Rcm Manager

Summary

Join Sunrise ABA as our RCM Manager and oversee the optimization of our revenue cycle processes. You will ensure efficient billing, collections, and reporting, while maintaining compliance. This role involves collaboration with various teams to improve processes and financial performance. Sunrise ABA offers home and community-based ABA therapy, and we are committed to creating an inclusive workplace. The RCM Manager will manage back-end revenue cycle processes, monitor KPIs, and address denied claims. This position requires experience in medical billing and revenue cycle management within ABA, along with strong leadership and communication skills.

Requirements

• Minimum of 3-5 years of experience in medical billing and revenue cycle management in Applied Behavioral Analysis (ABA)
• Prior management or supervisory experience is required
• Strong knowledge of medical billing practices, insurance reimbursement, and payer guidelines is required
• Excellent problem-solving and analytical skills with the ability to interpret complex data
• Strong leadership and team management capabilities
• Exceptional communication skills, both written and verbal
• MUST have 2-5 years of experience with Central Reach

Responsibilities

• Manage back-end revenue cycle processes including but not limited to claims submission, payment posting, and collections
• Ensure accurate and timely billing for ABA services in accordance with payer contracts and guidelines
• Monitor key performance indicators (KPIs) related to revenue cycle operations and implement strategies to optimize results
• Oversee claims submission and follow-up processes to ensure maximum reimbursement
• Address denied or rejected claims by investigating root causes, preparing appeals, and resubmitting claims as necessary
• Maintain thorough documentation of all claims activity and payer communications
• Foster a collaborative and supportive work environment that promotes accountability and excellence

Preferred Qualifications

• Bachelor’s degree in healthcare administration, finance, business, or a related field
• Experience with multi-state, California school and Regional Center revenue cycle

Benefits

Remote