RCM Billing Manager

Overview

About Children’s Specialized ABA Children’s Specialized ABA is designed to address the comprehensive needs of children diagnosed with Autism Spectrum Disorder (ASD). By leveraging the expertise of the Children’s Specialized Hospital Autism Center of Excellence, the program aims to expand access to innovative and compassionate care, empowering children diagnosed with autism to thrive. Children’s Specialized ABA offers home-based, community-based, and center-based ABA therapy.

At Children’s Specialized ABA, we envision a future where every child diagnosed with autism has access to innovative and compassionate care, empowering them to thrive and reach their full potential. Our vision is built on four core values.

• Inclusivity:
  We celebrate the diversity within the autism spectrum and are committed to creating an inclusive environment that respects and values each person’s strengths and differences.
• Innovation:
  We foster a culture of creativity and collaboration, exploring new ideas to develop personalized solutions that enhance quality of life for all children with autism.
• Connection:
  We actively engage with health systems and the broader community to coordinate services and care for people with autism.
• Quality and Safety:
  We invest in research and training to provide cutting-edge, effective, safe, and personalized services tailored to the unique needs of those we serve.

Children’s Specialized Hospital ABA is seeking a proactive and experienced RCM Billing Manager to manage the full cycle of claim submissions, AR oversight, and denial resolution for ABA services. This role is central to maintaining clean claim processes, timely insurance reimbursement, and efficient revenue cycle operations. The ideal candidate will bring strong knowledge of Central Reach, Waystar, and ABA billing workflows, and be confident in working cross-functionally with internal and external teams.

This position reports directly to the RCM Director, supervises AR Specialists, and interfaces with third-party AR partners to ensure effective payment posting, account reconciliation, and insurance follow-up.

Claims & Submission Management

• Submit claims to all applicable payors on a biweekly basis, ensuring adherence to payer-specific requirements.
• Utilize Waystar for claim submission, rejection management, and electronic remittance advice (ERA) workflows.
• Investigate and resolve rejections and claim errors quickly to maintain a high clean claim rate.
• Track submission status and ensure timely processing of all claim batches.

Accounts Receivable Oversight

• Initiate and manage 30/60/90/120+ aging reports across all payors on a recurring schedule.
• Delegate AR follow-up and research tasks to AR Specialists and ensure timely resolution of aging claims.
• Oversee documentation and follow-up on all insurance-related issues to ensure resolution or escalation.
• Coordinate with third-party AR partners to investigate and resolve unpaid or underpaid claims.

Team Leadership

• Supervise AR Specialists, manage workloads, and provide training on claim and AR workflows.
• Ensure team members are aligned on payer updates, claim requirements, and EMR workflows.
• Monitor staff performance and promote process improvement initiatives across the billing function.

Cross-Department Collaboration

• Work closely with the Finance Team to support monthly write-off compilation and documentation for final approval.
• Participate in monthly and ad-hoc reviews of outstanding balances, payer performance, and audit preparation.
• Serve as a liaison between the billing department and clinical/operational teams to support accurate claims and timely reimbursement.

Reporting & Communication

• Provide regular updates to the RCM Director on claim submission status, aging trends, rejection volumes, and team progress.
• Develop and maintain reporting structures that allow for transparency and accountability across the billing cycle.
• Track key performance indicators and present insights to leadership for operational decision-making.

• 3+ years of billing experience in ABA or behavioral health required
• 2+ years of experience using Central Reach for…