Collections/RCM Specialist

About the role

Swish Dental is a privately owned and operated dental practice in Austin, TX that emphasizes an inclusive, fun, and welcoming environment. The practice is seeking a highly motivated Collections/RCM Specialist to work onsite.

Responsibilities

• Monitor outstanding patient and insurance balances and follow up on delinquent accounts.
• Contact patients by phone, email, text, and written communication regarding past‑due balances.
• Set up and monitor payment arrangements in accordance with company policies.
• Process and document patient payments and account adjustments accurately.
• Review accounts for outstanding insurance balances and coordinate with the billing/RCM team to resolve issues.
• Identify and research discrepancies, denials, unapplied payments, and account credits.
• Escalate complex or disputed accounts to the appropriate team member or manager.
• Maintain accurate and detailed notes on all collection activities and patient communications.
• Work aging reports and prioritize accounts based on balance, age, and collection status.
• Follow established collection procedures and applicable federal and state requirements, including HIPAA.
• Communicate professionally and empathetically with patients regarding financial concerns.
• Meet established collection, productivity, and quality metrics.
• Provide reporting and updates on collection activity, aging trends, and outstanding balances.
• Collaborate with Front Office, Billing, Insurance, and Revenue Cycle Management teams to improve collections and reduce aged receivables.
• Identify recurring issues contributing to unpaid balances and recommend process improvements.
• Assist with account cleanup, refunds, credit balances, and other AR‑related tasks as assigned.
• Review all aspects of the revenue cycle process, including insurance verification, claims submission, payment posting, and accounts receivable follow‑up.
• Utilize practice management software to enter data, prepare reports, and ensure accuracy in entries.
• Collaborate with the team to optimize billing processes and improve patient satisfaction.
• Investigate and resolve denied, delayed, or underpaid claims.
• Monitor and track accounts receivable aging to ensure timely collection and follow‑up on overdue accounts.
• Analyze claim denials and communicate root causes to the Swish team.
• Research and gather missing information needed for claim processing.
• Collaborate with dental providers and staff to gather necessary documentation for claims.
• Handle appeals for denied claims, supporting providers with documentation and justification.
• Track claim progress and proactively update the Swish team on status.
• Maintain detailed records of all follow‑up activities and claim outcomes.

Requirements

• Minimum of 2 years of experience in dental collections and revenue cycle management.
• Proficiency in dental billing software (e.g., OpenDental, Dentrix, Eaglesoft) and familiarity with dental coding (CPT, ICD‑10).
• Strong understanding of insurance billing processes and dental insurance plans.
• Excellent written and verbal communication skills with the ability to explain complex information clearly and concisely.
• Strong technical aptitude and ability to learn quickly.
• Analytical and problem‑solving skills to identify and address claim issues.
• Meticulous attention to detail and accuracy.
• Ability to prioritize tasks and work independently with minimal supervision.
• Positive and patient demeanor to manage and resolve challenging situations.

Benefits

• Competitive salary
• Bonus opportunities
• No weekends
• Medical, vision, and dental benefits
• Short‑term disability
• Paid holidays and time off
• Opportunities for growth
• Additional benefits as offered

Physical Demands and Work Environment

• May be required to sit or stand for long periods.
• May be required to work more than 40 hours per week.
• Work environment may be noisy and distracting.
• Requires communication with others to exchange information.
• May involve repetitive motions of the wrists, hands, and/or fingers.
• May require assessment of accuracy, neatness, and thoroughness of work.
• May involve moving objects up to 50 pounds.