPAA.
• Stay updated on changes in regulations and implement necessary changes to maintain compliance.

Insurance and Patient Accounts Receivable (AR):

• Manage insurance AR by monitoring outstanding claims and following up with insurance companies for resolution.
• Oversee patient AR to ensure timely collection of outstanding balances and implement strategies to reduce overdue accounts.

YOUR EXPERIENCE:

• Minimum of 4+ years of relevant work experience in insurance management within a healthcare or dental setting.
• Strong knowledge of credentialing, dental billing, and insurance AR processes.
• Experience in auditing clinical and billing practices for compliance and accuracy.
• Strong verbal and written communication skills.
• Proven ability to build rapport with colleagues and train staff.
• Highly organized, detail-oriented, and able to manage multiple tasks simultaneously.

OUR EMPLOYEE BENEFITS! (Full-Time)

• Flexible Health and Vision Insurance Plans: Tailored options for you and your family's well-being.
• 401(K) Retirement Plan with Matching: Secure your financial future with our employer-matched plan up to 6%.
• Generous Paid-Time Off: Accrue up to 3 weeks, plus an annual "you" day for self-care.
• Exclusive In-house Dental Program: Heavily discounted services for you and your immediate family.
• Extra Perks and Fringe Benefits: Enjoy additional benefits and ongoing perks for our dedicated teams.
• Incredible work environment of skilled individuals with the opportunity for massive growth!

NY Salary Range $80,000 - $120,000

Step into a new era with Dental365

A modern practice environment designed for superior care and comfort. We embrace cutting-edge technology in a soothing environment that goes beyond your ordinary dental practice. We've thought through every step in the patient's experience to perfect our communication and care so that each visit is an eagerly anticipated event.

We're a team that supports your success. Emphasizing health over sales, we cultivate a warm, supportive culture without the pressure of production quotas. Those motivated for growth in their career are encouraged and supported to reach their full potential.

Dental365 celebrates diversity. Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.

Salary Range

$80,000-$120,000 USD