Dental Billing & Insurance Manager

Direct Mobile Dental Services; Bala Cynwyd (PA); Vor Ort; USD 65.000 - 90.000; Vollzeit

Benefits dieser Stelle

Health insurance

Dental insurance

401(k)

Paid time off (PTO)

Professional development opportunities

Growth opportunities

Zusammenfassung

Direct Mobile Dental Services provides comprehensive dental care to residents of assisted living communities, skilled nursing facilities, rehabilitation centers, and long-term care communities throughout Pennsylvania. The Business Office Manager runs the day-to-day business side of Direct Mobile Dental so our clinical teams can focus on patient care.

The role is the central link between scheduling, administration, clinical teams, and executive leadership, owning dental billing, insurance, and

Qualifikationen

• At least 3 years of dental office management or healthcare operations.
• At least 3 years of hands-on dental billing and insurance experience.
• Expert knowledge of CDT coding, claims submission, EOBs, and the appeals process.
• Strong organizational and leadership skills.
• Proficient with dental practice management software and Microsoft Office.

Aufgaben

• Oversee daily business operations across all departments.
• Manage scheduling, billing, and administrative activities.
• Monitor KPIs and produce leadership dashboards.
• Lead team, perform evaluations, and support hiring.
• Ensure HIPAA-compliant billing practices.

Kenntnisse

Dental operations

Revenue cycle

Communication

Project management

Tools

Practice management software

Microsoft Office

Jobbeschreibung

Position summary

About Direct Mobile Dental

Direct Mobile Dental Services provides comprehensive dental care to residents of assisted living communities, skilled nursing facilities, rehabilitation centers, and long-term care communities throughout Pennsylvania. Our mission is to improve patients' quality of life by bringing exceptional dental care directly to where they live.

Position summary

The Business Office Manager runs the day-to-day business side of Direct Mobile Dental so our clinical teams can focus on patient care. This role is the central link between scheduling, administration, clinical teams, and executive leadership.

The Business Office Manager keeps the office organized and accountable. That means tracking performance, improving workflows, supporting staff, and making sure administrative work is done accurately and on time. The role also owns dental billing and insurance, so the right candidate brings deep revenue cycle experience along with management skills. The ideal candidate understands dental operations and the unique demands of serving nursing homes and assisted living facilities.

Office operations

• Coordinate and oversee daily business operations across all departments
• Make sure administrative tasks are completed accurately and on time
• Identify operational bottlenecks and recommend practical solutions
• Develop, document, and maintain standard operating procedures (SOPs)
• Improve workflows, policies, and operational processes

Scheduling and provider utilization

• Monitor scheduling efficiency across partner facilities
• Work with the scheduling team to optimize provider utilization and reduce gaps and cancellations
• Coordinate with facility staff to keep visits running smoothly

Billing, insurance, and revenue cycle

• Oversee the full dental billing cycle, from eligibility checks through payment posting and collections
• Verify insurance eligibility and benefits before visits, and obtain pre-authorizations when required
• Ensure accurate CDT coding and documentation to support every claim
• Submit claims to Medicaid, Medicare Advantage, commercial dental plans, and other payers
• Manage denials, rejections, and appeals, and correct the root causes
• Post insurance and patient payments, and reconcile EOBs and ERAs
• Monitor accounts receivable aging and lead follow-up on outstanding balances
• Manage private pay and responsible party billing, including communication with family members, POAs, and facility business offices
• Coordinate incurred medical expense (IME) and other facility-based payment processes for long-term care residents
• Maintain payer enrollment and provider credentialing
• Stay current on Pennsylvania Medicaid, payer policy, and fee schedule changes
• Ensure billing practices comply with HIPAA and payer requirements

Performance and reporting

• Track and report Key Performance Indicators (KPIs) for departments and team members
• Build and maintain operational reports and dashboards for leadership
• Monitor departmental goals and hold teams accountable for meeting expectations

People and team leadership

• Supervise scheduling, billing, and administrative staff
• Conduct employee performance evaluations and provide coaching and development
• Assist with hiring, onboarding, and employee training
• Foster a culture of accountability, professionalism, and continuous improvement

Communication and leadership support

• Facilitate communication between scheduling, administration, clinical teams, and executive leadership
• Support leadership with special projects and organizational initiatives
• Perform other duties as assigned

Key performance indicators

Area

What we measure

Scheduling

Provider utilization, schedule fill rate, cancellations and no-shows

Billing and collections

Days in A/R, clean claim rate, denial rate, collections as a percentage of production

Administration

On-time completion of administrative tasks and reports

Team

Department goal attainment, completed evaluations, staff retention

Process

SOPs written and adopted, bottlenecks resolved

Communication

Timely, accurate updates to leadership and partner facilities

Qualifications

Required

• At least 3 years of dental office management, healthcare operations, or administrative leadership experience
• At least 3 years of hands-on dental billing and insurance experience
• Expert knowledge of CDT coding, claims submission, EOBs, and the appeals process
• Working knowledge of Medicaid and Medicare Advantage dental benefits
• Strong understanding of dental terminology and dental office workflows
• Exceptional organizational and project management skills
• Strong interpersonal and communication skills
• Comfortable managing multiple priorities at once
• Proficient with Microsoft Office and dental practice management software
• Strong analytical and problem-solving skills
• Self-motivated with excellent follow-through

Preferred

• Experience billing Pennsylvania Medical Assistance (Medicaid) and its managed care plans
• Experience with incurred medical expense (IME) billing or other long-term care payment processes
• Experience with payer enrollment and provider credentialing
• Experience working with or serving skilled nursing facilities or assisted living communities
• Previous management or supervisory experience
• Experience managing multiple locations or mobile healthcare operations
• Experience tracking operational metrics and KPIs
• Human resources or employee development experience
• A track record of implementing operational improvements
• Background in long-term care, healthcare administration, or dental operations

Physical requirements and work environment

• Work is performed primarily in an office setting, in person
• Occasional travel to partner facilities in Pennsylvania; a valid driver's license and reliable transportation are required
• Extended periods of computer and phone work
• Ability to lift up to 25 pounds occasionally
• Fast-paced environment with shifting priorities

Compensation and benefits

Competitive salary based on experience, plus performance bonuses.

• Health insurance
• Dental insurance
• 401(k)
• Paid time off (PTO)
• Professional development opportunities
• Growth opportunities within an expanding healthcare organization

Equal opportunity and acknowledgment

Direct Mobile Dental Services is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status.

• This job description outlines the general nature of the role. It is not an exhaustive list of all duties, and responsibilities may change as the needs of the organization change.