Job Description

Revenue Cycle Manager (“RCM”) Lead – Systems-Oriented Dental Services Platform (NYC-Based)

New York, NY (Hybrid – 2 to 5 days/week in office)

Why This Role Is Different

• You’ll be part of reinventing how RCM is done in dental, with real access to leadership, tech resources, and support
• You won’t inherit someone else’s broken system, you’ll build your own
• You’ll shape how we scale from $65MM to $100MM+ in clean, collected revenue

About Us

We are not a traditional DSO. We're building a centralized, systems-driven dental services platform with 17 practices today, scaling to 27-30 by the end of Q3, and targeting $100MM+ in revenue over the next 24 months.

We believe in:

• First-principles and systems thinking over legacy convention and approaches
• Data over anecdotes
• Clean, centralized workflows instead of practice-by-practice chaos

We have a distributed lean corporate team and have major practice clusters in NYC, Phoenix, and Atlanta as well as practices other states slated for future growth. Our leadership team is lean, highly analytical, and focused on eliminating friction from the patient and provider journey by designing operational systems that actually scale.

The Role

We’re looking for a Dental RCM Lead who is ready to help build, not just manage. If you’ve spent years fixing broken billing systems, chasing claims, and working with front office staff, you’ll understand why we’re doing this differently.

This is not a vendor management job or about fire fighting. It’s a system design, building an analytical and likely non-dental support team, and execution role that will: 

• Replace our current outsourced RCM partner (CareRevenue) over time
• Build an internal team that can handle claims, posting, denials, and A/R at scale
• Create a reporting and feedback engine that drives performance

This role reports directly to the CEO and will work closely with our Atlanta COO and her Operations team.

Key Responsibilities

• Build and lead our centralized RCM team (NYC-based core, with Phoenix execution support and offshore claim/posting scale)
• Design workflows and SOPs for claim creation, payment posting, denials, appeals, and AR management
• Audit and improve current performance of CareRevenue while we prepare to transition away within the next year

Establish and track KPIs across:

• Clean claim rate
• Denial rate (by code, by payer)
• AR aging buckets
• Days in AR
• Underpayment recovery
• Partner with internal analysts to generate first-pass dashboards and reconciliation tools
• Collaborate with front office and practice managers to reduce root cause error rates
• Identify and train internal talent to scale capabilities across specialties (GP, pedo, ortho, perio, prostho)

 Who You Are

• 5–10+ years of dental RCM experience
• You know how to handle NEA attachments, downgrade logic, Medicaid delays, and Delta underpayments
• You’ve worked across multiple practices or supported a multi-site group
• You think in systems, not just tasks
• You’ve documented processes, redesigned workflows, and enforced accountability loops
• You solve problems from first principles
• If a denial happens, you don’t just fix it, you figure out how to prevent it
• You’re comfortable with Excel, CareStack exports, clearinghouse logs, and (ideally) dashboard tools like PowerBI
• You’re ready to lead and build, not just do or manage

Requirements

To Apply, Send us:

• A short note on how you’ve improved RCM performance through systems or redesign
• An example of a problem you solved from first principles
• Anything you’ve built that shows how you think and lead

Benefits

Base Salary: $130,000–$160,000

Performance bonus tied to DSO, AR aging, clean claim %, and overall collections health

Full benefits (medical, dental, 401k, relocation if needed)

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