Who We Are
Proficio Therapy Services is a mission driven therapy organization dedicated to improving the lives of children and families. We provide high quality ABA Therapy, Speech Therapy, and Occupational Therapy through our family of licensed clinical entities:
- AGES Learning Solutions LLC – ABA Therapy
- Proficio Speech Therapy Group Inc – Speech Therapy
- Child’s Play Therapy Services PC – Occupational Therapy
Today, we operate 11 clinics across the United States, supported by more than 250 clinicians. We are actively expanding into additional cities throughout California and Utah, with international growth underway in India and the Middle East.
Our teams are backed by strong clinical leadership, reliable operational systems, and a culture built on respect, inclusion, and collaboration. Whether you’re starting your career or stepping into leadership, you’ll find opportunities to grow, contribute, and make a meaningful impact every day.
At Proficio, your work truly matters and so does your growth. Join us as we continue building a unified, global therapy organization dedicated to empowering children and families.
Job Summary/Overview:
The Manager – Revenue Cycle Management is responsible for managing end-to-end medical billing and revenue cycle operations for Applied Behavior Analysis (ABA) services. This role ensures accurate and compliant billing, timely reimbursement, effective denial management, and optimization of revenue cycle performance while leading billing teams and collaborating with clinical, authorization, scheduling, finance, and operations stakeholders.
Reporting Structure:
Reports to Vice President
Responsibilities and Duties:
- Manage day-to-day ABA medical billing and revenue cycle operations, including charge entry, claims submission, payment posting, accounts receivable follow-up, underpayment recovery, and denial management.
- Ensure timely, accurate, and compliant submission of claims by implementing standardized workflows, payer-specific guidelines, and quality control measures.
- Monitor and improve key revenue cycle metrics, including Days in AR, AR Aging, Clean Claim Rate, First Pass Resolution Rate, Collection Ratio, Denial Rate, and Write-off trends, and provide regular reports to leadership.
- Identify revenue leakage, billing discrepancies, authorization gaps, coding issues, and payer-related risks, and implement corrective actions to improve revenue realization.
- Collaborate closely with clinical, authorization, scheduling, compliance, finance, and operations teams to ensure seamless billing processes and timely issue resolution.
- Support process improvement initiatives through workflow optimization, automation, SOP enhancements, and operational best practices.
- Lead, mentor, and supervise billing team leads and billing specialists while fostering a culture of accountability, quality, and continuous improvement.
- Establish team performance goals, monitor productivity and quality metrics, provide coaching, and support employee development.
- Develop and maintain Standard Operating Procedures (SOPs), workflows, escalation matrices, and process documentation to ensure consistency and compliance.
- Allocate workloads effectively across the billing team to ensure adherence to turnaround times, service level agreements (SLAs), and payer deadlines.
- Identify training needs and coordinate onboarding, cross-training, and skill development initiatives for team members.
- Act as the primary escalation point for complex billing, accounts receivable, payer disputes, and reimbursement issues within the ABA billing function.
- Support hiring, workforce planning, and performance management activities in collaboration with leadership and HR.
- Analyze denial trends and implement corrective actions to reduce recurring denials and improve reimbursement rates.
- Maintain structured denial tracking, financial impact analysis, and appeal reporting to drive continuous improvement.
- Ensure compliance with HIPAA, CMS regulations, payer-specific billing requirements, authorization guidelines, and documentation standards.
- Coordinate internal and external audits by maintaining accurate documentation and supporting timely resolution of audit findings.
- Oversee appeals for denied and underpaid claims to maximize reimbursement while ensuring adherence to payer timelines.
- Stay updated on payer policy changes, reimbursement guidelines, and industry best practices, implementing necessary operational updates and team training.
- Prepare operational MIS reports and dashboards highlighting billing performance, trends, bottlenecks, and improvement opportunities.
- Support billing system enhancements, reporting improvements, automation initiatives, and process digitization projects.
- Coordinate with insurance payers, clearinghouses, and internal stakeholders to resolve billing issues efficiently while maintaining high service standards.
Qualifications
- Bachelor's degree in Healthcare Administration, Finance, Business Administration, or a related field.
- 6–8 years of experience in Medical Billing and Revenue Cycle Management, including at least 2–3 years of team management or supervisory experience.
- Strong expertise in end-to-end Revenue Cycle Management, including claims processing, accounts receivable management, denial management, appeals, and reimbursement optimization.
- Experience managing ABA billing operations with knowledge of authorization-driven and time-based billing models.
- Strong understanding of US healthcare regulations, including HIPAA, CMS guidelines, and commercial and government payer requirements.
- Demonstrated ability to improve key revenue cycle metrics such as Days in AR, denial rates, clean claim rates, and collections.
- Hands-on experience with medical billing systems, clearinghouses, reporting tools, and revenue cycle automation initiatives.
- Strong leadership, people management, communication, and cross-functional collaboration skills.
- Professional certifications such as CPC, CCS, CPB, CRCR, or equivalent Revenue Cycle credentials are preferred.
- Experience with reporting tools, automation platforms, and business intelligence tools such as Power BI is an advantage.
- Experience supporting multi-location healthcare organizations or ABA providers is highly desirable.
Work Schedule:
- Full Time - Work from Office (Kochi)
- Ability to collaborate with US-based teams and accommodate operational requirements as needed.
Work Environment:
- Fast-paced healthcare revenue cycle environment supporting ABA services.
- Regular collaboration with clinical, authorization, scheduling, finance, compliance, and operations teams.
- Leadership role requiring strategic planning, operational oversight, and cross-functional coordination.
Compensation & Benefits:
- Salary: 75,000 to 85,000/-
- Annual Performance Bonus.
- Medical Insurance Coverage.
- Paid time off.
- Opportunity to lead and scale revenue cycle operations within a rapidly growing international healthcare organization.
Equal Employment Opportunity
Proficio Speech Therapy is an Equal Opportunity/Affirmative Action employer committed to building a team that represents the racial, ethnic and linguistic needs of our clients.
This position description intends to describe the general nature and level of work being performed. It is not intended to include all duties and responsibilities. Because of a need to remain responsive to the needs of our clients and operational needs, job description and responsibilities may be modified at any time.
Pay: ₹75,000.00 - ₹85,000.00 per month
Benefits:
- Health insurance
- Paid sick time
- Provident Fund
Work Location: In person
