Revenue Cycle Management (RCM) Specialist

Nannas Haines & Schiavo, P.A.; Wilmington (DE); On-site; USD 70,000 - 80,000; Full time

Benefits offered by this job

Salary: $70k-$80k

In-office

PTO

401(k) with company match

Health insurance

Professional growth

Job summary

Nannas, Haines & Schiavo, P.A. is seeking an experienced Revenue Cycle Management (RCM) Specialist to join our Consulting division.

This in-office role handles the full billing and collections cycle for dental clients, from insurance verification to reimbursement posting and patient follow-up. The ideal candidate has 3+ years in dental RCM, strong knowledge of CDT codes, and proficiency with dental practice management software.

Qualifications

• 3+ years of experience in dental billing or dental RCM.
• Working knowledge of dental insurance plans, CDT codes, and claims processes.
• Experience with dental practice management software (Dentrix, Fuse, Eaglesoft, Open Dental, etc.).
• Strong attention to detail, organization, and HIPAA compliance.
• Proficiency with Microsoft Excel for reporting.

Responsibilities

• Verify dental insurance benefits and eligibility prior to patient appointments.
• Submit clean, accurate insurance claims (electronic and paper).
• Post insurance and patient payments to patient accounts.
• Follow up on unpaid, denied, or underpaid claims and resubmit or appeal as needed.
• Manage accounts receivable and work aging reports to reduce outstanding balances.
• Communicate with patients regarding outstanding balances and payment plans.

Skills

Dental RCM

CDT codes knowledge

Excel

HIPAA compliance

Patient communication

Tools

Dentrix

Fuse

Eaglesoft

Open Dental

Job description

Job Title: Revenue Cycle Management (RCM) Specialist (In-office Position, $70,000 - $80,000 DOE)

Nannas, Haines & Schiavo, P.A. is seeking an experienced and detail-oriented Revenue Cycle Management (RCM) Specialist to join our Consulting division and support our dental clients. This individual will be responsible for overseeing the full billing and collections cycle, from insurance verification through claims submission, payment posting, and patient collections, to ensure our clients’ financial health and smooth patient billing experiences.

Key Responsibilities

• Verify dental insurance benefits and eligibility prior to patient appointments
• Submit clean, accurate insurance claims (electronic and paper) in a timely manner
• Post insurance and patient payments accurately to patient accounts
• Follow up on unpaid, denied, or underpaid claims and resubmit or appeal as needed
• Manage accounts receivable (A/R) and work aging reports to reduce outstanding balances
• Communicate with patients regarding outstanding balances, payment plans, and billing questions
• Coordinate with front desk and clinical staff to ensure accurate coding (CDT codes) and documentation
• Process pre-authorizations and predeterminations for treatment plans
• Reconcile daily/weekly/monthly deposits and insurance payments
• Monitor key RCM metrics, such as days in Accounts Receivable, claim denial rates, and collection rates and report trends to management
• Stay current on payer policies, insurance regulations, and HIPAA compliance requirements
• Identify and resolve billing discrepancies or system errors
• Maintain organized, compliant records of all billing and collections activity

Qualifications

• 3+ years of experience in dental billing or dental RCM
• Working knowledge of dental insurance plans, CDT codes, and claims processes
• Experience with dental practice management softwares, including Dentrix, Fuse, Eaglesoft, Open Dental, and more
• Strong understanding of insurance verification, EOBs, and A/R management
• Excellent attention to detail and organizational skills
• Strong communication skills for interacting with patients, insurance carriers, and staff
• Knowledge of HIPAA compliance and patient privacy standards
• Proficiency with Microsoft Excel for reporting and tracking

Preferred Qualifications

• Experience with multi-location billing
• Familiarity with clearinghouses and electronic claims submission platforms

What We Offer

• Compensation: $70,000–$80,000, commensurate with experience
• Work arrangement: In-office
• Paid Time Off: Flexible/unlimited PTO
• Retirement: 401(k) with company match
• Health coverage: Medical, dental, and vision insurance
• Culture: A collaborative, team-oriented environment that values autonomy, precision, and professional growth