Lightwave Dental was founded in 2016, is a high-growth company building the group model for the future of the dental industry. Lightwave is passionate about doing things the right way with a tight focus on high quality, core values, and taking care of their people. Lightwave is a dental leadership organization that focuses on partnering, training and developing dentists as the natural leaders of the dental practice. Lightwave helps dentists launch their careers, supports dentists leading high-growth dental groups, and assists doctors looking to establish their legacy as they transition into retirement. Lightwave is solving the big problems in dentistry: retirement, management, reimbursements, and partnership by providing the benefits of a group while preserving the essence of private practice. Lightwave currently supports over 100 dental offices in 3 states. For additional information, please visit lightwavedental.com. Follow us on LinkedIn, Facebook, and Instagram.
Position Summary
The Patient Financing Manager oversees Lightwave Dental's Internal Patient Financing program across all practice locations. Reporting to the Senior VP of RCM, this role will manage direct reports, serves as the organization's primary expert on in-office financing and Open Dental payment plan administration, and owns the Internal Finance Reporting process. The ideal candidate is detail-oriented, experienced in dental billing and revenue cycle operations, and comfortable working across multiple locations in a DSO environment.
Key Responsibilities
Financing Program Management & Office Compliance
Audit each office to ensure financing paperwork is complete and accurate, including signed recurring payment authorization forms and required state-specific notices
Verify that offices are entering all required financing details in Open Dental and that Billing Types are correctly configured for accurate reporting
Follow up with practice managers to resolve missing or incomplete documentation
Reporting & Payment Monitoring
Monitor regional reporting tabs (All Billing Types, Flex Billing Types, TSI Billing Types, and Ortho Reporting) to track patient counts, estimated financed amounts, remaining balances, and overdue percentages by region and office
Manage the Contact List: transfer overdue accounts from the OVERDUE Patients tab, diagnose the reason for delinquency, and drive each account to resolution
Execute the delinquent account outreach protocol using Past Due Payment Plan templates
Manage expired card failures using the same outreach cadence; notify the practice manager via Task Notice and confirm the recurring charge is restored once the card is updated
Monitor Estimated Financed Amounts and Remaining Balances across all regions,
Open Dental Administration
Serve as the primary Open Dental resource for Internal Financing setup, billing configuration, and troubleshooting across all locations
Train and support office staff on financing workflows, documentation standards, and reporting requirements
Team Management
Directly supervise Patient Finance Specialist(s), including goal-setting, regular check-ins, and annual performance reviews
Assign and monitor daily auditing responsibilities, ensuring specialist(s) complete both Recurring Payment Audits and Paperwork Audits for all assigned locations
Oversee audit quality: confirm the specialist(s) are documenting payment issues, verifying required financing documentation, cross-checking Billing Types and recurring credit card setup against signed paperwork
Review daily Scorecard tab submissions to confirm audit progress is being recorded to the reporting source
Qualifications
Required
3–5 years of experience in dental billing, revenue cycle, or patient financial services
Proficiency in Open Dental, including payment plan setup, billing type configuration, and reporting
Knowledge of dental insurance, CareCredit, and third-party financing options
Advanced Microsoft Excel skills and experience with multi-provider financial reporting
Experience managing, mentoring, or training direct reports or fellow team members
Strong organizational skills and ability to manage compliance across multiple locations
Preferred
Experience with Power BI or similar financial reporting dashboards
Compensation & Benefits
Competitive salary commensurate with experience
Health, dental, and vision insurance
Paid time off and holidays
Continuing education and professional development support
Growth potential within a collaborative, mission-driven DSO
In return for providing an excellent employee and patient experience, we offer a great benefits package to include health and dental benefits, 401(k), holiday pay and paid time off.
