Dental RCM Manager: Lead Revenue & Credentialing

Swishsmiles; Austin (TX); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Bonus opportunities

Short-term disability

Paid holidays and time off

Growth opportunities

And more!

Job summary

Swish Dental is seeking a highly motivated RCM Manager to optimize the revenue cycle, oversee billing, coding, collections, and denials, and manage credentialing for dentists. The role requires leadership of a revenues team, strong knowledge of dental coding, and collaboration with insurance payers to maximize reimbursements.

The position emphasizes process improvement, KPI tracking, and fraud risk mitigation, with a focus on delivering accurate, timely submissions and cost-effective operations.

Qualifications

• 5+ years of dental revenue cycle management experience.
• 2+ years leading a team of revenue cycle and credentialing professionals.
• Proficiency in dental coding and billing practices.
• Knowledge of insurance payer processes and credentialing.

Responsibilities

• Develop and implement strategies to optimize the entire revenue cycle, focusing on maximizing revenue generation and minimizing claim denials.
• Oversee billing, coding, collections, and denial management activities.
• Ensure accurate and timely claim submission to all insurance payers.
• Analyze and identify areas for improvement in the revenue cycle process.
• Manage and monitor KPIs such as collection rates, AR days, and denial rates.
• Develop and maintain strong relationships with insurance companies to ensure smooth claim processing and maximize reimbursements.
• Manage the credentialing process for all dentists within the organization, ensuring timely application submissions and provider enrollment with all necessary insurance companies and healthcare networks.
• Maintain accurate and up-to-date provider information.
• Track credentialing deadlines and proactively manage renewals to avoid disruptions in patient care.
• Negotiate dental fee schedules with insurance companies to secure optimal reimbursement rates for the practice.
• Provide strong leadership and direction to the revenue cycle and credentialing teams.
• Develop, coach, and mentor staff to ensure they possess the necessary skills and knowledge to perform their duties effectively.
• Foster a culture of accountability, continuous improvement, and teamwork within the department.
• Implement strategies to mitigate fraud and abuse risks.
• Other duties as assigned.

Education

High school diploma or equivalent

Tools

Dental practice management software

Job description

Swish Dental is seeking a highly motivated RCM Manager to optimize the revenue cycle, oversee billing, coding, collections, and denials, and manage credentialing for dentists. The role requires leadership of a revenues team, strong knowledge of dental coding, and collaboration with insurance payers to maximize reimbursements.

The position emphasizes process improvement, KPI tracking, and fraud risk mitigation, with a focus on delivering accurate, timely submissions and cost-effective operations.