Posted 2 months ago
Revenue Cycle Manager
AI Summary
A senior Revenue Cycle Manager will own and scale the end-to-end insurance revenue cycle across multiple markets, leading verification, claims, credentialing, and a distributed team while driving KPIs and standardizing processes for growth.
About this role
Wisdom Teeth Guys is a growing multi-market DSO, and we’re hiring a Revenue Cycle Manager to own and scale our insurance revenue cycle. This is a senior, build-and-scale role — not a maintain-the-status-quo one. You’ll lead insurance verification, claims, and credentialing across all of our markets, own the metrics that drive our financial performance, and build the processes and team structure to scale as we open new markets and grow.
You’ll lead a team that includes a billing manager, verification specialists, claims staff, and team leads.
What you’ll own
- End-to-end revenue cycle: verification, coding support, claim submission, payment posting, AR and denial management, and patient collections across all markets.
- KPIs and reporting: net collection rate, days in AR, denial and rejection rates, clean-claim rate, and aging — with regular reporting to leadership.
- Process and training: document and standardize workflows, build training systems, and create the SOP’s that keep performance consistent across locations.
- Team leadership: manage and develop in house verification and claims staff; build the structure and capacity needed as we scale.
- Vendor management: own the relationship with any outsourced billing partners — performance, SLAs, audit of their output, and the in-house audit function that works alongside them.
- New-market readiness: stand up revenue cycle operations for new markets as we open them.
What we’re looking for
- 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.
Why this role
- A genuine ownership role with the autonomy to build, not just maintain.
- High visibility with senior leadership and direct impact on the company’s financial performance and growth.
- A growing organization with multiple new markets on the roadmap.
Skills
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