Dental Revenue Cycle Liaison

Dental Revenue Cycle Liaison

PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent — managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment.

The Dental Revenue Cycle Liaison serves as the primary liaison between clinic operations and centralized revenue cycle teams, ensuring accurate, timely, and compliant revenue capture. This role focuses on front-end and operational workflows that impact billing, reimbursement, and cash flow, including registration accuracy, eligibility verification, charge capture, and issue resolution. This role is responsible for overall FQHC dental practice revenue cycle system analytics, troubleshooting, and fix implementation. This role also interfaces with key leaders in PHMC's Health Center Practice Management, Information Technology, and Finance teams, as well as any outsourced revenue cycle vendor. The Dental Revenue Cycle Liaison is responsible for identifying workflow gaps in the revenue cycle via on-site observation or analytical review and reporting them to the appropriate leadership counterpart. They are a strategic partner in recommending potential solutions for those identified workflow gaps. This role supports the clinical operations of PHMC's two Dental practices with billable revenue exceeding $3.5M. Additional service locations may be added, dependent on FQHC's scope of service growth.

The Dental Revenue Cycle Liaison proactively identifies revenue risks, supports clinical teams with education and process improvement, and partners with Outsourced Billing Vendor, Finance, Operations, Information Systems, and Compliance to resolve systemic issues impacting reimbursement and patient experience.

The Dental Revenue Cycle Liaison reports to the Managing Director of Finance for Billing.

Responsibilities:

• Revenue Cycle Coordination & Issue Resolution
• Serves as the primary liaison between clinic operations and centralized billing teams.
• Tracks, escalates, and resolves site-level front-end revenue cycle issues.
• Facilitates timely communication between clinic leadership and billing to ensure issues are addressed and closed.
• Supports root-cause analysis of recurring revenue cycle issues and partners on corrective action plans.

• Front-End Revenue Integrity
• Supports clinic teams in maintaining accurate patient registration, insurance verification, eligibility confirmation, self-pay, and sliding fee discount compliance.
• Monitors front-end workflows that impact billing accuracy and reimbursement.
• Reinforces standard operating procedures for front-desk, enrollment, and clinic support staff.
• Partners with Enrollment and site teams to address coverage gaps and payer transitions.
• Has regular on-site presence at Health Centers for front-end workflow observation, troubleshooting, and training

• Charge Capture & Documentation Support
• Works with clinical and operational staff to ensure services are appropriately documented, and charges are submitted accurately and timely.
• Supports implementation and adherence to charge capture workflows aligned with payer and FQHC requirements.
• Identifies trends related to missing, late, or incorrect charges and collaborates with finance leadership to address gaps.
• Acts as a bridge between clinical operations and billing, optimizing reimbursement by auditing charge capture, resolving coding-related denials, and educating staff on documentation improvements. They analyze denial trends, ensure compliant coding (CPT/ICD-10), and facilitate communication to maximize revenue.

• Data Monitoring & Reporting
• Reviews revenue-related dashboards and reports to identify trends, risks, and opportunities at the site or regional level.
• Prepares summary reports for Operations and Finance leadership, highlighting key issues, resolutions, and outstanding risks.
• Works with Billing Vendor and Finance to ensure cash payment posting is completed in an accurate and timely manner.
• Supports ad hoc data requests related to revenue performance and workflow improvement.

• Education, Training & Change Support
• Provides ongoing education and coaching to clinic teams on revenue cycle, related workflows, and best practices.
• Supports onboarding and training for new clinic staff related to registration, eligibility, and revenue-sensitive processes.
• Assists with the implementation of new workflows, systems, or payer requirements impacting revenue cycle operations.

• Compliance & Audit Support
• Partners with Compliance and Finance teams to support audit readiness related to billing, documentation, and front-end processes.
• Assists with corrective action plans resulting from audits, OSVs, or internal reviews.
• Ensures revenue cycle practices align with HRSA Health Center Program requirements, Medi-Cal, Medicare, and payer contracts.

• Cross-Functional Collaboration
• Collaborates closely with Clinic Operations, Enrollment, Access, Quality, IT, and Compliance teams.
• Serves as a resource for Center Directors and site leadership related to revenue cycle questions and escalations.
• Collaborates in a strong partnership with the Deputy Director of the Health Centers, Practice Managers, and Front-end teams
• Collaborates regularly with Information Systems to prioritize, manage, resolve, and implement JIRA's
• Participates in meetings, workgroups, and improvement initiatives as assigned.

• General Administration
• Documents issues, resolutions, and process changes to support transparency and continuous improvement.
• Performs other duties as assigned to support organizational revenue integrity and sustainability.

Qualifications

• Strong attention to detail with the ability to identify revenue risk early.
• Ability to translate revenue cycle requirements into operational workflows.
• Comfort working in fast-paced, highly collaborative environments.
• Commitment to equity, access, and patient-centered care.
• Professional judgment and discretion when handling sensitive financial information
• Sound judgment escalating issues to site leadership, financial leadership, and/or enterprise leadership as appropriate.

Job Requirements

• Associate's or Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience.
• Minimum of 3–5 years of experience in dental healthcare revenue cycle, clinic operations, or front-end registration/eligibility.
• Working knowledge of ambulatory billing workflows, insurance eligibility, and payor processes.
• Experience working with EHR and practice management systems.
• Strong organizational, communication, and problem-solving skills.
• Ability to work collaboratively across departments and with clinic staff.

Job Preferences

• Experience in an FQHC dental practice or safety-net dental healthcare setting.
• Familiarity with Medicaid, Medicare, PPS, and managed care billing.
• Experience supporting denial management or charge capture improvement.
• Knowledge of HRSA Health Center Program requirements.
• Proficiency with reporting tools (e.g., Epic Ochin, Excel, payor portals, others).
• Bilingual or multilingual skills reflective of the communities served.

PHMC is an Equal Opportunity and E-Verify Employer.