Oversee and provide strategic direction for end-to-end revenue cycle operations, including insurance verification and eligibility, billing and coding workflows, claims submission and management, payment posting, denial and appeal resolution, and insurance A/R management.
Be accountable for revenue cycle performance outcomes, including collections, A/R aging, payer responsiveness, and operational efficiency.
Ensure consistent, compliant billing practices aligned with payer requirements, organizational standards, and Epic workflows.
Serve as the senior escalation point and subject matter expert for complex payer rules, documentation requirements, and revenue cycle issues.
Leadership & Team Management.
Provide leadership, direction, and performance oversight for the Billing Lead, billing teams, Communications Agents, and Fee Analyst.
Establish clear expectations, operating standards, workflows, and escalation paths across billing and communications functions.
Oversee hiring, onboarding, training, and ongoing development of RCM staff in partnership with HR and Operations.
Act as a strategic coach to team leads while maintaining visibility into complex operational and performance challenges.
Epic, Integrations & Workflow Governance.
Provide governance and oversight for Epic-based billing and communications workflows, ensuring standardization, scalability, and compliance.
Partner with IT, Epic, and integration teams to guide system enhancements, workflow optimization, and issue resolution.
Provide operational leadership for integrations, system migrations, and workflow changes impacting billing, reporting, communications, referrals, and data exchange.
Evaluate workflow performance and recommend system or process changes informed by data trends and operational needs.
Community Connect Program Leadership
Provide strategic and operational leadership supporting the design, implementation, and ongoing evolution of Community Connect workflows and operating models.
Partner with Operations, IT, Analytics, Epic, and Communications teams to ensure scalable, standardized workflows for participating practices.
Help establish governance structures, onboarding standards, performance expectations, and post-go-live stabilization processes.
Contribute revenue cycle expertise to inform program sequencing, prioritization, and long-term sustainability.
Dental-Medical Integration (DMI) Enablement
Support Dental-Medical Integration (DMI) initiatives within Community Connect focused on transforming the dental experience through enhanced screenings, documentation, and care coordination.
Partner with clinical, operational, and technology teams to ensure DMI workflows are operationally supported within Epic and aligned with revenue cycle, reporting, and compliance requirements.
Provide input into workflow design supporting patient questionnaires, screenings, referrals, and downstream operational processes.
Identify operational, documentation, and compliance considerations related to DMI initiatives and recommend workflow improvements.
Analytics, Reporting & Performance Management.
Define reporting requirements and KPIs in partnership with Analytics and Epic reporting teams.
Review, validate, and interpret dashboards and reports to support operational management and leadership decision-making.
Monitor performance across claims, denials, A/R, collections, communications metrics, and Community Connect initiatives.
Translate data insights into operational improvements, workflow refinements, and prioritization decisions.
Practice Onboarding & Growth Support
Partner with Operations, IT, and Integration teams to oversee onboarding of new practices into Epic, Community Connect, and centralized RCM workflows.
Ensure billing, communications, and reporting processes are standardized, scalable, and operationally ready for new practices.
Provide leadership oversight during post-go-live stabilization to minimize revenue disrupt
Additional Information
The Manager of Revenue Cycle Management (RCM) provides leadership and oversight for end-to-end revenue cycle operations across multiple dental specialties within an Epic-enabled environment. This role is accountable for operational performance, workflow governance, and cross-functional alignment supporting scalable, compliant, and high-performing revenue cycle operations. The Manager plays a key leadership role in supporting Community Connect, an integrated program encompassing Revenue Cycle Management, Dental-Medical Integration (DMI), communications, Epic workflows, analytics, and system integrations. The role ensures operational readiness, consistency, and performance as programs and participating practices scale. This position partners closely with Analytics, IT, Epic, Operations, Credentialing, Payor Relations, Communications, and Clinical teams to provide strategic direction, operational oversight, and continuous improvement across revenue cycle and program workflows
Delta Dental Ins · San Francisco, CA