AR Revenue Cycle Manager

This role partners closely with practice managers to strengthen front-end revenue operations, including patient A/R management and over-the-counter (OTC) collection best practices to ensure financial excellence across the full patient and insurance payment lifecycle. · Partner with operations, practice managers, front office, and clinical teams to ensure all required claim attachments are accurately captured and available in the patient’s chart prior to submission.

Overview:

The Revenue Cycle Manager is responsible for the overall leadership, performance, and optimization of the insurance and patient revenue cycle processes across the organization.

This position oversees the Insurance A/R Supervisor and Insurance AR Specialist teams to ensure timely and accurate claim submission, follow-up, and reimbursement.

This role partners closely with practice managers to strengthen front-end revenue operations, including patient A/R management and over-the-counter (OTC) collection best practices to ensure financial excellence across the full patient and insurance payment lifecycle.

The Revenue Cycle Manager develops strategies to improve cash flow, reduce aged A/R, increase first-pass claim acceptance, and maintain compliance with payer and regulatory requirements.

Responsibilities:

Provide leadership for all insurance A/R, billing, and collections functions.

· Directly supervise the Insurance A/R Supervisor and Insurance A/R Specialist

· Develop and communicate clear workflows, accountability measures, and escalation procedures for unresolved claims and denials.

· Oversee all insurance accounts receivable functions to ensure timely resolution of outstanding claims and reduction of aged A/R (30/60/90+).

· Track and report cash collection, aging trends, and denial patterns.

· Analyze key performance data to identify root causes of delayed payments or rejections and lead corrective actions.

· Evaluate and refine revenue cycle workflows to improve first-pass claim acceptance and reduce rework.

· Assist with developing and maintaining standard operating procedures (SOPs) for insurance billing, follow-up, and documentation.

· Oversee onboarding and training programs for new insurance A/R staff, ensuring understanding of systems, workflows, and payer guidelines.

· Conduct regular performance reviews and provide coaching to promote skill development and accountability to A/R team members.

· Partner with operations, practice managers, front office, and clinical teams to ensure all required claim attachments are accurately captured and available in the patient’s chart prior to submission.

· Serve as the primary liaison between the RCM department and leadership, providing regular updates on department performance and process improvements.

· Partner with Practice Managers to monitor and improve patient A/R aging, ensure accurate patient balance collection, and reinforce over-the-counter (OTC) collection best practices. Supervise daily activities of the Insurance A/R Support Specialists, ensuring claims and errors are completed according to established timelines and workflows.

· Provide coaching, feedback, and ongoing training to enhance accuracy, productivity, and professional development of AR team members

.Review unresolved claims for trends, timely filing risks, or payer-specific issues, escalating to RCM leadership as appropriate.

· Ensure claims are submitted daily.

· Ensure DentalXChange errors are addressed promptly, and systemic causes are identified and resolved.

· Oversee utilization of Denticon Task Manager to ensure all tasks and claim notes are up to date and accurate.

· Ensure claims are properly submitted with required attachments through Denticon.

Performance Metrics (KPIs)

· 99% Cash Collection Rate

· Insurance AR Aging Target:

55% in 0-30 days

20% in 31-60 days

15% in 61-90 days

10% in over 90 days

· 90% First-pass acceptance rate