Serves as the primary contact for ABA (Applied Behavior Analysis) provider accounts, managing day-to-day revenue cycle operations and building trust-based partnerships focused on results. Collaborates with customers, internal teams, and payer partners to resolve claim issues and improve cash flow.
Key responsibilities:
- Owns the entire billing process for assigned accounts — claims submission, AR management, and denial resolution
- Leads regular client review meetings covering performance, payer trends, and action plans
- Monitors claim submissions, payment posting, denials, and aging AR against targets
- Identifies underpayment/rejection trends and drives remediation
- Supports payer enrollment and credentialing updates
- Delivers cash flow, AR aging, and denial analytics with actionable recommendations
- Ensures compliance with HIPAA and CMS guidelines
Requirements:
- 3+ years of revenue cycle management, ABA billing, or behavioral health experience
- Strong knowledge of healthcare claims, payer guidelines, EOB/ERA reconciliation, and denial management
- ABA billing/behavioral health experience strongly preferred
- Experience with Calmanac or Motivity PM systems strongly preferred
- Remote work experience with strong time-management accountability