RCM Manager, Eligibility – Doctor Concierge

ASPEN DENTAL GROUP, PC

. Lead, coach, and develop eligibility specialists, concierge representatives, and auditors .

Posted 10/14/2026full-timeUnited StatesMid-LevelSenior💰 $93,000 - $110,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in eligibility and benefits verification, patient access, and revenue cycle operations, with a strong focus on process improvement and team leadership. Proficient in managing complex coverage disputes and ensuring compliance with HIPAA and payer requirements.

Highest-signal resume keywords

Eligibility And Benefits VerificationRevenue Cycle OperationsPeople LeadershipProcess ImprovementHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Eligibility VerificationBenefits DocumentationAudit MethodologyRoot Cause AnalysisFinancial Impact AnalysisPayer Portal IntegrationRobotic Process AutomationMicrosoft ExcelEMR SystemsRevenue Cycle Management Technologies

Soft Skills

CommunicationOrganizational SkillsProblem-SolvingDecision-MakingCollaboration

Tools & Technologies

Payer PortalsClearinghouse ToolsReporting ToolsDashboard ToolsCase Management Tools

Industry Keywords

Healthcare AdministrationPatient AccessInsurance ReimbursementMedicareMedicaidEDI TransactionsCoordination Of BenefitsPlan TypesNetwork StatusCompliance Audits

Tech Stack

Tools & technologies

RPA

About the role

Key responsibilities & impact

Lead, coach, and develop eligibility specialists, concierge representatives, and auditors
Manage staffing, scheduling, workload distribution, goals, scorecards, one-on-ones, and team huddles
Oversee eligibility and benefits verification, including pre-visit verification, coordination of benefits, plan changes, and re-verification
Ensure accurate capture and communication of benefit details for treatment planning and patient cost estimates
Monitor denials, rejections, and registration errors; identify root causes and implement corrective actions
Develop standardized workflows, procedures, job aids, and payer portal documentation
Evaluate automation opportunities including 270/271 eligibility checks, payer portal integrations, and robotic process automation
Own white-glove Doctor Concierge intake, triage, resolution, follow-up, service-level agreements, escalation paths, and communication standards
Resolve complex coverage disputes, out-of-network situations, pre-authorizations, and patient financial concerns
Track doctor concierge service metrics and gather feedback from doctors and practice leaders
Lead audits of eligibility verification, benefits documentation, insurance data entry, and concierge case handling
Maintain audit plans, sampling methodologies, quality scoring frameworks, and corrective action plans
Quantify financial impacts of eligibility errors and support external, payer, and internal compliance audits
Partner with field operations, practice support, patient access, billing, collections, credentialing, enrollment, IT, analytics, and vendors
Collaborate on EMR and practice management configuration, issue resolution, reporting, system upgrades, vendor evaluations, testing, and training
Monitor KPIs, prepare performance reports and dashboards, and recommend operational adjustments
Analyze relationships among eligibility accuracy, estimate accuracy, denials, AR aging, and bad debt
Manage team budget, productivity targets, and resource planning
Monitor payer trends, benefit changes, regulatory updates, and compliance with HIPAA and payer requirements
Identify process improvements that enhance patient, doctor, and practice team experience

Requirements

What you’ll need

Bachelor’s degree required in healthcare administration, business, finance, or a related field; equivalent combination of education and relevant experience may be considered
4–6 years of experience in eligibility and benefits verification, patient access, medical or dental billing, insurance reimbursement, or revenue cycle operations
2–3 years of people leadership experience managing teams, including supervisors or team leads, in a production or contact center environment
Experience managing virtual teams and offshore vendor teams
Working knowledge of the end-to-end revenue cycle, especially front-end processes and their impact on claims, denials, and collections
Understanding of commercial, Medicare, and Medicaid eligibility and benefits rules, coordination of benefits, plan types, and network status
Familiarity with HIPAA, EDI transactions (270/271, 837, 835), payer portals, and clearinghouse tools
Knowledge of audit methodology, sampling, quality scoring, and root cause analysis
Proficiency in Microsoft Office, particularly Excel, and experience with reporting and dashboard tools
Proficiency with EMR/practice management systems, ticketing or case management tools, and RCM technologies
Ability to read and interpret payer contracts, fee schedules, and benefit summaries
Ability to manage multiple priorities and projects, drive process improvement, and collaborate across departments
Strong written and verbal communication, organizational, problem-solving, and decision-making skills

Benefits

Comp & perks

10% bonus
Paid time off
Health insurance
Dental insurance
Vision insurance
401(k) savings plan with match
Hybrid or remote work arrangement based on location
Full remote work for candidates living outside the specified office-radius areas