Qureos Mentor

Alongside ABA

<div><h2 class="jobSectionHeader"><b>Job Description</b></h2>
<div><h2 class="jobSectionHeader"><b>Why You'll Love This Job!</b></h2><br>
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Salary:</b> $90,000 - $110,000 annually<br>
<b>Location:</b> Remote or Hybrid (depending on location)<br>
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Alongside ABA is an Applied Behavior Analysis (ABA) intervention provider for individuals with developmental delays. We are dedicated to serving our community with quality intervention practices. Be part of a team of professionals dedicated to making a difference in the lives of others. At Alongside, we believe our success begins with our staff!<br>
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The Revenue Cycle Management (RCM) Manager is responsible for overseeing all aspects of the revenue cycle to ensure accurate billing, timely collections, payer compliance, and financial sustainability for Alongside ABA. This role requires a strategic leader with deep knowledge of healthcare billing and reimbursement, particularly within behavioral health and ABA therapy, and the ability to lead teams, optimize processes, and partner with clinical and administrative leaders to drive financial performance.</div><h2 class="jobSectionHeader"><b>
Responsibilities</b></h2>
<div><b>1. Strategic Leadership &amp; Oversight</b><br>
<ul><li>
Lead, develop, and mentor the revenue cycle team (billing, collections, and authorization specialists).</li><li>
Develop policies, procedures, and best practices to ensure compliant, efficient revenue cycle operations.</li><li>
Partner with Finance, HR, and Clinical Operations to align revenue goals with organizational growth.</li></ul><b>
2. Billing &amp; Claims Management</b><br>
<ul><li>
Oversee accurate charge capture, timely claims submission, and follow-up with payers.</li><li>
Monitor and resolve claim denials, underpayments, and delays.</li><li>
Ensure compliance with payer contracts, regulatory requirements, and ABA-specific billing codes.</li></ul><b>
3. Payer &amp; Contract Management</b><br>
<ul><li>
Negotiate and maintain payer contracts in alignment with market trends and organizational needs.</li><li>
Ensure credentialing processes are completed timely to avoid revenue disruption.</li><li>
Serve as the point of escalation for payer-related issues.</li></ul><b>
4. Data Analytics &amp; Reporting</b><br>
<ul><li>
Implement reporting tools and dashboards to track KPIs such as days in accounts receivable (AR), denial rates, and collection percentages.</li><li>
Provide financial and operational insights to executive leadership.</li><li>
Identify and recommend process improvements to reduce revenue leakage.</li></ul><b>
5. Compliance &amp; Risk Management</b><br>
<ul><li>
Ensure compliance with HIPAA, federal/state billing regulations, and internal audit controls.</li><li>
Proactively mitigate risk by monitoring changing payor guidelines and regulatory updates.</li><li>
Conduct periodic audits of billing and documentation practices.</li><li>
a leadership role.</li><li>
Strong knowledge of behavioral health/ABA billing, insurance reimbursement, and payer relations.</li><li>
Experience with EMR/Practice Management systems and advanced Excel/data analysis skills.</li><li>
Exceptional leadership, communication, and problem-solving abilities.</li></ul><br>
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This job description is not intended to be all-inclusive. Additional responsibilities may be assigned by leadership to adapt to the needs of the organization and to support professional growth.</b></div><h2 class="jobSectionHeader"><b>
Skills &amp; Qualifications</b></h2>
<div><b>QUALIFICATIONS
</b><br>
<ul><li>Bachelor&rsquo;s degree in healthcare administration, Finance., Business, or related field (or equivalent work experience).</li><li>
5+ years of progressive experience in revenue cycle management, including 2+ years in a leadership role.</li><li>
Strong Knowledge of behavioral health/ABA billing, insurance reimbursement, and payer relations.</li><li>
Experience with EMR/Practice Management systems and advanced Excel/data analysis.</li><li>
Exceptional leadership, communication, and problem-solving skills.</li></ul><b><i>
</i></b><br>
<b>Alongside is an Equal Opportunity Employer and does not discriminate based on race, color, religion, national origin, gender identity, sexual orientation, pregnancy, disability, political affiliation, marital or family status, age, military service, or other non-merit factors.</b></div></div>

RCM Manager

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Alongside ABA

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RCM Manager