Revenue Cycle Manager

ABA Therapy Partners•Santa Clarita, CA
•$70,000 - $80,000

About The Position

The Revenue Cycle Manager is a hands-on player-coach responsible for billing, accounts receivable, accounts payable, and financial operations for ABA Therapy Partners. This strategic, solutions-oriented leader manages day-to-day operations while identifying opportunities to streamline workflows, improve accuracy, strengthen collections, and reduce manual work through automation and scalable solutions. The role requires a strong understanding of revenue cycle best practices, billing requirements, authorization processes, and reimbursement rules for California regional centers, school districts, and insurance payers. Reporting directly to the CEO, the manager will strengthen financial processes, improve revenue performance, and build operational infrastructure to support continued company growth. The role leads process mapping and improvement, automation, standard operating procedures, and internal controls across finance workflows. It manages the monthly billing cycle for directly invoiced clients, coordinates with outsourced insurance billing partners, ensures billing data integrity, submits invoices, and resolves discrepancies and denials. The manager owns receivables, collections, payment posting, disputes, outsourced billing relationships, and family payment plans, as well as vendor setup, invoice approvals, payments, and spend visibility. The position establishes the monthly finance calendar and supports accurate, timely month-end close in QuickBooks, cash management, audit readiness, and compliance. It produces finance scorecards, maintains revenue, cash flow, expense, and net income forecasts, supports budgeting, analyzes profitability and contract economics, and responds to leadership’s ad hoc analysis needs. The manager also supervises billing and finance specialists and partners with clinical operations, scheduling, HR, and leadership.

Requirements

  • At least 5 years of experience in revenue cycle management, healthcare or behavioral health billing, or a comparable financial operations role.
  • At least 3 years of experience billing California Regional Centers under the Department of Developmental Services (DDS).
  • At least 3 years of experience with school district billing.
  • Knowledge of authorization verification, unit-based billing, documentation requirements, reimbursement rules, and billing compliance.
  • At least 5 years of direct experience managing accounts receivable, accounts payable, 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 and experience developing financial forecasts, reporting dashboards, performance metrics, and financial models.
  • At least 3 years of experience with accounting, billing, payer portals, and practice-management systems.
  • Strong analytical, problem-solving, and organizational skills, with accuracy and attention to detail.
  • Proactive, hands-on approach to identifying inefficiencies and developing scalable solutions.
  • Ability to communicate financial information, performance trends, and operational issues clearly to finance and non-finance stakeholders.
  • Initiative, ownership, and accountability for revenue cycle performance, accuracy, and process outcomes.
  • Ability to handle sensitive financial, employee, and client information with discretion and professionalism.
  • Ability to thrive in a fast-paced, evolving organization and build, improve, and scale processes.

Nice To Haves

  • Experience with insurance billing and the Self-Determination Program (SDP).
  • Familiarity with Lumary and Rippling.
  • Experience with Lean, Six Sigma, or other continuous improvement methodologies.
  • Bachelor’s degree in Accounting, Finance, Business Administration, Healthcare Administration, or a related field; equivalent relevant experience may be considered.

Responsibilities

  • Document finance workflows end to end, including owners, inputs, outputs, deadlines, and handoffs.
  • Identify bottlenecks, rework, duplicate entry, and errors; prioritize and implement improvements.
  • Lead automation across billing, accounts receivable, accounts payable, and reporting using company systems and other tools as needed.
  • Write and maintain standard operating procedures and checklists, and build appropriate controls, separation of duties, and approval rules.
  • Establish baselines, track process improvements, and report quarterly on changes.
  • Lead monthly billing for directly invoiced clients, including Regional Centers and School Districts, and coordinate with outsourced billing partners on insurance billing and collections.
  • Partner with appointment rendering and scheduling teams to ensure billing data is clean and complete, and address unrendered or unbilled sessions.
  • Convert documented sessions and notes into invoices according to authorized hours, rates, and applicable codes, agreements, contracts, and IEPs.
  • Manage invoice submissions according to client requirements and resolve discrepancies and denials promptly.
  • Own accounts receivable aging, follow up on overdue invoices, and reduce days sales outstanding.
  • Post incoming payments accurately in the Practice Management system and reconcile them to invoices.
  • Track root causes of short payments, denials, and disputes and correct upstream processes to prevent recurrence.
  • Manage relationships with outsourced billing partners to support data integrity, clean claims, prompt payment, and collections.
  • Work professionally and respectfully with families to establish payment plans and collect copays, coinsurance, and other patient-responsibility balances.
  • Manage vendor setup, invoice intake, approvals, and payments on schedule and in accordance with vendor terms.
  • Enforce spending approval thresholds and documentation requirements, and maintain audit-ready accounts payable records.
  • Track recurring spending and subscriptions and identify savings opportunities.
  • Define and run a monthly calendar for billing, collections, payment posting, accounts payable, reconciliations, and financial close.
  • Support accurate, timely month-end close in QuickBooks, including reconciliations and coordination with the CPA and accounting partners.
  • Monitor cash position weekly and keep leadership informed of cash needs 60 days ahead.
  • Maintain audit-ready billing and payment records aligned with client contracts, expectations, and funder rules.
  • Produce weekly and monthly finance scorecards covering billed versus authorized hours, unrendered sessions, collection rate, DSO, AR and AP aging, cash position, and margin by client and school district.
  • Build and maintain rolling revenue, cash flow, expense, and net income forecasts, updating them as placements, rates, and staffing change.
  • Support the annual budget and forecasts and track actual performance against budget.
  • Analyze profitability by client, district, and service line; model rate changes and new contracts; and support pricing and growth decisions.
  • Provide clear, data-centered analysis in response to leadership’s ad hoc financial questions.
  • Lead billing and finance specialists through training, feedback, and clear workflows.
  • Collaborate with clinical operations, scheduling, HR, and leadership to ensure finance processes fit business operations.

Benefits

  • After 90 days, full-time exempt employees are eligible for health insurance, dental insurance, vision insurance, company-paid life insurance, a 401(k), and unlimited PTO.
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