About Intensive Treatment Systems
Intensive Treatment Systems (ITS) is a multi-site behavioral health organization operating six clinics across the Phoenix metropolitan area. We deliver outpatient behavioral health and substance use treatment services to a diverse patient population, working with commercial payors, Medicaid (AHCCCS) plans, and other government and contracted payors. We are a clinically-led, operationally-disciplined organization, and we are growing.
Position Summary
ITS is hiring a Controller with direct medical claims and revenue cycle experience to own accounting, financial reporting, and AR/claims operations across our six Phoenix-area clinics. This is not a general-industry Controller role. The right candidate has lived inside healthcare claims — filing, following, appealing, and collecting against commercial insurance and Medicaid managed care plans — and can run the full accounting function alongside it. The Controller is the senior financial operator on the ground — housed in one of our clinics, embedded in the day-to-day rhythm of the business, and accountable for cash, AR, financial reporting, and audit-ready books across the organization.
This role is on-site, not remote. We have intentionally chosen to house this position inside one of our clinics so the Controller is close to the operational and revenue-cycle realities of behavioral health — not isolated from them. The right person for this job wants to be in the building.
The single most important functional strength we are hiring for is medical claims and AR. ITS’s growth depends on disciplined revenue cycle management against a payor mix that includes commercial insurance, AHCCCS / Medicaid managed care plans, and other government and contracted payors. The Controller owns AR strategy and execution — claim submission and follow-up, denial management and appeals, EOB/ERA reconciliation, aging, collections, payor follow-up, write-off discipline, and cash forecasting against AR — in addition to the broader Controller scope. If you have never worked hands-on with medical claims, this is not the right fit.
Key Responsibilities
Accounts Receivable & Medical Claims — Lead Functional Area
- Own the full AR and claims cycle across six clinics — from charge capture and claim submission through remittance posting — with direct accountability for days in AR, aging buckets, net collection rate, and clean claim rate
- Manage the AR/billing team day-to-day: workflow, queue assignment, productivity standards, escalations, and performance
- Build and maintain payor-specific AR scorecards (commercial, AHCCCS plans, other government, self-pay) and report variances to the CEO and COO weekly
- Lead denial management: root-cause analysis by denial code and payor, trend tracking across claim types, timely appeals with supporting clinical documentation, and corrective action with clinical and front-office teams to reduce preventable denials
- Own cash forecasting against AR — weekly cash projection by payor, monthly cash variance analysis
- Drive payor follow-up cadence and aging discipline; reduce >90 day AR as a primary KPI
- Partner with revenue cycle, front office, and clinical operations to fix upstream issues (prior authorizations, eligibility verification, clinical documentation, CPT/HCPCS coding accuracy) that cause downstream claim denials and payment delays
- Manage write-off and adjustment policy; ensure all write-offs are properly documented, approved, and categorized
Financial Reporting & Close
- Own the monthly close — deliver clean, on-time financial statements (P&L, balance sheet, cash flow) within [X] business days of month-end, by clinic and consolidated
- Maintain GAAP-compliant books across all six clinics; ensure consistent accounting policies and procedures across sites
- Prepare monthly management reporting package for the CEO and COO and ownership — financial statements, KPI dashboard, AR aging, payor mix, clinic-level P&L
- Manage the chart of accounts; ensure it supports clinic-level and service-line reporting
- Oversee balance sheet reconciliations for all accounts on a monthly cadence
Accounting Operations
- Supervise AP — vendor management, invoice approval workflow, payment runs, 1099 reporting
- Oversee payroll accounting and reconciliation in coordination with HR/payroll provider
- Manage banking relationships, cash management, and bank reconciliations
- Maintain fixed asset register and depreciation schedules across clinics
- Own the general ledger, journal entry discipline, and intercompany accounting if and as ITS’s entity structure expands
Compliance, Audit & Controls
- Maintain a documented internal control environment appropriate to the size and risk profile of the organization — segregation of duties, approval thresholds, cash handling controls
- Lead the annual external audit / review (if applicable) and any payor or government audits affecting AR
- Manage tax compliance in coordination with external tax advisors: sales/use, property, franchise, payroll, and federal/state income tax filings
- Ensure HIPAA and patient-information handling discipline in all finance-team workflows
Budget, Forecasting & Strategic Finance
- Lead the annual budgeting process across all six clinics in partnership with the CEO and COO and clinic leadership
- Maintain a rolling cash flow forecast and 13-week cash model
- Produce ad-hoc financial analysis to support operational decisions — new service lines, clinic expansion, staffing models, payor contract evaluation
- Support due diligence and financial reporting on growth initiatives as ITS expands
Team Leadership
- Manage, mentor, and develop the AR/billing team, AP, and staff accountants
- Establish productivity standards, performance metrics, and accountability rhythms for the finance and revenue cycle team
- Build a service-oriented finance function that partners with clinical and front-office leaders rather than gating them
Required Qualifications
- Bachelor's degree in Accounting, Finance, or related field
- Minimum 7–10 years of progressive accounting experience in healthcare, with at least 3–5 years in a Controller, Assistant Controller, AR Director, or Revenue Cycle Director role within a medical or behavioral health setting
- Demonstrated medical claims and revenue cycle leadership experience — not just accounting oversight, but hands-on management of claim submission, denial appeals, payor follow-up, EOB/ERA reconciliation, and measurable improvements in days in AR, net collection rate, denial rate, or aging
- Multi-site operations experience — has managed accounting and AR across multiple physical locations
- Working knowledge of medical claims processes — claim lifecycle, CPT/HCPCS coding concepts, payor remittance (EOB/ERA), denial reason codes, timely filing rules, and appeals workflows. You do not need to be a coder, but you need to understand how claims move through the system and where they break down.
- Strong working knowledge of GAAP, internal controls, and full-cycle accounting
- Proficiency with general ledger / accounting systems (QuickBooks Enterprise, NetSuite, Sage Intacct, or similar) and hands-on experience with healthcare practice management / billing systems used for claim submission and remittance
- Advanced Excel skills (pivot tables, lookups, modeling, basic financial modeling)
- Demonstrated ability to lead and develop a team
- Willingness and ability to work on-site at an ITS clinic, full-time — this is not a remote or hybrid role
Preferred Qualifications
- Behavioral health or substance use treatment experience specifically — strong plus (other outpatient healthcare experience is required; behavioral health experience is the differentiator)
- Direct experience with AHCCCS / Arizona Medicaid managed care payors and behavioral health billing
- CPA or MBA
- Experience with practice management / EHR systems commonly used in behavioral health
- Experience working in a growing, multi-site organization where systems and processes are still being built and refined
- Familiarity with 42 CFR Part 2, HIPAA, and behavioral-health-specific compliance requirements affecting financial operations
What This Role Offers
- A senior financial seat at a growing, mission-driven behavioral health organization
- Direct exposure to operational leadership and ownership — your work and recommendations are visible at the top of the house
- The opportunity to build and lead a high-performing revenue cycle and accounting team
- Competitive base salary, performance bonus eligibility, and full benefits package (medical, dental, vision, PTO, retirement)
- On-site presence inside a clinical environment — a tangible connection to the mission, not just a remote line item on an org chart
Who Thrives Here
The person who succeeds in this role is hands-on, claims-obsessed, comfortable in a clinical environment, and energized by the day-to-day discipline of running cash, AR, and medical claims operations in a multi-site healthcare business. You know what a denial code means before you look it up. You've fought with payors over timely filing and won. You want to be in the building, close to the team, close to the patients' mission, and close to the levers that move the business. You're a builder — not someone looking for a finished, polished finance function to babysit.
Pay: $85,670.81 - $103,173.45 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
