Revenue Cycle Account Manager at SGA Dental Partners in Richmond Hill, GA

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.

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.

Requirements

• 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.
• 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.

Skills

Required

• Customer service
• Problem solving
• Decision-making
• Organizational abilities
• Detail oriented
• Time management
• Verbal and written communication
• Eaglesoft
• Open Dental
• Denticon
• Dentrix

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
• Pay Range: $55,000 - $60,000 / year.