Senior Manager, RCM Billing

Job Description

Job Description

Description:

About Children’s Specialized ABA

Children’s Specialized ABA is part of the Children’s Specialized Hospital Autism Center of Excellence. We serve children with ASD by combining clinical innovation, whole-child care, and personalized 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 individual 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 the health systems and 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.

Join Us as a Senior Manager, RCM Billing!

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 CentralReach, Waystar, and ABA billing workflows, and be confident in working cross-functionally with internal and external teams.

This role is expected to operate with a high degree of independence, owning day to day billing execution, AR performance, and claim resolution outcomes with minimal oversight while proactively identifying and resolving revenue cycle issues.

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.

What You'll Do:

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.
• Own AR performance outcomes across assigned payors, including reduction of aging balances, acceleration of cash collections, and resolution of systemic payer issues, not just task delegation.
• 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.
• Independently identify breakdowns in billing workflows, payer response trends, and claim submission issues, and implement corrective actions in real time to prevent recurring revenue leakage.

What You'll Need

• 6+ years of billing experience in ABA or behavioral health required
• 3+ years of experience using CentralReach for claims, AR, and payment posting required
• Hands-on experience with Waystar for claim submission, rejection management, and ERA workflows required
• Proven experience managing aging reports and driving resolution on long-outstanding claims
• Prior experience supervising AR/billing teams or leading projects preferred
• Strong understanding of medical billing codes, insurance guidelines, and denial management
• Proficiency in Excel/Google Sheets and EMR-based reporting
• Excellent organizational, communication, and leadership skills
• Ability to work independently and maintain a high level of accountability in a remote setting
• Must demonstrate the ability to operate in a fast paced environment, quickly ramp into billing workflows, and take full ownership of assigned revenue cycle outcomes.

Work Location & Hours: This is a fully remote position; availability expected during Eastern Time business hours. Must reside in one of the following states: FL, IL, IN, MD, MI, MO, NC, NY, OH, PA, TX, or VA.

Must maintain HIPAA-compliant home work environment with secure internet access

Why Work With Children’s Specialized ABA?

We’re an amazing ABA provider! We take a whole-child , whole-caregiver approach. Our integrated model combines ABA therapy with speech, occupational therapy, and behavioral health support. You’ll be part of a deeply collaborative, mission-driven team.

Here’s what you can expect:

• Up to 24 paid days off in your first year (including PTO, sick time, and holidays); earned on an accrual basis, paid time off increases with tenure
• Comprehensive benefits including FREE medical (for employee, buy-up for dependent/partner coverage), voluntary dental, vision, short-term disability, critical illness coverage, and more!
• Free 50k life insurance policy.
• Free Employee Assistance Program (EAP).
• 401(k) retirement savings plan
• Company discount program – discounts of amusement parks, memberships, cruises, movie tickets, spas, sports ticks and more.

Compensation
The expected salary range for this role is $100,000 –$120,000 per year.

Final compensation will be based on a range of factors, such as your skills, education, experience, certifications, market conditions, and internal equity. All offers are made in alignment with applicable federal and state laws.

Children’s Specialized ABA provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.