Revenue Cycle Manager

Revenue Cycle Manager Sonrisas Dental Health, Inc. San Mateo, CA Job Details Full-time $70,000 - $90,000 a year 16 hours ago Benefits Dental insurance Qualifications Preparation of internal financial performance reports Teamwork HIPAA compliance HIPAA High school diploma or GED Bachelor's degree Attention to detail Problem-solving Data-driven problem-solving Computer skills Clinical confidentiality policies Collections account management Full Job Description Sonrisas Dental Health, Inc. (SDH) is a non-profit dental center dedicated to providing access to quality dental care and oral health education to our community. We provide these services with dignity, respect and compassion. SDH improves the health of our community members through culturally sensitive, integrated care, with a focus on disease prevention. SDH is a dental home for our patients, providing preventative dental care, mobile dental, general dentistry, geriatric dentistry, pediatric dentistry, sedation dentistry and accommodations for patients with special needs and disabilities. Seventy percent of SDH's patients are low-income. About the

Position:

The Revenue Cycle & Reporting Manager is responsible for overseeing the full revenue cycle at Sonrisas Dental Health, including billing, claims processing, payment posting, collections, and revenue performance reporting. This role ensures billing accuracy, payer compliance, and financial integrity while producing actionable reports that support leadership decision-making, sustainability, and operational improvement. This position serves as the system owner for revenue cycle workflows, post-quality assurance, payer performance evaluation, and accounts receivable monitoring, in alignment with Sonrisas' Revenue Cycle SOPs and workflows. Fundamental duties include (but are not limited to): Revenue Cycle Operations & Oversight

• Oversee daily claim submission, payment posting, denials management, collections, and refunds
• Ensure post-quality assurance review is completed for all billable encounters prior to claim submission.
• Resolve complex billing issues, denials, payer discrepancies, and escalations.
• Maintain accurate insurance fee schedules, contractual adjustments, and write-off controls in Open Dental.
• Monitor timely filing limits and ensure corrective action for at-risk claims. Accounts Receivable & Collections Management
• Actively manage insurance and patient A/R across 30/60/90/120+ aging buckets.
• Identify trends by payer, provider, and denial category.
• Coordinate patient statements, payment plans, charity care determinations, and collections referrals.
• Report A/R progress and risks to the CEO and Finance Department on a bi-weekly basis. Reporting, Evaluation & Data Integrity
• Prepare and deliver monthly revenue cycle reports , including: o Production (gross vs. net) o Outstanding Insurance Claims o Procedures Not Billed o Unearned o A/R aging summaries o Payer performance and denial trends o Data integrity and cleanup findings
• Evaluate revenue cycle performance and recommend workflow, staffing, or system improvements.
• Partner with the Senior Accountant to reconcile revenue with financial systems.
• Support audits, funder reporting, and leadership planning with accurate, defensible data. Systems & Process Management
• Serve as the subject matter expert for Open Dental billing workflows.
• Develop, maintain, and update revenue cycle SOPs and internal controls.
• Train and support billing staff and front office staff on billing requirements and payer rules.
• Monitor payer updates and communicate changes to relevant staff. Fundamental Expectations of this position include (but are not limited to):
• Demonstrated commitment to Sonrisas' mission, values, and safety-net care model.
• High attention to detail, accuracy, and accountability.
• Strong analytical and problem-solving skills.
• Ability to translate data into clear, actionable insights.
• Collaborative, solutions-oriented approach across departments.
• Understanding of public health and socioeconomic factors impacting patient care and collections.

Education/Experience/Licensure:

• High School Diploma or GED required
• Bachelor's degree preferred (or equivalent combination of education and experience)
• Minimum 5 years experience in dental or medical billing and collections
• Strong working knowledge of ADA/CDT codes
• Demonstrated experience with insurance rules and coverage (commercial, PPO, Medi-Cal)
• Experience with Medi-Cal Dental and HPSM strongly preferred
• Experience preparing A/R, collections, and payer performance reports
• HIPAA compliance required
• Successful completion of background checks required
• Proficiency in Open Dental strongly preferred

Physical Expectations:

Prolonged sitting or standing may be required. Those physical movements and the degree of mobility, manual dexterity and hand-eye coordination normally associated with office tasks will be performed on a frequent, repetitive basis. The ability to distinguish letters and symbols as well as the ability to utilize telephones, computer terminals and copiers is required. Work under stressful conditions as well as irregular hours may be required. Ability to lift up to 20 lbs. is required, up to 50 lbs. is helpful, but rare in occurrence.

Facility Expectations:

Listens to, understands, and appropriately responds to patient/customer needs and improves overall customer satisfaction. Demonstrates professional behavior with his/her work. Complies with personnel and departmental policies. Supports and participates in quality improvement activities. 3. Works actively with others to get the job done. Consistently exhibits courteous behavior/actions, including maintaining a positive attitude. 4. Supports and participates in changes and discussions regarding work practices. 5. Acts and speaks respectfully regardless of the presence or absence of the person. Frequently offers praise to others for doing a good job. Listens to and respects the opinions of others and maintains confidentiality. 6. Demonstrates enthusiasm and commitment towards personal growth and development; completes and attends mandated educational courses. Maintain current licensure and certifications, if applicable. Attends and participates in departmental meetings, and if unable to attend proactively asks or gathers missed information. 7. Addresses issues in a courteous and respectful manner. Maintains the same standard for all patients/families and co-workers. Supports co-workers and patients/families in a positive manner. 8. Follows safety practices. Identifies problems and works to resolve safety issues as they occur and in accordance with policy, asking for assistance when necessary. Helps and teaches others. Sonrisas Dental Health reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with

EEOC 29 CFR

part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization. Sonrisas Dental Health, Inc. is an equal opportunity employer and does not discriminate based on race, religion, color, national origin, ancestry, marital status, military status, gender, physical or mental disability, sexual orientation, or age. Sonrisas Dental Health, Inc. complies with all Federal, State, and local labor and employment laws.

Pay:

$70,000.00 - $90,000.00 per year

Work Location:

In person