Revenue Cycle and Reporting Manager at Sonrisas Dental

$70,000 to $90,000 (depending on experience)

Job Title: Revenue Cycle & Reporting Manager

Classification: Exempt

Reports to: Director of Finance

Salary: $70,000 to $90,000 (depending on experience)

About Sonrisas Dental Health, Inc. (SDH): SDH is a non‑profit dental center dedicated to providing access to quality dental care and oral health education to our community. We offer preventive care, mobile dental, general, geriatric, pediatric, sedation dentistry, and accommodations for patients with special needs and disabilities. Seventy percent of SDH’s patients are low‑income. SDH improves community health through culturally sensitive, integrated care with a focus on disease prevention.

About the Position: The Revenue Cycle & Reporting Manager oversees the full revenue cycle at Sonrisas Dental Health, including billing, claims processing, payment posting, collections, and revenue performance reporting. The role ensures billing accuracy, payer compliance, financial integrity, and delivers actionable reports supporting leadership decision‑making, sustainability, and operational improvement.

Fundamental Duties:

• 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:
    • Production (gross vs. net).
    • Outstanding Insurance Claims.
    • Procedures Not Billed.
    • Unearned.
    • A/R aging summaries.
    • Payer performance and denial trends.
    • 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:

• 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. The job includes frequent, repetitive manual tasks, use of a computer and telephone, and handling objects up to 20 lbs (occasionally 50 lbs). The role may require working under…