Dental Outpatient Billing Manager

Job Overview

Dental Outpatient Billing Manager

Location: Melville NY

Employment Type: Full-Time

Position Summary

The Dental Outpatient Billing Manager oversees all billing, collections, insurance reimbursement and denials, and revenue cycle operations for all dental outpatient practices or ambulatory dental clinics. This role ensures accurate claim submission, regulatory compliance, timely collections, denial management, and optimal reimbursement from commercial insurance, Medicaid, Medicare, and managed care plans.

The manager leads billing staff, develops departmental policies, monitors key performance indicators (KPIs), and collaborates with clinical and administrative leadership to improve revenue cycle performance and patient financial services.

Key Responsibilities

Revenue Cycle Management

Manage end-to-end dental billing operations.

Ensure timely submission of electronic and paper claims.

Monitor accounts receivable and aging reports.

Oversee denials management and appeals processes.

Maximize reimbursement and reduce claim rejection rates.

Insurance & Compliance

Maintain expertise in all dental insurance plans, PPOs, Medicaid, and managed care programs.

Ensure compliance with HIPAA, ADA coding guidelines, payer regulations, and any other associated regulations.

Review billing audits and implement corrective actions.

Stay current on CDT coding updates and reimbursement requirements.

Staff Leadership

Supervise billing specialists, collectors, and insurance coordinators.

Train staff on billing procedures and compliance standards.

Conduct performance reviews and monitor productivity metrics.

Develop workflow improvements and standard operating procedures.

Reporting & Analytics

Prepare monthly revenue cycle reports.

Track KPls include:

Days in A/R

Collection rates

Denial rates

Net reimbursement

Patient balance

Present operational updates to leadership.

Patient Financial Services

Resolve complex billing disputes.

Support patient payment arrangements.

Ensure excellent customer service regarding billing inquiries.

Qualifications

Required

Bachelor's degree in Healthcare Administration, Business, Finance, or related field (or equivalent experience).

5+ years of dental or medical billing experience.

2+ years of supervisory or management experience.

Strong knowledge of:

Dental insurance billing

Dental procedures

Revenue cycle management

CDT coding

Medicaid/Managed Care reimbursement

Experience with Dentrix, Eaglesoft, Open Dental, Epic, or similar systems.

Preferred

Certified Professional Biller (CPB)

Certified Dental Practice Management credentials

Multi-site outpatient or FQHC experience

Pay: $90,000.00 - $136,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Application Question(s):

• Do you have a BS degree in Healthcare Administration, Business, or Finance?
• Do you have 3 years dental billing experience?
• Do you have 2 years Supervisor or Management experience?
• Do you have knowledge of the EPIC system?
• Are you willing to travel to Queens and East NY twice a week during training?

Work Location: In person