Senior ABA Revenue Cycle / Accounts Receivable SpecialistRemote | US HoursJob OverviewA senior-level, hands-on position responsible for managing healthcare Revenue Cycle Management (RCM), insurance claims, denial resolution, and accounts receivable (AR).
Direct ABA billing experience is highly preferred.The ideal candidate must independently manage high-volume claims, investigate outstanding balances, resolve denials, conduct payer follow-ups, and improve billing processes with minimal supervision.Key Responsibilities1.
Revenue Cycle Management & Accounts Receivable- Manage day-to-day RCM and high-volume AR operations.
- Monitor denied, outstanding, and aging claims.
- Investigate claim statuses through payer portals and billing systems.
- Conduct payer follow-ups, collections, and escalations.
- Prioritize claims based on aging, urgency, financial impact, and deadlines.
- Maintain accurate documentation of claim activities and resolutions.2.
Claims Investigation & Denial Management- Investigate denied and rejected claims and identify root causes.
- Correct billing errors and submit corrected or resubmitted claims.
- Follow up with insurance companies regarding payment issues and discrepancies.
- Identify recurring denial patterns and implement corrective actions.
- Reduce preventable denials and outstanding AR balances.3.
ABA Billing & Payer Compliance- Understand ABA-specific billing requirements and payer policies.
- Navigate concurrent billing restrictions involving supervision services and direct RBT care.
- Identify billing conflicts involving service dates, times, provider documentation, and billing combinations.




- Ensure compliance with payer-specific reimbursement and billing requirements.4.
Process Improvement & Automation- Identify recurring denials, billing discrepancies, and workflow bottlenecks.
- Recommend solutions to prevent repeated billing issues.
- Improve billing workflows, internal controls, and operational processes.
- Identify opportunities for automation and improved RCM efficiency.5.
Team Collaboration & Ownership- Coordinate with the existing RCM team and distribute workloads effectively.
- Manage responsibilities independently with minimal supervision.
- Communicate claim issues, findings, and progress proactively.
- Take ownership of substantial billing and AR workloads while maintaining accuracy and productivity.Qualifications & Requirements- Strong hands-on healthcare RCM and AR experience.
- Proven experience in medical billing, insurance claims, denial management, and payer follow-ups.
- Direct ABA billing experience highly preferred.
- Strong understanding of claim denials, corrected claims, resubmissions, collections, and denial root-cause analysis.
- Knowledge of insurance billing requirements and reimbursement policies.
- Familiarity with ABA-specific billing rules, particularly concurrent supervision and RBT direct care restrictions.




- Ability to independently manage high-volume AR and resolve outstanding claims.
- Strong analytical, problem-solving, organizational, and communication skills.
- Ability to work independently with minimal supervision.Preferred Technical Skills- Candid – particularly for billing, claims management, denial resolution, and AR workflows.
- Insurance payer portals and claim-status systems.
- Claims management and denial tracking tools.
- Microsoft Excel or Google Sheets.
- Slack or similar communication platforms.
- Healthcare billing and RCM systems.
- Workflow automation and process improvement tools.Idóneo Candidate ProfileA proactive, analytical, and solutions-oriented senior RCM professional who:- Takes initiative in identifying and addressing outstanding claims.
- Owns claims from investigation through final resolution.
- Understands ABA billing nuances and payer-specific restrictions.
- Identifies recurring issues and develops long-term solutions.
- Prevents billing errors before claims are submitted.
- Is comfortable using technology and automation.
- Works collaboratively while maintaining independent ownership.Hiring Priority- Immediate need: At least 1 qualified specialist.
- Potential additional headcount: A second specialist may be considered depending on workload and operational requirements.Important Candidate Screening Consideration:Candidates must have substantial healthcare RCM, claims management, denial resolution, and AR experience.
Those whose backgrounds are limited to basic medical billing, data entry, or medical records retrieval without hands-on claims and AR ownership are not suitable.
#J-*****-Ljbffr

📌 Senior Aba Revenue Cycle / Accounts Receivable Specialist (Xico)
🏢 Opsarmy
📍 Xico