Welcome page Returning Candidate? Log back in! RCM Support Specialist Job Locations US Requisition Number 2025-14720 Job Category Accounting/Finance Position Classification Full Time About the Practice

Lightwave was founded in 2016, is a high-growth company building the group model for the future of the dental industry. Lightwave is passionate about doing things the right way with a tight focus on high quality, core values, and taking care of their people. Lightwave is a dental leadership organization that focuses on partnering, training and developing dentists as the natural leaders of the dental practice. Lightwave helps dentists launch their careers, supports dentists leading high-growth dental groups, and assists doctors looking to establish their legacy as they transition into retirement. Lightwave is solving the big problems in dentistry: retirement, management, reimbursements, and partnership by providing the benefits of a group while preserving the essence of private practice. Lightwave currently supports over 80 dental offices in 4 states. For additional information, please visit lightwavedental.com. Follow us on LinkedIn, Facebook, and Instagram.

Responsibilities

1. Data Management and Documentation:

· Data Organization: Retrieve and categorize claims data from Open Dental based on how claims are paid, in collaboration with Amy Brooks for best practices.

· Spreadsheet Management: Regularly update the Payor Negotiations Status spreadsheet with comparison data, track negotiations, and upload updated fee schedules to the Master Fee Schedule spreadsheet.

· Report Generation: Manage code count reports, generating them twice a year for negotiations per practice and in-network payors. Upload fee schedules to the appropriate teams for credentialing updates.

2. Contract and Agreement Review:

· Contract Review: Assist in cross-checking contracts to verify practice locations, tax IDs, and provider specialties before contract signing.

· Group Agreements: Work with the Director to confirm the accuracy of group agreements, ensuring correct practice addresses and tax IDs.

· Negotiation Review: Review completed increase comparisons for errors, including misplaced codes or discrepancies.

3. Communication and Coordination:

· Stakeholder Communication: Regularly send updates to practices and the credentialing team about new payor information, network updates, or TPA changes.

· Task Delegation: Include assistants in correspondence with payors to ensure follow-up actions are delegated and necessary information is obtained.

· Offboarding Notifications: Notify payors when a practice is off-boarded, or a location is closed.

· In-Network Support: Assist practices with inquiries regarding in-network status or payor-related questions.

· RCM email coordinator: Manage all incoming email for credentialing and RCM mailboxes and handle basic follow-up

 

 

5. Strategic Evaluation and Support:

· Plan Evaluation: Collaborate with the Director to evaluate new plan increases and their implications for in-network/out-of-network status.

· Status Updates: Support the Director in updating the Payor Negotiations Status spreadsheet based on completed negotiations and comparisons.

· Weekly Reporting: Prepare weekly reports summarizing progress, including:

 

Qualifications Comprehensive working knowledge of Revenue Cycle ManagementAbility to conduct root-cause analysis and recommend solutions for sustainable resultsKnowledge of dental insurance and terminology, preferredStrong analytical, critical thinking and problem-solving skillsExcellent written and verbal communication skillsAbility to prioritize effectively and meet strict deadlines while managing multiple, competing tasks in a fast-paced environmentStrong knowledge in Microsoft Office Suite Benefits Offered

In return for providing an excellent patient experience, we offer a great benefits package to include health and dental benefits, 401(k), holiday pay and paid time off.

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