Director of Revenue Cycle Management

REPORTS TO: Chief Operating Officer

About Plum Dental Group (“Plum”):

Plum is a high-growth Dental Partnership Organization (DPO) with 30+ practices across Rhode Island and Connecticut, 400+ employees, and more than 100,000 patients. As a DPO, we manage all the administrative functions of our practices — marketing, facilities, technology, HR, insurance, accounting, billing, and more — so our dentists can focus on caring for patients.

A few things make Plum different:

• An active acquisition strategy. We acquire 4–6 practices a year and integrate them onto a common operating platform.
• A private equity playbook, without the private equity. Our CEO has spent his career in private equity and runs Plum with that same rigor: clear metrics, tight financial discipline, and a focus on building long-term value. Yet there is no outside capital in the business — Plum is owned entirely by its founders. You get PE-level standards without a PE sponsor’s short clock.
• A real investment in AI. Plum is heavily invested in AI and uses it across the business to scale. We want people who are excited to use these tools in their own work.

Role Overview 

The Director of Revenue Cycle Management owns the full revenue cycle for a 30+ practice dental group across Rhode Island and Connecticut, from strategy down to daily billing operations. This role combines department leadership with direct oversight of centralized billing, including patient AR and the insurance AR exceptions that cannot be resolved offshore. 

The ideal candidate has deep dental RCM expertise, a strong operational mindset, and a patient-first approach to billing. They build processes simple enough to scale across every location, hold the team accountable to clear metrics, and keep revenue goals and patient trust moving together. 

Key Responsibilities 

Strategy & Department Oversight 

• Lead the Revenue Cycle Department with a strategic and oversight role across billing, collections, coding, compliance, planning, analysis, and policy development 

• Maximize department productivity and minimize errors through structured auditing, reporting, and follow-up training 

• Standardize revenue cycle processes across all practices so they scale as the group grows, with any SOP change that touches CareStack reviewed by the Director of Systems & Analytics 

• Collaborate with the Operations team to keep revenue cycle processes aligned and integrated with practice workflows 

• Build and maintain effective relationships with payers 

• Serve as the organization's subject matter expert for dental billing, coding, and insurance 

Revenue Cycle Operations 

• Oversee patient AR and complex insurance AR exceptions escalated from the offshore team 

• Ensure timely follow-up on unpaid claims, denials, and underpayments 

• Monitor claim lifecycle performance and act on opportunities to improve speed and accuracy 

• Research and resolve high-level, complex billing issues 

• Identify workflow inefficiencies and drive automation and best practices that reduce rework and aging AR, working within CareStack change governance 

• Partner with Credentialing to resolve payer enrollment and network-related issues 

Compliance & Financial Controls 

• Ensure accuracy and compliance with regulatory and payer guidelines, coding standards, and internal billing policies 

• Maintain internal controls over allowances, adjustments, and write-offs, with proper review and approval 

• Ensure deposits tie to the practice management system monthly 

• Participate in revenue cycle audits, compliance reviews, and other regulatory activities 

Reporting & Analysis 

• Deliver monthly revenue cycle metrics to the Controller, using certified metrics from the metric catalog 

• Track KPIs including AR aging, collections, denial rates, and team productivity 

• Monitor areas of concern, identify trends, and implement corrective action 

• Prepare reports, presentations, and analyses for senior leadership on performance and improvement opportunities 

Patient Experience 

• Ensure patient billing inquiries are handled with empathy, clarity, and professionalism 

• Support the team in resolving patient balances while maintaining trust and transparency 

• Reinforce the organization's belief that patient care always comes first 

Team Leadership 

• Manage, coach, and develop the onshore billing team 

• Lead the Offshore Billing Manager and ensure smooth handoffs and clear escalation paths between onshore and offshore teams 

• Oversee daily, weekly, and monthly billing workflows to ensure timeliness and accuracy 

• Lead hiring, onboarding, and training for the department 

• Set team goals and deadlines and ensure they are consistently met 

• Foster a positive, patient-focused, and collaborative team culture 

Qualifications 

Required 

• Bachelor's degree in healthcare administration, business administration, accounting, or a related field 

• 3+ years of dental billing and/or insurance RCM experience 

• People management experience, including leading managers or multi-site teams 

• Strong understanding of the full dental claim lifecycle, coding, reimbursement, and payer regulatory requirements 

• Experience managing both insurance and patient AR 

• Excellent analytical, problem-solving, and decision-making skills, with the ability to interpret complex financial and operational data 

• Demonstrated success leading projects and driving process improvement 

• Strong communication skills, with the ability to explain complex concepts to diverse audiences and build relationships with internal and external stakeholders 

• High degree of composure and interpersonal skill 

• Proficiency with practice management systems and Microsoft Office 

Preferred 

• Experience in a multi-location dental group or centralized billing model 

• Experience working cross-functionally with offshore teams 

What We Value 

• Patient-first mindset 

• Kind, respectful communication 

• Accountability and ownership 

• Continuous improvement