Revenue Cycle Account Manager

Summary

SGA Dental Partners is a dental care organization focused on clinical excellence and patient-centered care. The Revenue Cycle Account Manager – Insurance AR serves as the primary revenue cycle consultant for assigned practices, managing insurance revenue cycle operations, analyzing payer and denial trends, improving collections, and supporting billing, appeals, and accounts receivable processes.

Responsibilities

• 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
• 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

Skills

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

Qualifications

Must Haves

• 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
• 2 years of dental revenue cycle and dental billing experience
• Demonstrated experience analyzing revenue cycle performance and developing process improvement recommendations

Nice to Haves

• High school diploma or general education degree (GED) preferred
• 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
• 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