Revenue Cycle Management (RCM) Specialist

Job Title: Revenue Cycle Management (RCM) Specialist (In-office Position, $70,000 - $80,000 DOE) Nannas, Haines & Schiavo, P.A. is seeking an experienced and detail-oriented Revenue Cycle Management (RCM) Specialist to join our Consulting division and support our dental clients. This individual will be responsible for overseeing the full billing and collections cycle, from insurance verification through claims submission, payment posting, and patient collections, to ensure our clients’ financial health and smooth patient billing experiences. Key Responsibilities Verify dental insurance benefits and eligibility prior to patient appointments Submit clean, accurate insurance claims (electronic and paper) in a timely manner Post insurance and patient payments accurately to patient accounts Follow up on unpaid, denied, or underpaid claims and resubmit or appeal as needed Manage accounts receivable (A/R) and work aging reports to reduce outstanding balances Communicate with patients regarding outstanding balances, payment plans, and billing questions Coordinate with front desk and clinical staff to ensure accurate coding (CDT codes) and documentation Process pre-authorizations and predeterminations for treatment plans Reconcile daily/weekly/monthly deposits and insurance payments Monitor key RCM metrics, such as days in Accounts Receivable, claim denial rates, and collection rates and report trends to management Stay current on payer policies, insurance regulations, and HIPAA compliance requirements Identify and resolve billing discrepancies or system errors Maintain organized, compliant records of all billing and collections activity Qualifications 3+ years of experience in dental billing or dental RCM Working knowledge of dental insurance plans, CDT codes, and claims processes Experience with dental practice management softwares, including Dentrix, Fuse, Eaglesoft, Open Dental, and more Strong understanding of insurance verification, EOBs, and A/R management Excellent attention to detail and organizational skills Strong communication skills for interacting with patients, insurance carriers, and staff Knowledge of HIPAA compliance and patient privacy standards Proficiency with Microsoft Excel for reporting and tracking Preferred Qualifications Experience with multi-location billing Familiarity with clearinghouses and electronic claims submission platforms What We Offer Compensation: $70,000–$80,000, commensurate with experience Work arrangement: In-office Paid Time Off: Flexible/unlimited PTO Retirement: 401(k) with company match Health coverage: Medical, dental, and vision insurance Culture: A collaborative, team-oriented environment that values autonomy, precision, and professional growth #J-18808-Ljbffr Nannas Haines & Schiavo, P.A.