RCM Billing Manager

Overview

A healthcare organization specializing in Applied Behavior Analysis (ABA) therapy for children diagnosed with Autism Spectrum Disorder (ASD) is seeking an experienced RCM Billing Manager. This role focuses on managing the full revenue cycle management (RCM) process including claim submissions, accounts receivable (AR) oversight, and denial resolution for ABA services. The position supports clean claim processes, timely insurance reimbursements, and efficient revenue cycle operations.

Responsibilities

Claims & Submission Management

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

Accounts Receivable Oversight

• Generate and manage 30/60/90/120+ day 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 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 alignment on payer updates, claim requirements, and EMR workflows.
• Monitor staff performance and promote process improvement initiatives within the billing function.

Cross-Department Collaboration

• Collaborate 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 billing 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 to ensure transparency and accountability across the billing cycle.
• Track key performance indicators and present insights to leadership for operational decision-making.

Requirements

• Minimum 3 years of billing experience in ABA or behavioral health.
• At least 2 years of experience using CentralReach for claims, AR, and payment posting.
• Hands-on experience with Waystar for claim submission, rejection management, and ERA is highly preferred.
• Proven ability to manage aging reports and drive resolution of long-outstanding claims.
• Prior experience supervising AR/billing teams or leading projects is preferred.
• Strong understanding of medical billing codes, insurance guidelines, and denial management.
• Proficiency in Excel or Google Sheets and EMR-based reporting.
• Excellent organizational, communication, and leadership skills.
• Ability to work independently and maintain high accountability in a remote setting.

Compensation & Benefits

• Estimated salary range: $70,000 to $85,000 per year, dependent on qualifications, experience, education, and geographic location.
• Up to 24 paid days off in the first year (including PTO, sick time, and holidays), with accrual-based increases over time.
• Comprehensive benefits including free medical coverage for employees (optional buy-up for dependents/partners), voluntary dental, vision, short-term disability, and critical illness coverage.
• Free $50,000 life insurance policy.
• Employee Assistance Program (EAP).
• 401(k) retirement savings plan.
• Company discount program offering savings on amusement parks, memberships, cruises, movie tickets, spas, sports tickets, and more.

Location & Work Hours

• This is a full-time remote position.
• Candidates must reside in one of the following states: Florida, Illinois, Indiana, Maryland, Michigan, Missouri, North Carolina, New York, Ohio, Pennsylvania, Texas, or Virginia.
• Core working hours are 8:30 AM to 5:00 PM Eastern Standard Time (EST).
• Must maintain a HIPAA-compliant home work environment with secure internet access.

Equal Employment Opportunity

The organization provides equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.