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Autism & Behavioral Spectrum · 1 day ago

Director of Revenue Cycle Management - RCM

St Peters, MO

Full-time

Hybrid

Lead/Staff, Director/Executive

$85K/yr - $140K/yr

5+ years exp

AB Spectrum is a leading provider of specialized Reggio ABA therapy for young children. The Director of Revenue Cycle Management (RCM) is responsible for optimizing and managing all aspects of the revenue cycle, ensuring financial health and compliance, while leading the RCM team and collaborating with various departments.

Mental Health Care

Responsibilities

Develop and execute the long-term RCM strategy to support organizational growth, new clinical service lines, and expansion across multiple payors (Medicaid and commercial insurance)

Supervise, mentor, and lead the entire RCM team (Authorizations, Billing, Collections, and Payment Posting), fostering a culture of accuracy, ownership, and high performance

Serve as the key strategic liaison, collaborating closely with Clinical Operations, Finance, IT, and Compliance to ensure seamless integration between clinical documentation and medical billing processes

Oversee the full revenue cycle, ensuring accurate and compliant management of patient eligibility, service authorizations, claims submission, payment posting, and Accounts Receivable (AR) management

Lead proactive denial management, performing deep root-cause analysis on complex denials (coding, documentation) and implementing swift, permanent corrective action plans to reduce the denial rate

Monitor daily workflows to maintain accuracy of data entry, documentation, and coding in accordance with specific billing rules for ABA, OT, SLP, Psychology, and Social Work

Oversee Medicaid-specific processes, including authorization renewals and adherence to unique state billing regulations

Serve as the organizational expert for the practice management system. Mandatory proven, deep experience optimizing RCM workflows within CentralReach is highly preferred

Optimize RCM processes inside CentralReach, including service authorization configuration, claims batching, error scrubbing, payment posting, and advanced reporting

Establish, track, and report on key RCM metrics including Days Sales Outstanding (DSO), clean claim rate, and collections performance, presenting strategic outcomes to the CFO and Executive Team

Ensure continuous adherence to federal, state, and payor-specific regulations for pediatric behavioral health services

Work with Compliance and Clinical teams to ensure documentation accuracy that supports billing and reduces risk

Maintain audit readiness and oversee all responses to payor audits

Qualification

CentralReach expertiseRCM leadership experienceMedicaid billing knowledgePediatric behavioral healthFinancial analysis skillsAnalytical skillsCompliance knowledgeTeam leadershipCommunication skills

Required

5–7+ years of progressive RCM leadership experience, ideally within ABA, pediatrics, behavioral health, or other multi-disciplinary outpatient services

Mandatory deep expertise with CentralReach systems

Strong knowledge of Medicaid and commercial insurance billing rules across multiple clinical disciplines

Demonstrated record of improving key RCM performance indicators

Proven experience managing RCM complexities (authorizations, billing, compliance) across multiple clinical disciplines: Applied Behavior Analysis (ABA), Occupational Therapy (OT), Speech-Language Pathology (SLP), Psychology, and Social Work

Preferred

Bachelor's degree in Business, Healthcare Administration, Finance, or a related field strongly preferred

Mandatory proven, deep experience optimizing RCM workflows within CentralReach is highly preferred

Benefits

Generous PTO: PTO Accrual, Sick Days, and Paid Holidays. Almost 1 month of PTO! (when accrued).

Health & Wellness: Choice of two high-value medical plans, including a Health Savings Account (HSA) option and a $0-deductible/$0-copay plan within the Mercy network; plus comprehensive dental and vision coverage. Full company coverage of employee-level medical benefits after one year of employment.

Dental and Vision Plans.

Family Support: Dependent Care FSA option to help offset care costs, along with generous supplemental benefits such as accident, critical illness, and hospital indemnity coverage.

Financial Security: 401(k) option and employer provided Group Life insurance.

Tele-Health: appointments, options, and support.