Client Success Lead

This is a fully remote position, open to applicants in United States.

📋 Description

• Prepare and accurately submit dental claims on a daily basis, including necessary attachments, narratives, and documentation.

• Record insurance payments and make adjustments as required.

• Reconcile Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with practice management systems and investigate any discrepancies.

• Manage insurance aging based on payer, age, and dollar value while ensuring timely filing windows are protected.

• Identify and address the root causes of recurring denials.

• Take full ownership of denials and appeals from start to finish, including analysis of reason codes, drafting written appeals, and managing escalations.

• Act as the primary contact for client offices and insurance payers.

• Conduct weekly client meetings and effectively communicate client status updates.

• Establish performance metrics, regularly report results, and proactively identify negative trends.

• Collaborate with product and technology teams to enhance Revenue Cycle Management (RCM) tools.

• Clarify dental revenue cycle challenges and provide recommendations to practice owners.

• Offer professional client-facing support and follow-up correspondence.

• Engage in quality assurance and respond positively to internal coaching feedback.

• Utilize AI and other technological tools while validating outputs against reliable sources.

⛳️ Requirements

• Minimum of 5 years of experience in dental revenue cycle management, encompassing claim submission, payment posting, and insurance accounts receivable management.

• Proven ability to manage dental RCM tasks remotely without daily supervision.

• Extensive knowledge of dental insurance plans, CDT coding, and payer behaviors.

• Proficient in at least two dental practice management systems, such as Dentrix, Eaglesoft, Open Dental, Denticon, or Curve.

• Availability for a complete 8-hour workday, Monday through Friday, during standard business hours.

• Exclusive commitment to Wisdom; no secondary billing book, outside clients, or obligations to another employer.

• Employment with a direct competitor or a similar RCM firm is not allowed.

• A private, quiet, and professional workspace with reliable internet and the ability to handle patient information confidentially.

• Capability to conduct client video calls.

• Excellent communication skills and ability to follow through effectively.

• A genuine commitment to patient confidentiality and data security.

• Comprehensive knowledge of the entire dental revenue cycle, including front-end processes, coding, claims, adjudication, posting, denials, appeals, accounts receivable, patient billing, contracts, credentialing, reporting, HIPAA, and data security.

• Proficiency in at least two dental practice management platforms.

• High score achieved in RCM assessments.

• Membership in AADOM, FAADOM designation, or other revenue cycle credentials would be advantageous.

• Experience in multi-office, group practice, or DSO environments would be a plus.

• Background in specialty billing for orthodontics, oral surgery, periodontics, or Medicaid would be beneficial.

• Experience in credentialing, fee schedules, or PPO contracts would be an advantage.

• Ability to work independently, manage metrics, resolve issues, communicate proactively, conduct client meetings, and effectively utilize technology.

🏝️ Benefits

• Comprehensive healthcare coverage, including dental insurance.

• Retirement savings plan.

• Paid time off and paid holidays.

• Company-provided computer and necessary equipment.

• Opportunity for performance-based bonuses.

• Fixed salary structure with non-commission compensation.

• Full-time W2 employment status.

• Remote working arrangement.

• Supportive remote work culture.

• Access to technology and AI tools for RCM tasks.

• Opportunities for professional growth and leadership development.