Senior Manager, ABA Billing Operations New

Asprcmsolutions; Chennai District; On-site; INR 11,472,000 - 15,296,000; Full time

Job summary

Asprcmsolutions is seeking a senior revenue cycle lead to own the full ABA revenue cycle for autism services clients. You will oversee authorization, unit integrity, and the three-way match, while leading a pod to achieve client-facing metrics and minimize denials.

Responsibilities include ensuring correct rendering rules for BCBA and RBT, managing payer rules across states, and preventing rework through root-cause analysis.

Qualifications

• 6+ years in US healthcare revenue cycle with at least 3 years in ABA or autism services billing.
• End-to-end ABA command including CPT 97151-97158 and Category III codes.
• Experience with multi-state Medicaid ABA billing and concurrent billing rules.

Responsibilities

• Own the full ABA revenue cycle for autism services clients.
• Manage authorization and unit integrity; ensure three-way match across documents.
• Lead the pod and drive client-facing metrics and results.
• Drive denial prevention and root-cause elimination to reduce rework.
• Ensure correct application of rendering rules for BCBA and RBT.

Skills

RCM metrics

AR days in

denial patterns

3-way match

authorization & unit mgmt

CPT 97151-97158

BCBA/RBT usage

multistate Medicaid ABA

payer experience

lead billing team

Job description

ABA is the specialty we are known for, and this seat owns it operationally. You run the full ABA revenue cycle for our autism services clients: eligibility and benefit caps, authorization and unit management, the three-way match between authorization, session note and claim, clean claim production across 97151 to 97158, denial prevention, and AR through to cash. You lead the ABA pod and you are accountable for the metrics our clients see. ABA money does not leak at the claim, it leaks in the gaps between the authorization, the note and the rendering provider, and this role exists to close those gaps. Use BCBA and RBT correctly, because in ABA the rendering level drives the billing rule.

What you will own:

• The full ABA revenue cycle
• Authorization and unit integrity
• The three-way match
• Code and rendering discipline
• Benefit caps and accumulators
• Multi-state payer rules
• Denial prevention over rework
• The pod

What we look for:

• MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
• Six or more years in US healthcare revenue cycle with at least three years specifically in ABA or autism services billing
• End-to-end ABA command: CPT 97151 to 97158 and Category III codes, authorization and unit management, supervision and rendering rules for BCBAs and RBTs
• Multi-state Medicaid ABA experience, including how unit caps, EPSDT and concurrent billing rules differ by state
• Commercial ABA payer experience with autism mandates, benefit caps and concurrent review
• Two or more years leading a billing team with accountability for client-facing metrics
• Fluent in ABA denial patterns and able to drive root cause elimination rather than rework