Revenue Cycle Manager

North Arrow ABA • Traverse City, MI

4d • $55,000 - $65,000 • Hybrid

About The Position

Join Northern Michigan’s premier provider of Applied Behavior Analysis (ABA) in the treatment of clients diagnosed with autism and make a difference in the lives of local families and in our community! North Arrow ABA is seeking a full-time Revenue Cycle Manager (RCM) as part of our administrative team to support our growing organization of 175+ clinical and administrative staff. This position reports to the Director of Administration in our Traverse City, Michigan HQ location, but could also be based in another of our clinical center locations. The work is a mix of on-site and remote work, with a flexible schedule available for a results-driven candidate.

Position Overview:
Oversees all functions related to the financial health and integrity of company billing, credentialing, and reimbursement processes. This position ensures accurate and compliant management of client accounts from intake through payment posting, including insurance authorizations, credentialing of providers, claims submission, denials management, and collections. The ideal candidate has in-depth experience in healthcare billing, payer requirements, and compliance.

Requirements

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field strongly preferred.
• Minimum of 3–5 years of experience in revenue cycle management within a healthcare or behavioral health setting; ABA or mental health billing experience strongly preferred.
• Experience managing payer relationships, authorizations, and claims for both Michigan Medicaid (Community Mental Health) and commercial insurance plans (Blue Cross, Priority Health, etc).
• Strong understanding of HCPCS & CPT codes and payer rules, preferably ABA services.
• Proficiency in practice management systems; Central Reach knowledge a plus.
• Excellent analytical, organizational, and problem-solving skills.
• Intermediate to advanced knowledge of spreadsheets.
• Ability to communicate effectively with clinical, administrative, and payer stakeholders.
• High attention to detail, confidentiality, and integrity.
• Must submit to and pass a pre-employment screening and criminal background check.
• Operates in full compliance with all applicable federal, state, and local laws and standards.

Responsibilities

• Manage end-to-end revenue cycle processes for all services, including authorizations, charge entry, claims submission, payment posting, and accounts receivable follow-up.
• Maintain accurate provider rosters, CAQH, NPPES, and payer directories.
• Oversee and manage insurance credentialing and re-credentialing for all clinical providers, ensuring timely and accurate completion of applications and updates. Track credentialing timelines and proactively address potential delays that may impact billing and reimbursement.
• Collaborate with clinical and HR departments to empanel new providers and coordinate payer participation.
• Oversee reconciliation of payments and adjustments, maintaining accurate client financial records.
• Implement best practices for timely claim submission, reducing denials and increasing first-pass rates.
• Supervise billing, credentialing, and collections staff, ensuring high performance, accuracy, and accountability.
• Provide training and ongoing education on insurance policies, compliance standards, and payer updates relevant to ABA therapy.
• Foster collaboration with clinical and administrative teams to resolve documentation or authorization barriers that affect billing.
• Ensure all billing practices adhere to payer requirements, federal/state regulations, and ethical standards within behavioral health services.
• Conduct regular audits of billing and documentation for accuracy, compliance, and efficiency improvements.
• Partner with the compliance team to stay current on Medicaid, commercial, and managed care updates affecting ABA reimbursement.
• Analyze revenue cycle metrics, identifying trends in denials, aging, and reimbursement to inform operational improvements.
• Develop and present weekly/monthly revenue cycle reports and KPIs to leadership.
• Recommend and implement process improvements and technology enhancements to streamline billing and collections workflows.

Benefits

• Base salary plus performance based incentives.
• Benefits to include 3 weeks PTO, medical, dental, vision, STD/LTD, life insurance, 401(k) with 4% match, EAP, and much more.
• Remote/hybrid, flexible work environment.
• Opportunities for professional growth and training.
• Supportive team focused on quality and compliance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level