Revenue Cycle Lead
在 B Above Services,我们致力于为自闭症患者及其家人提供同情心态的个性化支持。我们的团队共同努力，使服务访问尽可能简单和支持性。我们正在寻找一个经验丰富，有组织和积极的收入周期领导者加入我们的成长团队。通过监督收入周期运营，保险发票，收费，供应商认证和付款人员注册，这项角色对于支 B Above 服务的财务健康和持续增长至关重要。理想候选人将带来强大的医疗保健收入周期经验，了解 Medicaid 和商业保险要求以及提高流程，支持团队的绩效并确保我们提供的服务的准确及时退款所需的领导技能。职位总结 收入周期负责监督 B Above 服务公司日常营收周期运作，包括索赔管理，支付发布，拒绝和上诉，应收账户，收费，提供商认证和保险纳税者注册。该职位将与临床，运营，接入和行政团队密切合作以确保准确的文档，适当的授权和注册，合规性账单并及时退款。收入周期领导还将监测绩效指标，确定改善机会，开发可扩展的过程来支持组织增长，包括新聘用，地点和市场扩张。关键责任 收入周期 & 计费操作 · 监督整个收入周期，包括索赔提交，支付发布，拒绝管理，上诉和收藏。·监督账单准确性，确保索赔的提交是精确的和付款人截止日期内。· 追踪领取债务 (AR),确定老龄化索赔，并协调及时的跟进和解决。·调查和解决拒绝索赔，支付不足，计费差异和退还延误。· 识别收入泄漏，计费不高效以及改善收益和财务绩效的机会。·建立和维持有效的工作流程来管理索赔，结合支付和未偿余额。· 确保账单实践符合付款人要求，合同义务和适用的规定。· 监控。
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Revenue Cycle Lead
B Above Services
About B Above Services
At B Above Services, we are committed to providing compassionate, individualized support to individuals with autism and their families. Our team works together to make accessing services as straightforward and supportive as possible.
We are looking for an experienced, organized, and proactive Revenue Cycle Lead to join our growing team. This role is essential to supporting the financial health and continued growth of B Above Services by overseeing revenue cycle operations, insurance billing, collections, provider credentialing, and payer enrollment.
The ideal candidate will bring strong healthcare revenue cycle experience, an understanding of Medicaid and commercial insurance requirements, and the leadership skills needed to improve processes, support team performance, and ensure accurate and timely reimbursement for the services we provide.
Position Summary
The Revenue Cycle Lead is responsible for overseeing the day-to-day revenue cycle operations of B Above Services, including claims management, payment posting, denials and appeals, accounts receivable, collections, provider credentialing, and insurance payer enrollment.
This position will work closely with clinical, operations, intake, and administrative teams to ensure accurate documentation, appropriate authorization and enrollment, billing compliance, and timely reimbursement. The Revenue Cycle Lead will also monitor performance metrics, identify opportunities for improvement, and develop scalable processes to support organizational growth, including new hires, locations, and market expansion.
Key Responsibilities
Revenue Cycle & Billing Operations
- Oversee the full revenue cycle, including claims submission, payment posting, denials management, appeals, and collections.
- Monitor billing accuracy and ensure claims are submitted accurately and within payer deadlines.
- Track accounts receivable (AR), identify aging claims, and coordinate timely follow-up and resolution.
- Investigate and resolve claim denials, underpayments, billing discrepancies, and reimbursement delays.
- Identify revenue leakage, billing inefficiencies, and opportunities to improve collections and financial performance.
- Establish and maintain effective workflows for claims management, payment reconciliation, and outstanding balances.
- Ensure billing practices align with payer requirements, contractual obligations, and applicable regulations.
- Monitor reimbursement trends and recommend strategies to improve revenue cycle performance.
Provider Credentialing & Insurance Enrollment
- Oversee provider credentialing, re-credentialing, and insurance payer enrollment for Medicaid and commercial insurance plans.
- Coordinate credentialing and enrollment for new hires, existing providers, new locations, and market expansion.
- Track credentialing applications, enrollment statuses, renewal deadlines, and outstanding documentation.
- Ensure provider credentials, licenses, certifications, and payer enrollment records remain current and accurate.
- Coordinate with insurance payers and credentialing entities to resolve enrollment issues and prevent unnecessary delays.
- Maintain organized credentialing records and documentation in accordance with company policies and payer requirements.
- Collaborate with clinical, HR, and operations teams to ensure providers meet credentialing requirements before delivering services when applicable.
- Identify credentialing or enrollment issues that could affect billing eligibility or reimbursement and coordinate timely resolution.
Authorization, Compliance & Revenue Integrity
- Monitor insurance authorizations, approved service hours, and service utilization to support accurate billing and reduce preventable revenue loss.
- Collaborate with intake, clinical, and authorization teams to track authorization requirements, expiration dates, and outstanding items.
- Help ensure billed services are supported by appropriate documentation and align with payer authorization requirements.
- Identify discrepancies between authorized services, delivered services, clinical documentation, and submitted claims.
- Support compliance with payer policies, Medicaid requirements, HIPAA, and applicable billing regulations.
- Develop and maintain processes to improve billing accuracy, documentation completeness, and reimbursement compliance.
- Communicate potential compliance concerns, recurring errors, and operational risks to leadership.
Leadership & Team Management
- Lead and support billing and credentialing staff, establishing clear responsibilities, accountability, and performance expectations.
- Provide guidance, training, and ongoing support to help team members meet departmental goals.
- Monitor team productivity, workload distribution, and completion of critical revenue cycle tasks.
- Develop standardized procedures and workflows to promote consistency, accuracy, and efficiency.
- Identify training needs and opportunities to strengthen team knowledge of billing, credentialing, payer requirements, and internal processes.
- Foster collaboration, problem-solving, and continuous improvement across revenue cycle functions.
Reporting, Analytics & Process Improvement
- Develop, monitor, and report key performance indicators (KPIs) related to claims, collections, accounts receivable, denials, credentialing, and reimbursement.
- Provide regular updates and performance reports to leadership, highlighting trends, challenges, and opportunities for improvement.
- Analyze revenue cycle data to identify recurring issues, operational bottlenecks, and opportunities to improve financial outcomes.
- Establish measurable goals and implement strategies to improve collections, reduce outstanding receivables, and minimize claim denials.
- Create and refine processes that support consistency, accountability, and scalability as B Above Services continues to grow.
- Evaluate existing workflows and recommend improvements to systems, reporting, and cross-departmental communication.
Cross-Functional Collaboration
- Partner with clinical, intake, operations, HR, and administrative teams to support accurate billing and efficient revenue cycle operations.
- Communicate payer requirements, billing issues, credentialing updates, and process changes to relevant team members.
- Work with clinical and operations teams to address documentation gaps and other issues that may delay claims or reimbursement.
- Support the financial and operational readiness of new providers, service locations, and market expansions.
- Serve as a key resource for revenue cycle questions, problem resolution, and process improvement initiatives.
Required Qualifications
- Prior experience in healthcare revenue cycle management, medical billing, or a related healthcare financial operations role.
- Strong understanding of healthcare claims submission, payment posting, denials, appeals, collections, and accounts receivable management.
- Experience with provider credentialing, recredentialing, and insurance payer enrollment.
- Working knowledge of Medicaid and commercial insurance billing and enrollment requirements.
- Understanding of insurance authorization processes and how authorizations affect billing and reimbursement.
- Demonstrated ability to identify billing discrepancies, resolve outstanding claims, and improve collection outcomes.
- Experience developing, improving, or implementing operational processes and workflows.
- Strong organizational, analytical, and problem-solving skills.
- Excellent attention to detail and commitment to billing accuracy and documentation quality.
- Ability to manage multiple priorities, deadlines, and ongoing operational responsibilities.
- Strong communication skills and the ability to collaborate effectively with clinical, administrative, and leadership teams.
- Ability to work independently, take ownership of results, and proactively address issues.
- Strong computer skills and experience using billing, practice management, EMR, or related healthcare systems.
- Understanding of HIPAA, confidentiality, and applicable healthcare billing compliance requirements.
Preferred Qualifications
- Experience in applied behavior analysis (ABA), behavioral health, or a related healthcare setting.
- Two or more years of experience in healthcare revenue cycle management, billing operations, credentialing, or a related field.
- Previous experience leading, supervising, or training billing or credentialing staff.
- Experience working with Indiana Medicaid, other state Medicaid programs, and commercial insurance payers.
- Familiarity with ABA-specific billing practices, CPT codes, authorization requirements, and payer documentation standards.
- Experience monitoring KPIs, analyzing accounts receivable, and preparing reports for leadership.
- Experience supporting provider enrollment and credentialing across multiple locations or states.
- Experience implementing scalable workflows and improving revenue cycle performance during organizational growth.
- Familiarity with healthcare practice management, billing, and electronic medical record systems.
Ideal Candidate
The ideal candidate is a proactive, detail-oriented leader who understands both the day-to-day demands of revenue cycle operations and the bigger picture of building efficient, sustainable processes. They take ownership of results, are comfortable solving complex billing and credentialing challenges, and can balance hands-on operational responsibilities with team leadership and strategic process improvement.
This individual will play an important role in strengthening B Above Services' revenue cycle operations, supporting our providers and internal teams, and helping position the organization for continued growth.
Why You’ll Love Working With Us
- Competitive Salary: $65,000–$85,000 per year, based on experience and qualifications
- Comprehensive Benefits: Health, Dental, and Vision Insurance
- PTO and Holiday Pay
- Employee Referral Bonuses
- Supportive and Collaborative Work Environment
Why Join B Above Services?
B Seen. B Supported. B Above.
As an Revenue Cycle you will play an important role in helping families access the care and support they need. Your work will directly impact a family's experience from their very first interaction with our organization.
Originally posted on Himalayas