Description
Peak Dental Services was founded in 2008 by a dentist from small-town Minnesota, Dr. Douglas Peak, and his son A.J. Peak, a Kellogg School of Management MBA and former McKinsey and Company consultant. After a few 14-hour work days, they realized they needed help if the company was going to continue growing successfully. However, they weren’t willing to settle for just anyone; the team behind Peak Dental Services is comprised of individuals with an exemplary understanding of the dental industry, including recruiting, marketing, finance, customer service, and training.
So, what sets Peak apart? Put simply, our people and our training systems. We have dedicated experts in various disciplines to support our partner dentists from hiring to billing. Further, we have custom-designed a professional development path with over 125 hours of continuing education for every team member in a dental office. Our commitment to high-quality staff and training enables our dental teams to perform on par with customer experience titans such as Starbucks, Ritz, and Nordstrom, and we believe that both our partner dentists and our patients can see the difference.
Position Overview
The Dental Revenue Cycle Management (RCM) Manager, reporting directly to the Vice President of Revenue Cycle Management (RCM), will focus on overseeing the insurance claims process for our network of 60+ dental offices. This role requires a strong understanding of dental insurance laws, payment posting, and a detailed knowledge of the Explanation of Benefits (EOBs). The RCM Manager will manage a large team, ensure the accuracy of claims submissions and claims follow-up, and lead discussions with regional operations managers and providers to resolve issues and improve the overall claims process.
Key Responsibilities
- Oversee and manage the insurance claims process, ensuring accurate and timely submission of claims and resolutions of any rejections or denials.
- Analyze EOBs to ensure correct payment processing and follow-up on underpayments or denials.
- Work closely with the credentialing team to ensure all providers are correctly enrolled with payers.
- Manage a large team of claims processors and payment posters, providing guidance, training, and feedback.
- Report directly to the VP of RCM and provide regular updates on insurance claims, payment trends, and key performance indicators.
- Lead communication efforts with 60+ offices, regional operations managers, and providers to address concerns, share updates, and ensure consistency in the claims process.
- Monitor and implement adjustments to claims while evaluating their impact on revenue in compliance with company policies.
- Utilize Excel to track and report key insurance claims and revenue cycle performance metrics.
- Drive continuous improvement in the insurance claims process to reduce denials, optimize claims accuracy, and ensure maximum reimbursement.
- Maintain a thorough understanding of dental insurance laws, policies, and payer guidelines.
Minimum Requirements
- Extensive knowledge of dental insurance laws and policies.
- Strong understanding of EOBs and the insurance claims resolution process.
- Proficiency in Microsoft Excel and Word and working with large datasets.
- Proven experience managing a large team in a fast-paced environment.
- Comfortable leading discussions with regional operations managers and providers to resolve issues and align on goals.
- Excellent communication skills to interact effectively with RCM staff and office managers.
- Experience with hiring, firing, and providing feedback to the team.
- Strong decision-making skills and ability to implement strategies that positively impact revenue.
- Ability to prioritize tasks, manage multiple projects, and adapt to changing demands.
Benefits package includes:
- Medical
- Dental (in-house)
- Vision
- STD-LTD
- Matching 401K
- PTO
- Holiday Pay
- EAP (employee assistance program)
- Paid orientation
- Paid Training
We offer a salary starting at 60k, up to 75,000/yr depending on experience. This role will remain posted, and we will be accepting applications until October 30th, 2024. Please send a resume, cover letter, and salary requirements and apply through the link provided.
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