RCM Specialist

Desert Valley Dental is seeking a detail-oriented and experienced Insurance RCM Specialist to oversee insurance payment posting, claims management, patient billing, and revenue cycle compliance across multiple dental office locations. This role plays a critical part in ensuring timely reimbursements, accurate billing, and optimized financial performance.

Key Responsibilities:

• Insurance & Payment Processing:

Accurately post insurance payments for all office locations, ensuring correct write-offs, adjustments, and account allocations.

Review Explanation of Benefits (EOBs) for accuracy and compliance with practice policies.

Monitor insurance payment trends and recommend workflow improvements to enhance efficiency and accuracy.

• Claims Management:

Ensure all offices submit insurance claims through DentalXChange on a weekly basis.

Collect and review weekly claim submission reports from each office every Friday.

Perform monthly follow-ups on all outstanding insurance claims over 30 days to reduce aging and improve collections.

Verify claims are submitted with required documentation (X-rays, perio charting, narratives, etc.) and meet payer guidelines.

Manage insurance denials, rejections, and appeals promptly to maximize reimbursement.

• Patient Billing & Collections:

Ensure monthly patient collection processes are completed by all offices, including statement generation, follow-up calls, and payment plan monitoring.

Oversee patient billing accuracy and assist teams with patient account inquiries and issue resolution.

Qualifications:

Minimum 2–3 years of dental insurance billing and collections experience (multi-location experience preferred).

Strong knowledge of dental insurance plans, EOBs, claims submission, and appeals.

Experience with DentalXChange and dental practice management software.

Excellent attention to detail and analytical skills.

Strong communication skills and ability to train and support office teams.

Ability to work independently and manage multiple priorities.

Preferred Skills

Revenue cycle management experience in a dental or healthcare setting.

Familiarity with audits, reporting, and process improvement initiatives.

Remote work experience a plus.

Benefits:

Health Insurance

Flexible Schedule

401(k) matching

Dental Insurance

Vision Insurance

Flexible spending account

Life insurance

Paid time off & Holiday Pay

Referral program