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Director of Revenue Cycle Management (Orthodontics)

Premier Care Dental Management
Hyde Park, NY Full Time
POSTED ON 1/15/2025
AVAILABLE BEFORE 4/12/2025

Job Description

Job Description

This position is flexible to fully remote workers OVERVIEW OF OUR POSITION

The Director of Orthodontic Revenue Cycle Management is a key position within our RCM Division and overall growing operations. The Director is responsible for the maximization of revenue cycle at Premier Care Dental Management. This role is crucial in ensuring smooth and efficient management of insurance-related processes as it pertains to Orthodontic services, including auditing, clinical and medical billing, legal compliance, insurance and patient accounts receivable, claim processing, and appeals. The ideal candidate will have a strong background in these areas and be able to lead a team to achieve organizational objectives.

Clinical and Medical Billing :

  • Oversee the billing process, ensuring timely and accurate submission of claims for our Orthodontic specialty services.
  • Work closely with clinical staff to ensure proper documentation and coding for services rendered.
  • Oversee the processing of insurance claims from submission to payment.
  • Handle claim denials and appeals, working to resolve issues and secure appropriate reimbursement
  • Oversee comprehensive analytics regarding the state of patient accounts receivables including trends, days outstanding, payment variance, and denial issues by source
  • Providing guidance amongst team members as needed, leading by example and implementing best practices

Legal Compliance :

  • Ensure all billing practices comply with state and federal regulations, including HIPAA.
  • Stay updated on changes in regulations and implement necessary changes to maintain compliance.
  • Insurance and Patient Accounts Receivable (AR) :

  • Manage insurance AR by monitoring outstanding claims and following up with insurance companies for resolution.
  • Oversee patient AR to ensure timely collection of outstanding balances and implement strategies to reduce overdue accounts.
  • EDUCATION & EXPERIENCE

  • Bachelor's Degree in Business Administration, Health Care Management, Accounting, Finance, or related field is required
  • Minimum of 5 years of experience in billing and revenue management specifically within the field of Orthodontics
  • Experience in auditing clinical and billing practices for compliance and accuracy.
  • Strong verbal and written communication skills.
  • Proven ability to build rapport with colleagues and train staff.
  • Highly organized, detail-oriented, and able to manage multiple tasks simultaneously.
  • OUR EMPLOYEE BENEFITS! (Full-Time)

  • Flexible Health and Vision Insurance Plans : Tailored options for you and your family's well-being.
  • 401(K) Retirement Plan with Matching : Secure your financial future with our employer-matched plan up to 6%.
  • Generous Paid-Time Off : Accrue up to 3 weeks, plus an annual "you" day for self-care.
  • Exclusive In-house Dental Program : Heavily discounted services for you and your immediate family.
  • Extra Perks and Fringe Benefits : Enjoy additional benefits and ongoing perks for our dedicated teams.
  • Incredible work environment of skilled individuals with the opportunity for massive growth!
  • Salary Range : $100,000 - $180,000 (plus bonus potential)

    Step into a new era with Premier Care Dental Management

    A modern practice environment designed for superior care and comfort. We embrace cutting-edge technology in a soothing environment that goes beyond your ordinary dental practice. We've thought through every step in the patient's experience to perfect our communication and care so that each visit is an eagerly anticipated event.

    We're a team that supports your success. Emphasizing health over sales, we cultivate a warm, supportive culture without the pressure of production quotas. Those motivated for growth in their career are encouraged and supported to reach their full potential.

    PCDM celebrates diversity. Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, genetics, sexual orientation, gender identity, or gender expression in terms of all conditions of employment. Our diversity is one of our greatest strengths, and as an Equal Opportunity Employer, we are proud to promote a work environment where all differences are respected.

    Salary Range

    100,000—$180,000 USD

    Salary : $100,000 - $180,000

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