Revenue Cycle Manager
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Job Description
Revenue Cycle Manager optimizing billing, collections, and financial operations for ABA Therapy Partners. Improving automation, forecasting, and revenue performance across California healthcare payers.
Responsibilities:
- Oversee billing, accounts receivable, accounts payable, and financial operations for ABA Therapy Partners
- Document finance workflows from session data through invoicing, payment, cash application, and month-end close
- Identify bottlenecks, duplicate entry, rework, and error sources, and prioritize improvements
- Lead automation across billing, AR, AP, and reporting using HiRasmus, Lumary, Rippling, QuickBooks, Google Workspace, and other tools
- Create and maintain standard operating procedures, checklists, controls, approval rules, and separation of duties
- Lead monthly billing for directly invoiced clients, including Regional Centers and School Districts
- Coordinate with outsourced billing partners on insurance billing and collections
- Ensure session and scheduling data is complete and accurate before billing
- Convert documented sessions and notes into invoices based on authorized hours, rates, and codes
- Manage invoice submissions and resolve discrepancies or denials
- Own AR aging, overdue invoice follow-up, DSO reduction, cash application, reconciliations, denials, disputes, and collections
- Work with families on payment plans and collection of copays, coinsurance, and other patient responsibility items
- Manage vendor setup, invoice intake, approvals, payments, spending thresholds, recurring spend, and subscriptions
- Run monthly calendars for billing, collections, payment posting, AP, reconciliations, and close
- Support accurate and timely QuickBooks month-end close and collaborate with CPA and accounting partners
- Monitor weekly cash position and keep leadership 60 days ahead of cash needs
- Maintain audit-ready billing and payment records aligned with contracts and funder rules
- Produce weekly and monthly finance scorecards covering billed versus authorized hours, unrendered sessions, collection rate, DSO, AR/AP aging, cash position, and margins
- Build rolling revenue, cash flow, expense, and net income forecasts
- Support annual budgeting, analyze profitability, model rate and contract impacts, and answer leadership’s financial questions
- Lead billing and finance specialists through training, feedback, and clear workflows
- Partner with clinical operations, scheduling, HR, and leadership
- Report directly to the CEO
Requirements:
- Minimum of 5 years of experience in revenue cycle management, healthcare or behavioral health billing, or a comparable financial operations role
- Minimum of 3 years of experience billing California Regional Centers under the Department of Developmental Services (DDS)
- Minimum of 3 years of experience with school district billing
- Knowledge of authorization verification, unit-based billing, documentation requirements, reimbursement rules, and billing compliance
- Experience directly managing accounts receivable (AR), accounts payable (AP), cash application, account reconciliations, and month-end close processes
- Demonstrated success evaluating and redesigning workflows, improving billing accuracy, reducing denials and errors, shortening collection cycles, and implementing process improvements or automation
- Advanced spreadsheet skills, including financial forecasts, reporting dashboards, performance metrics, and financial models
- 3+ years experience with accounting, billing, payer portals and practice-management systems
- Strong analytical, problem-solving, organizational, and attention-to-detail skills
- Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field preferred
- Equivalent relevant experience may be considered
- Experience with insurance billing and the Self-Determination Program (SDP) preferred
- Familiarity with Lumary and Rippling preferred
- Experience with Lean, Six Sigma, or other continuous improvement methodologies is a plus
Benefits:
- Health insurance after 90 days for full-time exempt employees
- Dental insurance after 90 days for full-time exempt employees
- Vision insurance after 90 days for full-time exempt employees
- Company-paid life insurance after 90 days for full-time exempt employees
- 401(k) after 90 days for full-time exempt employees
- Unlimited PTO after 90 days for full-time exempt employees
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