ROOT Periodontal and Implant Center is a growing multi-location specialty group dedicated to clinical excellence and patient-centered care. As we have transitioned into expanded insurance participation and scale our operations, we are seeking an experienced RCM Manager to lead our revenue cycle strategy and execution. This role is responsible for overseeing all billing, collections, insurance, and patient account functions to maximize cash flow, reduce AR days, and ensure clean financial operations across the organization.
- Do you take pride in spotting the details others might overlook—especially when it comes to identifying claim denials, payment variances, or billing errors?
- Are you someone who thrives in a structured, system-driven environment where your ability to streamline processes directly impacts the bottom line?
- Do you get satisfaction from ensuring every dollar owed is collected—down to the last cent—and can explain the "why" behind every variance on an aging report?
- Have you led or improved processes around benefits verification, pre-authorizations, or claim submissions that cut down A/R days or improved clean claim rates? If so, we want to hear how.
If these questions resonate with you, please complete the following survey so we can better learn more about your traits. This survey should take 4-minutes to complete.
Site: https://go.cultureindex.com/p/oIxg3W8E53qir4PnD
Key Responsibilities:
Strategic Oversight
- Design and implement end-to-end revenue cycle workflows that support scalability and compliance.
- Lead the transition from out-of-network to in-network billing, including coordination with umbrella networks (e.g., Careington, Connection Dental).
- Establish KPIs and dashboards for AR aging, collections, denial rates, and clean claim ratios.
Team Leadership
- Manage and mentor billing, insurance, and RCM team members (on-site and remote).
- Hold team members accountable for completing insurance verifications and pre-determinations in a timely, accurate manner.
- Ensure all benefits are verified at least 48 hours prior to patient appointments and pre-determinations are submitted with sufficient lead time to secure approvals before treatment.
- Set expectations for productivity, responsiveness, and high performance.
- Facilitate collaboration with the front desk, treatment coordinators, and leadership teams.
Claims and Payer Relations
- Oversee accurate claim submission and timely follow-up to reduce rejections and denials.
- Lead efforts in resolving complex payer issues and underpayments.
- Monitor changes in payer policies and CDT coding, and ensure ongoing staff education and compliance.
Patient Financial Experience
- Ensure clarity and consistency in patient billing, statements, and financial communication.
- Develop scripts and workflows to support financial conversations and patient collections.
- Collaborate with marketing and operations to educate patients on insurance participation and payment expectations.
Reporting and Financial Accuracy
- Deliver monthly RCM performance reports to executive leadership.
- Reconcile payments, refunds, adjustments, and write-offs to maintain accurate financials.
- Work with accounting and finance teams on forecasting and cash flow planning.
Qualifications:
- 5+ years of dental billing or revenue cycle experience, with at least 2 years in a leadership or management role.
- Deep understanding of PPO insurance, out-of-network billing, and umbrella network participation.
- Experience with CareStack or similar cloud-based dental practice management platforms.
- Proven ability to lead teams, manage projects, and deliver results.
- Strong analytical, communication, and organizational skills.
Preferred Traits:
- Knowledge of periodontal or specialty billing strongly preferred.
- Proactive, data-driven leader who thrives in a growth-oriented environment.
- Holds team accountable with a focus on results and transparency.
- Committed to patient service, team development, and operational excellence.
- Comfortable managing hybrid (on-site + remote) team structures.
Why Join ROOT?
- Help shape the future of a high-performing specialty dental group.
- Join a mission-driven organization that values innovation, excellence, and compassion.
- Work closely with executive leadership and clinical teams to drive impact and outcomes.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- Please specify your expected salary.
Work Location: In person