Dental RCM Operations Lead

Company: Dentistry Automation

Employment: Full-time, remote

Location: Pakistan

Schedule: Monday–Friday, night shift aligned with US Eastern business hours (EST/EDT). Full-shift availability is mandatory.

Compensation: $350 - $550

About the role -

Dentistry Automation is hiring a hands-on Dental RCM Operations Lead to manage end-to-end revenue cycle operations for US dental practices and DSOs.

You will lead our remote team across insurance verification, claims submission, payment posting, reconciliation, accounts receivable follow-up and denial management, according to each client’s contracted services.

Payment posting, reconciliation and quality control are immediate priorities. Strong hands-on expertise in these areas is essential—not optional.

This is a working leadership role. You must be able to investigate a patient ledger, identify an incorrect adjustment, resolve a claim issue, coach agents and communicate clearly with US dental offices.

Responsibilities -

End-to-end dental RCM

Oversee insurance eligibility and benefits verification, coverage documentation and required preauthorization or predetermination workflows.

Ensure claims are complete, accurate and submitted promptly with required documentation and attachments.

Monitor rejected, denied, unpaid and underpaid claims; oversee corrections, appeals and payer follow-up.

Manage insurance and patient AR work queues, aging priorities and escalation of unresolved balances.

Coordinate secondary claims and patient-balance follow-up according to client policies.

Identify where revenue is being delayed or lost and implement corrective action.

Payment posting and reconciliation — core focus

Oversee insurance and patient payment posting, contractual adjustments, denials and patient-responsibility allocation.

Review EOBs/ERAs and patient ledgers to identify incorrect postings, duplicate entries, unapplied payments and balance discrepancies.

Reconcile posted payments against payment batches, remittances and available deposit records.

Investigate underpayments, credit balances and complex posting exceptions.

Ensure adjustments, write-offs and refunds follow approved client policies and authorization requirements.

Establish independent quality checks and verify corrections before issues are closed.

Team leadership and quality

Manage daily work allocation, staffing, productivity, backlogs and turnaround times across RCM functions.

Establish clear owners, backups and escalation paths.

Conduct quality audits, maintain error logs and address recurring problems through root-cause analysis and coaching.

Create and maintain client-specific SOPs, training materials and operational checklists.

Interview candidates, provide written recommendations and train new team members.

Develop working team leads so routine operations do not depend on one person.

Customer communication and onboarding

Send concise daily updates covering completed work, pending items, blockers, owners and next steps.

Lead operational calls with US dental offices and DSOs.

Address complaints promptly, escalate account risks and follow issues through to resolution.

Coordinate operational onboarding, including contacts, access, workflow discovery, SOPs, team training and readiness checks.

Maintain a clear record of client commitments and delivery deadlines.

Process improvement and automation

Identify repetitive work that can be standardized or automated.

Provide the technology team with clear requirements, examples and acceptance criteria.

Validate automation against real workflows and help agents adopt it.

Maintain current records in DA’s operations platform.

Follow company and client privacy, security and patient-data handling requirements.

The technology team owns software development and technical fixes. You own RCM operational delivery, quality controls, team performance and customer follow-through.

Mandatory qualifications -

• At least three years of hands-on US dental billing/RCM experience, covering multiple stages of the revenue cycle.
• Substantial direct experience in dental payment posting, EOB/ERA interpretation and reconciliation.
• At least one year supervising or training dental billing staff.
• Hands-on experience with at least one dental practice management system: Dentrix, Open Dental, Eaglesoft, Denticon, Dentrix Ascend or Dentrix Enterprise.
• Ability to work directly inside the PMS to review ledgers, post payments and adjustments, manage claims, investigate discrepancies and verify corrections. General familiarity or report viewing alone is insufficient.
• Strong understanding of dental insurance, CDT codes, contractual adjustments, denials, secondary insurance and patient responsibility.
• Clear spoken and written English, with confidence handling US customer calls and escalations.
• Consistent availability for the agreed US Eastern night shift, including seasonal daylight-saving changes.
• Reliable internet, backup connectivity and a private, secure workspace.

Note -

• Medical billing, general healthcare BPO or customer-service experience alone will not qualify. US dental RCM, hands-on dental PMS experience and payment-posting expertise are mandatory.
• Experience supporting multiple practices or a DSO and working across multiple PMS platforms is preferred.

How success will be measured -

• Payment-posting accuracy and reconciliation completeness.
• Verification and claims turnaround-time compliance.
• Timely follow-up on rejected, denied and unpaid claims.
• Reduction in aged AR, preventable errors and rework.
• Consistent customer updates and issue resolution.
• Team productivity, coverage and independent ownership.
• Automation adoption that reduces manual effort without compromising quality.

How to apply -

Submit your résumé, earliest start date and answers to:

• Which dental PMS platforms have you used, for how long, and which functions did you perform?
• Which RCM functions have you personally performed and which have you supervised?
• Describe your payment-posting and reconciliation experience.
• What team size and number of dental practices have you managed?
• Give an example of a posting error, denial or AR problem you resolved and how you prevented it from recurring.
• Have you directly handled US dental customer calls and escalations?
• Can you consistently work full-time during US Eastern business hours?

Side Note -

Shortlisted candidates will complete a paid practical assessment covering payment posting, reconciliation, a claims/AR scenario, error detection and a short customer update.

Do not submit patient information or confidential documents from current or former employers.