RCM Insurance Manager

Sage Dental - Deerfield Beach, FL

Full-time - Mid Level

Onsite - Deerfield Beach, FL

Ambulatory Health Care Services

About the position

The Insurance Manager at Sage Dental is responsible for overseeing all aspects of insurance plan management and verifications. This role includes supervising the Insurance Verification team and the Insurance Group, ensuring accurate patient eligibility verification, and creating comprehensive insurance coverage profiles. The position aims to enhance the accuracy and timeliness of claims submissions while collaborating with RCM leadership to identify growth opportunities within the company.

Responsibilities

• Overall responsibility of Insurance Verification team to ensure strategic goals and metrics are achieved.
• Oversees the day-to-day activities of the team.
• Keeps abreast of all reimbursement billing procedures of third party, private insurance, and government regulations to ensure compliance with current processes.
• Improves processes within department with emphasis on quality and efficiency.
• Identify root cause of issues and work with others to improve overall processes.
• Reports audit metrics for employees to monitor accuracy and productivity rates.
• Ensures staff are appropriately trained and held accountable for achieving standards and goals.
• Ensure valid insurance information provided to our patients is accurate and complete. Works with staff to resolve discrepancies and improve accuracy.
• Assists in the achievement of company goals and objectives by encouraging and facilitating cross departmental initiatives and cooperation.
• Complies with federal, state, and local legal requirements by being aware of existing and new legislations.
• Takes escalated phone calls that cannot be effectively resolved by team members.
• Communicate with other departments; including front end staff regarding billing issues, and trends to work toward an account resolution and decreases insurance denial percentages.
• Conducts team meetings to educate on insurance guidelines, and re-training efforts on accounts incorrectly worked.
• Maintains patient confidentiality and functions within the guidelines of HIPAA.
• Completes assigned compliance training and other educational programs as required.
• Performs other related duties assigned during and after normal business hours.

Requirements

• Minimum of 2+ years of insurance verification (PPOs) in the dental industry.
• 3+ years of management experience in the dental industry.
• Strong time management and organizational skills.
• Familiarity with Dentrix software is a plus.

Benefits

• Health Insurance
• In-House Dental Program
• PTO
• Holiday Pay
• Direct Deposit
• 401K
• Bonus programs (job specific)