Director of ABA Revenue Cycle Management (Remote)

About the role

The Director of Revenue Cycle Management is responsible for RightWay ABA's complete revenue cycle, from intake and eligibility through contracting, credentialing, billing, collections, and reporting. This leader will oversee the in-house RCM team, establish processes and performance standards, manage payer relationships, and serve as the executive owner of the organization's financial performance.

Responsibilities

• Own and oversee the full revenue cycle strategy and operations, including eligibility verification, authorizations, charge entry, claims submission, payment posting, accounts receivable, denials, and appeals.
• Lead payer contracting initiatives and reimbursement rate negotiations, identifying below-market agreements and driving renegotiations.
• Oversee provider credentialing and recredentialing with commercial payers and Medicaid MCOs.
• Build, mentor, and scale the internal RCM team, including billing, credentialing, and authorization specialists.
• Establish and monitor key performance indicators, including collections, days in AR, denial rates, clean claim rates, and net collection rates.
• Develop denial prevention strategies and address root causes to reduce recurring issues.
• Forecast cash flow and reimbursement trends and partner with executive leadership on financial planning and growth initiatives.
• Stay current on payer policy changes, reimbursement updates, and regulatory requirements, adapting workflows as needed.
• Collaborate closely with intake and clinical leadership to ensure authorizations, coverage, and service delivery remain aligned.
• Evaluate and continuously improve RCM systems, workflows, reporting, and automation opportunities.

Requirements

• Minimum of 6 years of revenue cycle management experience, including at least 3 years leading an RCM, billing, or healthcare finance function.
• Deep understanding of the full revenue cycle, including eligibility, authorizations, claims, ERA/835 remittances, denial management, appeals, and accounts receivable.
• Hands-on experience with payer contracting, reimbursement negotiations, credentialing, and CAQH management.
• Demonstrated success improving collections, reducing AR aging, and lowering denial rates.
• Strong leadership, analytical, and communication skills with the ability to own financial outcomes.
• Comfortable operating both strategically and tactically within a fast-paced, growing organization.

Preferred Qualifications

• Revenue cycle leadership experience within ABA or behavioral health organizations.
• Familiarity with New Jersey payers, including Horizon, Aetna, UnitedHealthcare, and Medicaid MCOs, as well as contracted-rate analysis.
• Experience with EMR/practice management systems and workflow tools such as Monday.com.
• Knowledge of ABA CPT codes, including 97151, 97155, and 97156, and related authorization workflows.