Centralized Billing Manager

Reports to: Director of Revenue Cycle Management

Works closely with: Offshore Billing Manager, Credentialing Team

Location: Wickford, RI

Compensation: Flat salary with annual bonus tied to individual and company goals

The Centralized Billing Manager oversees the onshore billing team for a 30+ practice dental group. This role is responsible for managing patient accounts receivable and insurance AR exceptions that cannot be resolved by the offshore team. The ideal candidate has a deep understanding of the full dental RCM lifecycle, a strong operational mindset, and a patient-first approach to billing.

This role focuses on efficiency, accountability, and compassionate communication—ensuring revenue goals are met while maintaining a high standard of patient care.

• Manage, coach, and support the onshore billing team
• Oversee daily, weekly, and monthly billing workflows to ensure timeliness and accuracy
• Partner closely with the Offshore Billing Manager to ensure smooth handoffs and clear escalation paths
• Assist with hiring, onboarding, and training of new team members
• Foster a positive, patient-focused and collaborative team culture

• Oversee patient AR and complex insurance AR exceptions
• Ensure timely follow-up on unpaid claims, denials, and underpayments
• Monitor claim lifecycle performance and identify opportunities to improve speed and accuracy
• Ensure compliance with payer guidelines and internal billing policies
• Collaborate with Credentialing to resolve payer enrollment or network-related issues

• Identify inefficiencies in workflows and implement improvements
• Standardize processes across practices where appropriate
• Support automation and best practices to reduce rework and aging AR
• Serve as a subject matter expert for dental billing and insurance processes
• Ensure patient billing inquiries are handled with empathy, clarity, and professionalism
• Support the team in resolving patient balances while maintaining trust and transparency
• Reinforce the organization’s belief that patient care always comes first

• Create and deliver regular reporting to the Director of RCM
• Track KPIs such as AR aging, collections, denial rates, and team productivity
• Ensure team goals and deadlines are consistently met

• 4+ years of dental billing and/or insurance RCM experience
• 2+ years of people management or team lead experience
• Strong understanding of the full dental claim lifecycle
• Experience handling both insurance and patient AR
• Excellent organizational, communication, and problem-solving skills

• Experience in a multi-location dental group or centralized billing model
• Proven success in process improvement and operational efficiency
• Comfort working cross-functionally with offshore teams

• Kind, respectful communication
• Accountability and ownership
• Team collaboration

• Mid-Senior level

• Full-time

• Accounting/Auditing and Finance

• Hospitals and Health Care