RCM Auditor - Dental Billing - 18443

Location: Remote (Philippines or Sri Lanka preferred)
Employment Type: Full-Time
Industry: Dental Revenue Cycle Management
Work Schedule: Overlap with U.S. business hours preferred

We are seeking a highly analytical RCM Auditor to support our Revenue Cycle Management team by producing operational reporting and data analysis across a multi-location dental organization.

This role is responsible for analyzing billing and claims data to identify revenue cycle trends, performance gaps, and operational opportunities across 60 dental offices. The insights produced by this role will directly support leadership conversations with underperforming offices and help guide revenue cycle improvements.

Unlike traditional billing roles, this position will not perform claims submission, payment posting, or AR follow-up. Instead, the focus is on data analysis, reporting development, and trend identification using data already available within our billing systems.

The RCM Auditor will work closely with the Director of Revenue Cycle Management, who conducts monthly performance calls with offices based on the reports generated by this role.

Candidates with experience in dental billing systems and revenue cycle reporting will be best positioned to succeed.

This is not a billing operations role.

The RCM Auditor will not:

• Submit claims
   
• Post payments
   
• Work AR follow-ups
   
• Perform denial appeals
   

Instead, the role focuses on analyzing claims and billing data to generate operational reporting and insights.

Experience with dental billing systems is important because it enables the candidate to interpret claims data accurately and identify meaningful trends.

• Prepare recurring RCM reports analyzing billing performance across 60 dental office locations
   
• Analyze revenue cycle data to identify trends, operational gaps, and improvement opportunities
   
• Develop and maintain reports used by leadership to evaluate office-level performance
   
• Ensure reporting accuracy and consistency across multiple datasets
   

Generate and analyze reports covering key RCM performance indicators, including:

• Denial rates and top denial reasons
   
• Adjustment rates and adjustment types/codes
   
• Insurance Accounts Receivable > 90 days
   
• Patient Accounts Receivable
   
• Credit volumes
   
• Unbilled claims volumes
   
• Month-over-month changes across revenue cycle KPIs
   

• Analyze claims data to identify patterns driving denials, adjustments, or revenue leakage
   
• Provide insights that help leadership address performance issues at the office level
   
• Support root-cause analysis to understand billing trends across locations
   

• Prepare reports used by the Director of RCM for monthly performance reviews with underperforming offices
   
• Deliver clear summaries of trends and operational findings
   
• Maintain standardized reporting formats and dashboards
   

• Validate data accuracy across reporting sources
   
• Support improvements to reporting workflows as the organization scales
   
• Document reporting methodologies and KPI definitions
   

• Experience supporting large dental service organizations (DSOs)
   
• Experience working with high-volume claims environments
   
• Exposure to revenue cycle performance reporting
   
• Background in data analytics within healthcare billing environments
   

• 3+ years of experience in dental revenue cycle management, billing analytics, or RCM auditing
   
• Experience working with multi-location healthcare or dental organizations
   
• Experience analyzing billing data and revenue cycle KPIs
   

• Strong analytical and reporting skills
   
• Advanced proficiency in Excel or data reporting tools
   
• Ability to analyze large billing datasets and identify trends
   
• Strong attention to detail and accuracy
   

Experience with dental RCM platforms such as:

• Dentrix Enterprise
   
• Denticon
   
• Dental Exchange
   

Experience with reporting tools or financial dashboards is a plus.

• Highly analytical and detail-oriented
   
• Strong organizational skills
   
• Ability to present data insights clearly
   
• Comfortable working independently in a remote environment
   

• Organization supports 60 dental offices
   
• Processes 40,000–50,000 claims per month
   
• Current structure includes:
   
  • 23 onshore team members
     
  • 4 external vendor groups
     

The RCM Auditor will serve as a data and reporting specialist supporting revenue cycle leadership.