Senior Revenue Cycle Management Lead (RCM)

Sr. RCM Leads are pivotal in maintaining the operational efficiency and compliance of their respective functional areas. With a comprehensive understanding of revenue cycle processes, they manage and develop their teams, ensuring optimal performance and productivity. They serve as the primary point of contact for resolving issues, coordinating training, and overseeing daily tasks. Additionally, Leads collaborate with management to implement and refine policies, drive continuous improvement, and ensure the overall success of the RCM department.

Must be located in or near Nashville TN to meet they hybrid requirements. Team is onsite every Tuesday, Wednesday in Nashville, TN.

Duties and Responsibilities. 

• Monitor aged AR reports and drive targeted recovery strategies to reduce days in AR
• Identify and resolve underpayments, payer discrepancies, and contractual variances
• Interpret EOBs, remittance advice, and payer policies to identify trends in denials or payment shortfalls
• Collaborate with internal stakeholders (Clinical Ops, Member Experience, Finance) to uphold revenue accuracy and integrity
• Partner with Finance and Payer Relations to support payment variance analysis and payer escalations
• Supervise and mentor more than one Tend function by maintaining appropriate FTE coverage and managing, developing, and mentoring all teammates through regular feedback, coaching, and performance reviews
• Allocate work and track productivity to ensure accurate and timely completion of tasks, conducting monthly QA and productivity reviews with team members
• Foster a culture of accountability, collaboration, and continuous improvement
• Work closely with the Director of RCM to develop, evaluate, implement, and revise policies and procedures related to RCM processes
• Stay up-to-date with changes in insurance policies, payer requirements, and revenue cycle best practices and provide to team 

Qualifications

• 2 years as an RCM Team Lead or 5+ years of progressive experience in revenue cycle with 3+ years in a leadership role overseeing AR
• In-depth knowledge of insurance billing, claims management, and denial resolution
• Advanced Excel skills required (e.g., pivot tables, vLOOKUP/XLOOKUP, dashboards, data visualization)
• Strong analytical mindset; capable of drawing actionable conclusions from large data sets
• Strong communication and interpersonal skills, with the ability to lead and motivate a team
• Ability to manage others effectively
• Clear and effective communication with insurance companies, members and internal teams
• Daily / Weekly Tasks:
  • Daily - Deliver daily reporting to studio ops and RCM leadership on status of performance of RCM functions
  • Monthly - Develop team schedule to ensure FTE coverage to maintain operational needs
  • As Needed - Provide coaching and feedback to teammates
  • Weekly - provide feedback to RCM leadership re: areas of slippage in weekly leadership standup

What We Offer:

We believe taking care of people starts with taking care of our own. Here’s how we’ve got you covered at Tend:

🩺 Health Comes First - We offer medical, dental, and vision insurance — plus a Dental Wellness Program to keep your smile as sharp as your skills.

💰 Plan for the Future - Our 401(k) comes with a company match, because your future matters just as much as your now.

💡 Support, When You Need It - Life & AD&D insurance, health advocacy, legal support, and an Employee Assistance Program (EAP) — all designed to have your back when life gets real.

🛍️ Smart Spending Options - We’ve got Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).

🌴 Time to Recharge - Enjoy generous Paid Time Off (PTO) and company holidays — because rest is productive.

💸 Bonus Eligible - This role includes annual bonus potential based on both company performance and your individual impact.

#LI-hybrid

The Tend Difference

The highest standard of care, anywhere.
At Tend, you’ll work alongside esteemed clinical leaders and experience-obsessed colleagues to deliver care that’s not only top-tier — it’s unforgettable. With access to advanced technology and thoughtfully designed studios, you’ll help create dental experiences that patients actually look forward to. Our hospitality-driven approach makes every visit feel personal, warm, and empowering.

A top-tier clinical team who puts patients first.
We value science over sales and lead with empathy, transparency, and integrity. There are no production quotas here — just a shared commitment to doing what’s right for our patients. We foster a collaborative, inclusive culture where team members go the extra mile for each other and for every patient who walks through our doors.

Innovate Dentistry. Tend to Others. Grow Together.
Tend is redefining what it means to grow a career in dentistry. We offer a modern, patient-first environment backed by cutting-edge tools and systems, industry-leading compensation and benefits, and robust opportunities for continuing education and professional development. Whether you’re clinical or corporate, you’ll be part of something meaningful — and surrounded by people who care.

Tend is an Equal Opportunity Employer.
We’re committed to fostering a workplace where everyone feels seen, heard, and supported. Tend does not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, gender identity or expression, sexual orientation, veteran status, or any other protected status in accordance with applicable federal, state, and local laws. This policy applies to all aspects of employment, including recruitment, hiring, promotion, compensation, benefits, and termination.

Legal and Compliance Notice:
Tend complies with all applicable federal, state, and local laws governing nondiscrimination, equal employment opportunity, pay transparency, and other employment-related requirements. Where specific state disclosures or postings are required by law, we provide this information as part of our hiring process or upon request.

Your privacy matters.
To learn more about how we collect, use, and protect your information, please review our privacy policy here.