Paradigm Oral Surgery

Role Description The RCM Specialist II is an individual contributor role on the RCM team, responsible for AR follow-up, posting payments, processing refunds and credits, and auditing accounts accurately. This role supports the full revenue cycle, helping ensure timely resolution of outstanding balances, clean financial records, and a smooth experience for both practices and patients. An ideal candidate has a strong understanding of AR processes, account research, and payer guidelines. They are detail-oriented, analytical, and confident in navigating account-level discrepancies and improving key revenue cycle metrics. Qualifications - Prior experience in Dental Office workflows, Revenue Cycle functions including Scheduling, Registration, Insurance verification, fee schedules, claim submission, charging/coding requirements, insurance AR follow up, and payment posting process. - 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 organizational 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. - Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred. Requirements - Perform all assigned RCM activities in accordance with best practices and internal SOPs. - Perform AR follow-up to resolve unpaid or underpaid claims, denials, and aged balances through appropriate action (i.e. appeals, corrections, resubmissions, etc.). - Audit accounts to verify accurate claim submission, payment application, adjustments, and resolution of outstanding balances. - Review and resolve credit balances; process refunds to insurance and patients in compliance with regulations and internal policies. - Post all payments – insurance and patient – accurately and in a timely manner, including zero-dollar payments and remittance reconciliations (manual and electronic). - Apply adjustments and write-offs appropriately based on payer contracts and internal guidelines. - Work AR aging reports regularly to reduce days in AR and the percentage of AR over 90 days. - Maintain clear and thorough documentation of account activities, payer interactions, and refund processing steps. - Collaborate with internal teams (billing, front office) to ensure clean claims and quick resolution of issues. - Maintain compliance with HIPAA, payer guidelines, and internal policies. - Participate in team meetings to discuss performance metrics, workflow updates, and process improvements. - Support RCM management in understanding and self-identifying contributing factors to site-specific RCM KPIs, highlighting areas of concern and areas for improvement. - Monitor and report on the net collection rate, analyzing performance against targets. - Track and evaluate average days in AR to ensure appropriate advanced collection, payment application, efficient and accurate claim filing, and timely back-end billing and claim resolution. - Review and analyze the percentage of AR over 90 days (insurance v. patient) to identify trends or issues requiring attention. - Identify trends in rejections, disputes, payment delays, and denials, and escalate issues for resolution. - Maintain respect and professionalism in all interactions with internal stakeholders, patients, payers, third parties, and others.

Role Description The RCM Supervisor II is responsible for overseeing the end-to-end RCM activities of multiple office support teams to ensure optimal performance and efficiency. This role is responsible for direct management of two or more office support teams and functions in a supervisory capacity without direct account assignments, but with team support and coverage expectations during outages or within areas of need. The RCM Supervisor II role is responsible for overall performance, team and staff management, risk identification and communication with RCM and office leadership stakeholders. 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 organizational 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. - Certified Professional Coder (CPC) or Certified Revenue Cycle Professional (CRCP) credentials preferred. - Ability to comply with all organization, state, and federal employment regulations and practices. Previous experience in team and personnel management preferred. Requirements - Supervise office-based end-to-end site-specific revenue cycle team(s), providing guidance and support to ensure performance meets departmental standards. - Interview, hire, onboard and train new-hires or transferred team members within pod-specific workflows and role-specific expectations. - Provide ongoing training and development to ensure team members are up-to-date on billing and coding procedures, compliance, payer requirements, and best practices. - Conduct bi-weekly huddles to review site scorecard/metrics, adjust workflows, and implement new strategic initiatives across roles. - Identify gaps in team communication and address problem areas with innovative solutions to improve accountability and performance. - Perform quarterly reviews for direct reports with bidirectional performance feedback. - Provide feedback to RCM Manager or Director to support quarterly and annual performance reviews for all pod staff. - Prepare and present detailed reports on site-specific RCM KPIs, highlighting areas of concern and areas for improvement. - Monitor and report on the net collection rate, analyzing performance against targets. - Track and evaluate average days in AR to ensure appropriate advanced collection, payment application, efficient and accurate claim filing, and timely back-end billing and claim resolution. - Review and analyze the percentage of AR over 90 days (insurance v. patient) to identify trends or issues requiring attention. - Review speed and effectiveness of resolution of practice needs, account questions, and communication back to practice and/or patient. - Audit team performance weekly and ensure that all RCM activities are processed in a timely, accurate, and compliant manner. - Develop and enforce procedures for following up on outstanding claims and ensuring payment collection on overdue accounts. - Ensure team is appropriately staffed in relation to volume-based staffing model per pod. - Review trends MoM to assist in setting departmental goals related to RCM metrics. - Continuously evaluate RCM processes to identify inefficiencies or areas for improvement. - Report any compliance concerns to RCM Manager or Director, and assist with resolution of compliance issues. - Act as first point of contact for site leadership when account or patient questions arise. Benefits - Competitive salary and annual merit reviews. - Medical, Dental, Vision, Life Insurance. - Health Savings Account (HSA) with HDHP health plans. - PTO, Sick Time, Paid Holidays, Paid Parental Leave. - Short- and Long-Term Disability. - 401(k) Plan with Company Match. - Employee Assistance Program (EAP).

Role Description Remote positions open for candidates in Pacific or Mountain Time Zones. Bilingual in Spanish/English preferred. We are looking for a fun, hardworking, compassionate, team player to help us grow our many practices and continue to serve their surrounding communities with all of their oral surgery needs. Previous healthcare experience a plus but not required. Our Practice Ambassadors serve as the first impression in our patient’s experience by providing remarkable customer service primarily via phone, with occasional in-person patient care. Role and Responsibilities - Answer phones, schedule appointments, collect patient financial responsibility, and ensure all information is collected in the patient’s chart. - Provide concierge level customer service while interacting with patients, referring offices, and team members over the phone or via electronic communication. - Answer the phone promptly with a smile. - Schedule for multiple practices based on each doctor's preferences. - Optimize patient satisfaction, provider time, and effective use of exam and treatment rooms. - Make outbound calls to patients being referred for procedures. - Manage patient calls regarding post-operative and billing questions. - Maintain professional relationship with referring offices. - Maintain confidentiality of all information in accordance with HIPAA. - Perform other related duties as assigned. Qualifications - High school diploma or equivalent required. - One year of customer service experience required. Requirements - Understanding of dental terminology. - Friendly, inviting, and professional personality and presence. - Basic office skills such as typing and filing. - Good organizational skills. - Attention to detail. Benefits - Monday through Thursday 8am-5pm - Friday from 8am-3pm

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. 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.