Welcome to the ZenOne Podcast

Honest conversations with the people shaping the future of dentistry. From practice owners to industry disruptors, we dive into real stories, smart strategies, and behind-the-scenes insights you won’t hear anywhere else. No fluff—just the ideas and experiences that move dental practices forward.

Subscribe to ZenOne Podcast

Spotify Apple Podcasts

Do you have any ideas?

Have an idea for an episode? Want to share your story with us or ask Tiger a question?

Email us at hello@zenone.com or send us a video. Sending a video gives us permission to use it on the air.

Join 1000+ dental professionals, shop from your favorite suppliers, compare prices instantly, and save over $17,000/year

Try our platform free for 30 days.

Schedule A Demo

The Fortune is in the Follow Up

In this conversation, Shaundra discusses the intricacies of Revenue Cycle Management (RCM) in dental practices, emphasizing its evolution and the growing importance of financial awareness among dentists. She highlights the challenges faced with insurance claims, the role of AI, and the dynamics of patient billing. The conversation also touches on the benefits of outsourcing billing solutions versus in-house management, the impact of being out of network, and the significance of follow-up in claims management.

01/21/2025

42:16

About:

  • I offer Customized Solutions – while most companies are based on a one-size-fits-all model, I recognize that every Dentist / Business Owner is going to have a unique situation that they need a solution for. Especially the practices that we make the biggest impact for – the mom & pop private practice. Rather than seeking to build a business on the backs of corporate dental conglomerates, I focus on finding private practices that we can help. Knowing that we are providing serenity of mind to dentists who have personally poured their blood, sweat and tears into building their private practice means that we are both coming from the same playing field of entrepreneurship and makes me feel even more passionate about our mutual success!

 

  • I’m a born Recruiter – I’ve professionally networked and recruited for a dental billing company for the last decade – before that I was building up dental practices around the Austin area as a practice administrator and coach. What that means is that I’ve built a huge network over two decades of the top tier pros in the dental RCM industry. I’ve taken the leg work out of attracting and retaining the people that offices need to manage their dental and patient billing processes and hired them myself! The benefit to the practice is a nationwide network of top talent with all the expertise, but without the salary price tag of a local robust resume. I’m confident that my approach of leveraging my organic network of hard working experts is what sets me apart from other outsourced dental billing companies.

Please feel free to visit my website for additional information about services offered. Star Dental Solutions Email: shaundra@stardentalsolutions.net

 

Takeaways:

 

  • RCM is essential for the financial health of dental practices.
  • The rise of DSOs has changed the landscape of dental billing.
  • Many dentists lack awareness of their insurance collections.
  • Outsourcing billing can alleviate administrative burdens.
  • AI can assist but cannot replace human oversight in billing.
  • Insurance companies often have automated systems that can reject claims.
  • Effective communication with patients about insurance is crucial.
  • Follow-up is key to successful claims management.
  • Being out of network can lead to better financial outcomes for practices.
  • Consultation and software evaluation can benefit dental practices.

 

Chapters

 

(00:00) Understanding Revenue Cycle Management (RCM)

(02:51) The Evolution of Dental Practices and RCM

(05:33) Challenges in Private Practice Management

(08:16) The Role of Technology in RCM

(10:54) Navigating Insurance Claims and Payments

(13:44) The Importance of Active Management in RCM

(16:21) Balancing Patient Care and Administrative Duties

(19:12) Key Metrics for Successful RCM Management

(21:51) Claim Management Strategies

(22:08) Common Reasons for Claim Rejections

(23:15) The Dance of Denials

(25:00) Understanding the Appeal Process

(26:24) The Business Mindset of Dentists

(28:04) Winning Appeals and Follow-Up

(29:13) The Importance of Out-of-Network Practices

(30:18) Navigating Insurance as a Patient

(32:32) The Financial Dynamics of Dental Practices

(35:11) Bringing Value to Dental Practices

(37:25) Evaluating Outsourced Solutions

(39:47) Consultation and Collaboration