Dental RCM Manager - WA & CA Medicaid Expert

MEDVA; Philippines; On-site; PHP 1,200,000 - 2,400,000; Full time

Job summary

MEDVA is seeking an experienced US Dental Billing Manager in the Philippines to lead end-to-end revenue cycle management for Washington and California Medicaid programs. You will oversee daily billing operations, ensure low aging balances, and drive compliant submissions across eligibility verification, claims, denials, and reimbursements.

The ideal candidate has hands-on, end-to-end RCM expertise, strong leadership skills, and proficiency with CDT coding and US dental software systems such as

Qualifications

• Must have managerial experience leading US Dental Billing/RCM teams.
• Deep expertise in Washington State Apple Health and California Denti-Cal guidelines, coding, and submission.
• Hands-on experience across the full billing lifecycle from eligibility to denials resolution.

Responsibilities

• Oversee end-to-end dental billing processes to maximize collections and minimize denials.
• Manage Medicaid requirements for Washington Apple Health and California Denti-Cal.
• Oversee patient eligibility, pre-authorizations, and coverage verifications prior to visits.
• Lead claim submission and aggressive follow-up on unpaid or denied claims.
• Post insurance payments, patient payments, adjustments, and write-offs accurately.
• Monitor aging reports and implement actions to keep A/R metrics healthy.
• Train and audit billing staff to SOPs and quality standards.

Skills

Full-Cycle Billing

Insurance Verification

Claim Submission

A/R Management

CDT/ADA Coding

Payer Communications

Tools

Dentrix

Open Dental

EagleSoft

Job description

MEDVA is seeking an experienced US Dental Billing Manager in the Philippines to lead end-to-end revenue cycle management for Washington and California Medicaid programs. You will oversee daily billing operations, ensure low aging balances, and drive compliant submissions across eligibility verification, claims, denials, and reimbursements.

The ideal candidate has hands-on, end-to-end RCM expertise, strong leadership skills, and proficiency with CDT coding and US dental software systems such as