AR Revenue Cycle Manager

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