Senior Manager, ABA Billing Operations
Asprcm Solutions6+ yrsChennaiOn-siteDirect career pageEst. 12–20 LPA
Posted 1d ago
Reach people at Asprcm Solutions
People at this company you can reach
Log in to see who works here
Create a free account or log in to see the people at Asprcm Solutions you could write to:
- Recruiters & HR
- People in this function
- Work addresses
Your match
Against your primary resume
Log in to see your match score
Create a free account or log in to unlock your CV match score across:
- Role fit
- Experience
- Industry relevance
Protocol Intelligence
How competitive this role is
Competition
Background fit
Strictness
Log in to see why each signal reads the way it does.
Job description
Structured overview of role & requirements
About This Role
- Own and operate the end-to-end ABA billing revenue cycle including eligibility, authorization, charge and claim production, denial management, AR follow-up, and cash posting.
- Lead and manage the ABA billing pod responsible for operational performance and client-facing RCM metrics like net collection rate, denial rate, days in AR, and clean claim rate.
- Ensure strict alignment of authorization, session notes, and claims through three-way matching with detailed control of codes, rendering providers, and payer requirements across multiple states.
Minimum Requirements
- At least 6 years in US healthcare revenue cycle, with minimum 3 years focused specifically on ABA or autism services billing.
- Proficiency in key RCM metrics: net collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, and cost to collect.
- In-depth knowledge of ABA billing codes (97151-97158 and Category III), authorization and unit management, and Medicaid and commercial payer ABA billing rules across multiple states.
- Minimum 2 years of leadership experience managing billing teams accountable for client metrics; role is full-time onsite with no remote option.
Ideal Candidate Profile
- Experienced leader comfortable with deep operational control over ABA revenue cycles and able to drive root cause denial elimination rather than reactive rework.
- Expert in multi-state Medicaid ABA payer rules and commercial autism-related mandates, with a strong command of authorization compliance and billing code discipline.
- Able to implement and sustain team cadence and metric accountability independently, ensuring continuous improvement on key RCM KPIs like denial rate and AR aging.