Revenue Cycle Manager

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🔥 45 minutes ago

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Logo of WISDOM TEETH GUYS - TEXAS, PLLC

WISDOM TEETH GUYS - TEXAS, PLLC

2 - 10 employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

WISDOM TEETH GUYS - TEXAS, PLLC is a Texas-based oral surgery practice focused on the diagnosis and surgical removal of wisdom teeth (third molars). Operating as a patient-facing dental clinic organized as a PLLC, the practice provides oral surgery services including extractions and related perioperative care (sedation/anesthesia and postoperative follow-up) to individual patients in the Texas area.

📋 Description

• Own and scale our insurance revenue cycle. • Lead insurance verification, claims, and credentialing across markets. • Own the metrics driving financial performance and build processes to scale. • Lead a team that includes a billing manager, verification specialists, claims staff, and team leads. • End-to-end revenue cycle management: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections. • Regular KPI reporting to leadership: net collection rate, days in AR, denial and rejection rates, clean-claim rate, and aging. • Document and standardize workflows, build training systems, and create SOPs for consistent performance. • Manage and develop in-house verification and claims staff; build structure and capacity as we scale. • Own relationship with outsourced billing partners — performance, SLAs, audit of their output, and in-house audit function. • Stand up revenue cycle operations for new markets.

🎯 Requirements

• 5+ years in dental or healthcare revenue cycle management, with a track record of owning the full cycle (not just billing or just verifications). • Proven success stabilizing, building, or scaling RCM operations — ideally across multiple locations in a DSO, MSO, or multi-site group. • Strong command of dental and medical insurance: PPO, HMO, and Medicaid verification and claims; coding; denials and appeals. • Process builder: you’ve documented workflows, created training, and put metrics and accountability in place — not just worked within someone else’s system. • People leader: experience managing and developing distributed/remote teams. • Data-driven: comfortable owning KPIs and using them to drive improvement.

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