Revenue Cycle and Reporting Manager at Sonrisas Dental

Coastside411; Half Moon Bay (CA); On-site; USD 70,000 - 90,000; Full time

Job summary

Coastside411 is seeking a Revenue Cycle & Reporting Manager to oversee the revenue cycle at Sonrisas Dental. This role involves managing billing, claims processing, and delivering accurate revenue reports. Candidates should have at least 5 years of experience in dental or medical billing, along with expertise in ADA/CDT codes.

The position offers a salary ranging from $70,000 to $90,000 based on experience. Successful applicants will demonstrate strong analytical skills and a commitment to community health.

Qualifications

• Minimum 5 years experience in dental or medical billing and collections.
• Strong working knowledge of ADA/CDT codes.
• Demonstrated experience with insurance rules and coverage.

Responsibilities

• Oversee daily revenue cycle operations and ensure billing accuracy.
• Manage insurance and patient A/R across aging buckets.
• Prepare and deliver monthly revenue cycle reports.

Skills

Analytical skills

Problem-solving skills

Attention to detail

Education

High School Diploma or GED

Bachelor’s degree preferred

Tools

Open Dental

Job description

$70,000 to $90,000 (depending on experience)

Revenue Cycle & Reporting Manager – Sonrisas Dental

Job Title: Revenue Cycle & Reporting Manager

Classification: Exempt

Reports to: Director of Finance

Salary: $70,000 to $90,000 (depending on experience)

About Sonrisas Dental Health, Inc. (SDH): SDH is a non‑profit dental center dedicated to providing access to quality dental care and oral health education to our community. We offer preventive care, mobile dental, general, geriatric, pediatric, sedation dentistry, and accommodations for patients with special needs and disabilities. Seventy percent of SDH’s patients are low‑income. SDH improves community health through culturally sensitive, integrated care with a focus on disease prevention.

About the Position: The Revenue Cycle & Reporting Manager oversees the full revenue cycle at Sonrisas Dental Health, including billing, claims processing, payment posting, collections, and revenue performance reporting. The role ensures billing accuracy, payer compliance, financial integrity, and delivers actionable reports supporting leadership decision‑making, sustainability, and operational improvement.

Fundamental Duties:

• Revenue Cycle Operations & Oversight
  • Oversee daily claim submission, payment posting, denials management, collections, and refunds.
  • Ensure post‑quality assurance review is completed for all billable encounters prior to claim submission.
  • Resolve complex billing issues, denials, payer discrepancies, and escalations.
  • Maintain accurate insurance fee schedules, contractual adjustments, and write‑off controls in Open Dental.
  • Monitor timely filing limits and ensure corrective action for at‑risk claims.
• Accounts Receivable & Collections Management
  • Actively manage insurance and patient A/R across 30/60/90/120+ aging buckets.
  • Identify trends by payer, provider, and denial category.
  • Coordinate patient statements, payment plans, charity care determinations, and collections referrals.
  • Report A/R progress and risks to the CEO and Finance Department on a bi‑weekly basis.
• Reporting, Evaluation & Data Integrity
  • Prepare and deliver monthly revenue cycle reports, including:
    • Production (gross vs. net).
    • Outstanding Insurance Claims.
    • Procedures Not Billed.
    • Unearned.
    • A/R aging summaries.
    • Payer performance and denial trends.
    • Data integrity and cleanup findings.
  • Evaluate revenue cycle performance and recommend workflow, staffing, or system improvements.
  • Partner with the Senior Accountant to reconcile revenue with financial systems.
  • Support audits, funder reporting, and leadership planning with accurate, defensible data.
• Systems & Process Management
  • Serve as the subject‑matter expert for Open Dental billing workflows.
  • Develop, maintain, and update revenue cycle SOPs and internal controls.
  • Train and support billing staff and front‑office staff on billing requirements and payer rules.
  • Monitor payer updates and communicate changes to relevant staff.

Fundamental Expectations:

• Demonstrated commitment to Sonrisas’ mission, values, and safety‑net care model.
• High attention to detail, accuracy, and accountability.
• Strong analytical and problem‑solving skills.
• Ability to translate data into clear, actionable insights.
• Collaborative, solutions‑oriented approach across departments.
• Understanding of public health and socioeconomic factors impacting patient care and collections.

Education / Experience / Licensure:

• High School Diploma or GED required.
• Bachelor’s degree preferred (or equivalent combination of education and experience).
• Minimum 5 years experience in dental or medical billing and collections.
• Strong working knowledge of ADA/CDT codes.
• Demonstrated experience with insurance rules and coverage (commercial, PPO, Medi‑Cal).
• Experience with Medi‑Cal Dental and HPSM strongly preferred.
• Experience preparing A/R, collections, and payer performance reports.
• HIPAA compliance required.
• Successful completion of background checks required.
• Proficiency in Open Dental strongly preferred.

Physical Expectations: Prolonged sitting or standing may be required. The job includes frequent, repetitive manual tasks, use of a computer and telephone, and handling objects up to 20 lbs (occasionally 50 lbs). The role may require working under stressful conditions and irregular hours.

Facility Expectations:

• Listens to, understands, and appropriately responds to patient/customer needs to improve overall satisfaction.
• Demonstrates professional behavior with work, complies with personnel and departmental policies, and participates in quality improvement activities.
• Works actively with others to get the job done, consistently exhibits courteous behavior, and maintains a positive attitude.
• Supports and participates in changes and discussions regarding work practices.
• Acts and speaks respectfully, offers praise, listens to opinions, and maintains confidentiality.
• Demonstrates enthusiasm toward personal growth and development; completes required educational courses and maintains current licensure and certifications.
• Attends and participates in departmental meetings, proactively seeking missed information if unable to attend.
• Addresses issues courteously, upholds consistent standards for all patients/families and coworkers, and supports colleagues positively.
• Follows safety practices, identifies problems, and works to resolve safety issues while seeking assistance when necessary.

Sonrisas Dental Health reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardship upon this organization.

Sonrisas Dental Health, Inc. is an equal opportunity employer and does not discriminate based on race, religion, color, national origin, ancestry, marital status, military status, gender, physical or mental disability, sexual orientation, or age. Sonrisas Dental Health, Inc. complies with all federal, state, and local labor and employment laws.