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Contract Dental Rcm Jobs in Michigan (NOW HIRING)

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Contract Dental Rcm information

What is a contract dental RCM?

A Contract Dental RCM (Revenue Cycle Management) professional is someone who manages the financial processes related to dental care, often on a contractual or outsourced basis. Their main responsibilities include handling dental billing, claims submissions, payment posting, and resolving insurance issues to ensure the dental practice receives proper payment for services rendered. By optimizing these processes, a Contract Dental RCM helps improve cash flow and reduce errors in the practice's financial operations.

What are the key skills and qualifications needed to thrive as a contract dental RCM?

To thrive as a Contract Dental RCM Specialist, you need a solid understanding of dental billing, insurance verification, coding (such as CDT codes), and accounts receivable management, often supported by experience in dental office administration. Familiarity with dental practice management software (like Dentrix or Eaglesoft), electronic claims processing systems, and sometimes certification in medical/dental billing are typical requirements. Excellent attention to detail, strong organizational skills, and effective communication are crucial soft skills to excel in this role. These competencies are vital for ensuring accurate claim submissions, minimizing revenue loss, and maintaining efficient financial operations in dental practices.

What are some common challenges faced by contract dental RCM professionals, and how can they be managed?

Contract Dental RCM (Revenue Cycle Management) professionals often face challenges such as navigating frequent changes in dental insurance policies, ensuring timely and accurate claims submission, and managing denials or claim rejections. To manage these hurdles, staying updated on payer guidelines, maintaining clear communication with dental providers, and utilizing advanced RCM software are essential. Additionally, collaborating closely with both clinical and administrative teams helps streamline workflows and reduce billing errors, ultimately improving collection rates and overall efficiency.

What is the difference between Contract Dental Rcm vs Dental Billing Specialist?

AspectContract Dental RcmDental Billing Specialist
CertificationsTypically requires knowledge of RCM processes, billing, coding, and insuranceRequires dental coding and billing certifications, such as CPC or CDA
Work EnvironmentOften remote or contract-based, working with multiple practices or companiesUsually in-office or remote, focused on specific dental practices
Industry UsageUsed across dental practices for revenue cycle managementPrimarily in dental offices handling billing and claims

Contract Dental Rcm professionals focus on managing the entire revenue cycle, including claims processing and insurance follow-up, often working on a contractual basis. Dental Billing Specialists concentrate on billing, coding, and submitting claims within a dental practice. While both roles require billing and coding knowledge, Contract Dental Rcm roles typically involve broader revenue management responsibilities and may be more flexible in work arrangements.

What are the most commonly searched types of Dental Rcm jobs in Michigan?

The most popular types of Dental Rcm jobs in Michigan are:

What are popular job titles related to Contract Dental Rcm jobs in Michigan?

For Contract Dental Rcm jobs in Michigan, the most frequently searched job titles are:

What job categories do people searching Contract Dental Rcm jobs in Michigan look for?

The top searched job categories for Contract Dental Rcm jobs in Michigan are:

What cities in Michigan are hiring for Contract Dental Rcm jobs?

Cities in Michigan with the most Contract Dental Rcm job openings:

Contract Dental Rcm jobs near you
Infographic showing various Contract Dental Rcm job openings in Michigan as of August 2026, with employment types broken down into 100% Contract. Highlights an 100% In-person job distribution.

Regional Case Manager Registered Nurse

Howell Opco LLC

Howell, MI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Key responsibilities

  • Review clinical records, negotiate rates, exclusions, and length of stay with managed care organizations.

  • Establish and maintain relationships with managed care organization's Case Managers and communicate with facility staff regarding managed care documentation and processes.

  • Participate in meetings and training to ensure proper management of managed care patients and support facility staff in pre-admission case management.

Job description

Regional Case Manager (RCM) Registered Nurse (RN)
 

Are you ready to reset your case management career with a dynamic and growing healthcare company? If you’re ready for the challenge, YOU could be the right fit for this position! Prestige Healthcare is a leading provider of skilled nursing and rehabilitation services. We are seeking a dynamic remote Regional Case Manager who has a strong work ethic, exceptional organization skills, pays attention to detail, and enjoys working in a fast-paced environment to join our team! 

Can You Answer Yes to the Following Questions? If So, Apply Today!  

  • Are you a Registered Nurse with exceptional Case Management experience in long-term care?
  • Do you consider yourself an expert in Medicaid, Medicare, and MDS?
  • Are you looking for a new challenge and a supportive corporate team?
 

What Benefits Do We Offer You? We understand that our employees work best when they are healthy, happy, and excited about the here and now, as well as the future. For that reason, we offer a wide range of benefits with your well-being in mind, including:   

  • Competitive Salary
  • Affordable Medical, Dental, and Vision Benefits for You & Your Family
  • Employee Benefits Concierge – to Guide You in Maximizing Your Benefits
  • Three Pet Insurance Options for your Furry Friend
  • Tuition Reimbursement
  • Student Loan Repayment Program
  • Company Paid Life Insurance
  • Paid Vacation Days with Rollover Option and Sick Time
  • 401k Retirement with Company Match
  • Health Savings Account (HSA) and Flexible Spending Account (FSA)
  • Unlimited Referral Bonuses and more! 
 
Summary: 
The Regional Case Manager is responsible for maintenance of a case load of managed care patients and to review clinical records, negotiate rates, exclusions, and length of stay with case managers from managed care organizations.  Provides the link between managed care related regional and corporate initiates and partners with Operations, Marketing, Clinical Reimbursement, Therapy, Finance and Billing to implement managed care processes and procedures according to company policies and procedures. 
 
Qualifications:
Education:
  • Registered Nurse preferred.
Experience:
  • Five years of experience with long-term care related managed care.  A background in MDS is preferred.
Job Functions:
  • Review all managed care contracts executed for their facilities.
  • Understand and communicate the needs of the regional and center staff to the Director of Managed Care to assure consistency in direction and execution of managed care.
  • Establish relationships with managed care organization’s Case Managers, specific to region.
  • Review clinical record, identify and negotiate higher levels and exclusions, where applicable.
  • Negotiate all rates, levels and one-time contracts for defined health centers managed care patients.
  • Obtain authorization, re-authorization and notifications for all new managed care patients for health center.
  • Complete all required documentation associated with rates, levels of care, cuts and exhausts as required by managed care organization.
  • Complete and maintain Case Manager Log on a daily basis.
  • Communicate with centers the needed documentation for continued stay and patient cuts.
  • Participate with facilities weekly (telephonically or center visit) to review managed care patients.
  • Participate in monthly triple check meetings for final review of UB statements and billing of negotiated exclusions.
  • Train facility staff on pre-admission case management process specific to their regional contracts.
  • Work collaboratively with Sales and Marketing, Business Office, Therapy, and Clinical team to provide appropriate services needed within the definition of the managed care contract.
  • Assist with any audits by the managed care organizations in conjunction with Medical Review.
  • Performs other duties as assigned. 
Knowledge/Skills/Abilities:
  • Ability to use personal computer and application software such as Excel and Microsoft Word.
  • Functional speech, vision and hearing.
  • Ability to communicate professionally and effectively with referral sources at all levels of the organization both orally and in written form.
  • Strong organizational skills. Ability to organize and prioritize.
  • Able to work independently, self-motivated and goal oriented. Demonstrates self-confidence.