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SENIOR MANAGER, RCM INSURANCE

Company: Smile Doctors LLC
Location: Dallas
Posted on: October 19, 2024

Job Description:

The vision of Smile Doctors is our people-first culture which creates an environment of passionate, caring Team Members dedicated to providing fun and encouraging relationships with each other and our patients. Smile Doctors offers every Team Member the opportunity to be a part of something bigger. We focus on the importance of the individual and recognize that each person on our Team has something great to offer. We recognize talents and strengths and take care to nurture those abilities to help our Team Members grow into successful people in their careers, in our organization, and beyond.
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Looking for a position that makes you smile?We're seeking a Senior Manager, RCM to join our growing team.How you'll make us better:

  • Ensures clean and accurate claim submissions
  • Assists in error resolution, and resubmits insurance claims that have received no response or are not on file
  • Reviews and monitors accounts within the AR system, determines appropriate actions to resolve errors and issues
  • Manages denials and follows up on unpaid or improperly paid claims
  • Organizes the completion of tasks related to insurance claims, verifications, payment posting and insurance AR
  • Supports payment reconciliation, charge capture, and accounting
  • Runs, monitors and analyzes daily reports, providing feedback to Senior Director, RCM, encouraging team in areas that need improvement, and reporting any IT or program issues the team encounters
  • Adheres to RCM guidelines, policies, and procedures
  • Assists with developing and/or improving RCM related procedures and protocols
  • Guides team management by monitoring accounts on Issue Log, holding weekly team calls to discuss Issue Log and assisting with team support
  • Ability to work both independently and in a team setting
  • Ability to manage several projects simultaneously
  • Ability to communicate effectively verbally and in writing
  • Ability to listen and understand information verbally and in writingPrerequisites for success:
    • HS diploma or equivalent required with a Bachelor's degree preferred
    • Minimum of seven (7) years dental claims billing and coding experience required with ten (10) years preferred or any equivalent combination of experience and/or education from which comparable knowledge, skills and abilities have been achieved
    • In addition to the education and/or experience required above, minimum three (3) years of team leadership experience preferred
    • Intermediate knowledge of computer programs such as Office and Excel
    • Intermediate knowledge of data, metrics and KPI trackingWe saved the best for last.In exchange for the dynamic contribution you'll bring to our team, we offer:
      • Medical, dental, vision and life insurance
      • Short and long-term disability coverage
      • 401(k) plan
      • 3 weeks paid time off in your first year + paid holidays
      • Discounts on braces and clear aligners for you and your family membersWhy Smile Doctors?As the nation's leading Orthodontic Support Organization, Smile Doctors is shaping the future of orthodontics through strategic partnerships with top local doctors. We provide best-in-class support services so our partner orthodontists can focus on what they do best - driving extraordinary treatment outcomes and providing patients with an unmatched experience.With hundreds of partnered practices across the nation, our synergistic approach has made us the fastest-growing organization in our industry and produced an ever-expanding need for top talent as we continue our unprecedented trajectory. To us, there's no such thing as "top of our game." We're always climbing higher - together. And as our business grows, there's plenty of room for our team to grow their careers, too.Our dynamic support services team is comprised of world-class professionals whose diverse experiences drive innovation and development. Together, we are committed to passionately helping others achieve their best, most confident smiles.This is the perfect opportunity to grow with an expanding organization! Apply today!Smile Doctors and all our affiliating practices are proud to be an equal opportunity workplace and welcome diversity in our organization. We do not discriminate against any team member or applicant for employment regardless of age, race, color, national origin, religion, disability, veteran status, sex, sexual orientation, or gender identity.
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Keywords: Smile Doctors LLC, Rowlett , SENIOR MANAGER, RCM INSURANCE, Accounting, Auditing , Dallas, Texas

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