Revenue Cycle Manager

Overview

Description
SBBC provides ABA therapy & behavior support interventions in center, school, community, and home to improve social skills, academics, vocational skills, functional skills, and communication. This is accomplished through the use of Applied Behavior Analysis (ABA) in collaboration with other specialists, school staff, the students we serve, and caregivers. SBBC is student-oriented and emphasizes equipping and empowering students to reach new heights in each setting they encounter.

Our Mission
At SBBC, we believe every person deserves to be understood, supported, and valued. We partner with individuals with autism, their families, schools, and communities to build meaningful skills, encourage independence, and support each person in living a life filled with confidence, connection, and possibility.

Our Vision
We dream of a community where individuals with autism are welcomed, included, and empowered—where they feel a true sense of belonging and have the support they need to grow, thrive, and live purposeful, independent lives.

SBBC’s Revenue Cycle Manager is responsible for assisting with day-to-day revenue cycle duties. The ideal candidate has experience managing the entire ABA revenue cycle: billing and authorization submission, eligibility, provider maintenance, claim denial recoupment, secondary billing, credentialing, and data entry. The candidate should be a team player, communicate well, seek guidance when needed, take initiative, work efficiently and timely, and be detail-oriented and thorough.

• Commensurate with experience.
• Position starts at $30–$40 per hour or $58,000–$85,000 salary.
• Full-time hourly benefits:
• Major medical, vision, and dental; supplemental insurance; unemployment insurance; workers’ compensation; and Social Security and Medicare taxes
• PTO - 5 hours for every 150 hours worked
• Retirement - 100% match on the first 3% of compensation
• Life insurance
• 5 Paid Holidays
• Full-time salary benefits:
• Major medical, vision, and dental; supplemental insurance; unemployment insurance; workers’ compensation; and Social Security and Medicare taxes
• PTO - 25 work days per year / 5 weeks
• Retirement - 100% match on the first 3% of compensation
• Life insurance
• 5 holidays bonuses

The Revenue Cycle Manager oversees the revenue cycle team and ensures quality assurance and financial objectives are met. Responsibilities include the following:

• Verify client eligibility for all new clients and monthly for ongoing clients.
• Obtain initial authorizations for assessment for ABA and other multispecialty services.
• Obtain ongoing authorizations of treatment for ABA and other multispecialty services.
• Manage authorization timelines and due dates for all new client authorizations, communicating dates to relevant clinical staff.
• Reconcile accounts receivable with payments from payers.
• Credentialing clinical staff with payers.
• Establish ERAs with appropriate clearinghouses and facilitate EFTs with CEO/CFO.
• Submit monthly invoices to schools contracted with SBBC for ABA services, Indiana vocational rehabilitation, and families.
• Troubleshoot and resolve problems related to client insurance benefits, changes in coverage, and service authorizations.
• Coordinate with the clinical team regarding client intake, authorization changes, expirations, over-utilization, and insurance changes.
• Assist with appeals, medical record review, and other insurance-related tasks.
• Seek continuous learning relating to new regions, payors, and policies.
• Address and resolve escalated calls/issues as feasible.
• Seek guidance when needed for solving complex situations.
• Set priorities and organize work within general guidelines; complete work in a timely manner.
• Follow up on rejected or denied claims, as advised by the supervisor.
• Update provider maintenance information as appropriate.
• Conduct general administration tasks (email, data entry, filing).
• Provide ongoing communication to SBBC staff on authorization, billing, recoupment, data entry, and other tasks.
• Participate in weekly meetings to review SBBC authorizations and billing status.
• Prepare and share a weekly report/maintain…