ABA Revenue Cycle Lead - Billing, Denials & Cash Flow

Physicians Dialysis; Miami Gardens (FL); Vor Ort; USD 62.000 - 76.000; Vollzeit

Zusammenfassung

Physicians Dialysis in Miami, FL is seeking a Revenue Cycle Manager to oversee ABA billing operations, ensuring accurate claim submission, timely posting, denials management, and regulatory compliance.

You will lead a billing team, collaborate with clinical, authorization, and finance staff to solve issues and maximize reimbursement, while maintaining high productivity and data integrity.

Qualifikationen

• Healthcare billing/revenue cycle experience (ABA or behavioral health preferred).
• Supervisory experience preferred.
• Knowledge of ABA CPT codes 97151–97156 and payer rules.
• Strong analytical, detail-oriented, problem-solving and communication skills.
• Proficient with Excel and billing/revenue cycle software.

Aufgaben

• Supervise ABA revenue cycle activities: charge review, claims, payment posting, denials, appeals, AR follow-up.
• Ensure claims are submitted, followed up, and resolved within payer deadlines.
• Monitor revenue cycle metrics (AR, denials, clean claim rates, collections) and report results.
• Maintain up-to-date knowledge of ABA CPT codes, payer policies, and billing rules.
• Identify trends impacting reimbursement and cash flow; collaborate with clinical and authorization teams.
• Supervise, train, and develop billing staff, ensuring high productivity and accuracy.
• Ensure compliance with federal/state regulations, payer requirements, and internal policies.

Kenntnisse

Analytical

Detail-oriented

Problem solving

Communication

Ausbildung

High school diploma

Associate or Bachelor's degree in healthcare/business

Tools

Excel

Billing software

Clearinghouses

Jobbeschreibung

Physicians Dialysis in Miami, FL is seeking a Revenue Cycle Manager to oversee ABA billing operations, ensuring accurate claim submission, timely posting, denials management, and regulatory compliance.

You will lead a billing team, collaborate with clinical, authorization, and finance staff to solve issues and maximize reimbursement, while maintaining high productivity and data integrity.