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Role Description

The Revenue Cycle Management (RCM) Regional Manager is responsible for overseeing all revenue cycle operations for a defined region within Paradigm Oral Health. This role provides direct leadership to multiple RCM supervisors and clinic-aligned billing and AR teams, ensuring consistent execution of centralized RCM workflows while maintaining strong operational alignment with individual practices.

The Regional RCM Manager is accountable for regional performance across medical and dental billing, collections, denial management, and patient balances, with a focus on driving results, standardizing processes, and escalating systemic issues for resolution at the enterprise level.

The successful candidate will demonstrate strong ability to collaborate with various departments, ensure compliant and scalable processes, communicate with insurance providers, provide seamless central support for offices, and elevate the patient financial experience. Comfort communicating with Operations leadership and oral surgeons is crucial for success in this role.

Qualifications

• Prior experience in Dental Office workflows, Revenue Cycle functions to include Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up and payment posting process.
• Must be knowledgeable of reimbursement/compliance process and procedures with all payors.
• Experience with practice management software systems, insurance portals, clearing houses, insurance guidelines, banking reconciliation software, proficient in intermediate PC skills (MS Office—strong excel skills).
• Strong computer literacy, excellent math and problem-solving skills.
• Data entry and 10-key by touch.
• Strong interpersonal and organization skills.
• Ability to work within a team setting and as an individual contributor.
• Excellent oral and written communication skills.
• Responsible for quality work, meeting deadlines, and adherence to Compliance and Revenue cycle standard operating procedures.
• Organized work habits, accuracy, and proven attention to detail with strong analytical skills.

Requirements

• Oversee and manage the RCM teams supporting the assigned Region.
• Lead, coach, and develop RCM supervisors and team members across all RCM functions and practice support models.
• Responsible for functions including insurance verification, billing, statement generation, insurance follow-up, collections placement, cash posting, office escalations, and patient inquiries.
• Review and “spot check” claims, statements, and other staff activities to evaluate efficiency and effectiveness.
• Ensure compliance with federal and state billing regulations, CMS, commercial payer, and dental payer requirements.
• Provide support to all team members as needed for arising situations.
• Continuously evaluate RCM processes to identify inefficiencies or areas for improvement.
• Schedule, plan, and run team meetings to discuss accounts, goals, and improvements.
• Provide education and training for new and existing staff members.
• Complete corrective action meetings including verbal or written warnings with assistance from Human Resources.
• Audit team performance weekly and ensure timely, accurate, and compliant processing of RCM activities.
• Collaborate with other departments to drive alignment and coordination across the revenue cycle continuum.
• Set clear performance expectations, accountability structures, and career development pathways for team members.
• Foster a culture of collaboration and communication to support organizational objectives.
• Provide feedback to RCM Director and VP to support quarterly and annual performance reviews.
• Partner with Compliance and Legal teams on audits, payer reviews, and corrective action plans.
• Ensure teams are appropriately staffed in relation to volume-based staffing model.
• Review trends MoM to assist in setting departmental goals related to RCM metrics.
• Report any compliance concerns to RCM Director or VP.
• Act as point of escalation for site leadership when account or patient questions arise.
• Develop and maintain strong relationships with the practice operations team, practice administrators, and surgeons.
• Other duties and responsibilities as assigned by leadership.

Benefits

• Competitive salary.
• Comprehensive health benefits.
• 401(k) plan with company match.
• Flexible work environment.
• Opportunities for professional development.