About The Helm ABA

The Helm ABA provides Applied Behavior Analysis (ABA) therapy to children with autism and their

families across multiple clinic locations in North Texas. Our Board-Certified Behavior Analysts (BCBAs)

and Registered Behavior Technicians (RBTs) deliver individualized, evidence-based care, and we are

growing, with new locations and an in-home service line on the way. Strong financial management is

what lets us keep investing in our clinicians, open our doors to more families, and deliver care that lasts.

Position Summary

The Controller owns The Helm ABA’s accounting operations, financial reporting, internal controls,

budgeting support, and financial compliance. This role ensures the accuracy and integrity of our financial

records and gives the CEO and leadership team timely, reliable information on clinic performance,

clinician productivity, payer reimbursement, and cash, so we can make sound decisions as we grow. ABA

is a labor-intensive, insurance-reimbursed business: revenue depends on authorized hours actually

delivered, documented, billed, and collected, and our largest cost is the clinical team delivering that

care. The ideal Controller understands that connection, is detail-oriented, analytical, and proactive, and

is excited to build scalable finance processes in a growing, multi-location healthcare organization.

Essential Duties and Responsibilities

1. Accounting & Financial Reporting

● Oversee daily accounting operations, including general ledger, accounts payable, accounts

receivable, reconciliations, and journal entries.

● Manage monthly, quarterly, and annual close processes on a consistent, timely calendar.

● Prepare and review financial statements, including the income statement, balance sheet, and

cash flow statement, with clinic-level & for each location.

● Ensure financial records are maintained in accordance with GAAP, including revenue recognition

under ASC 606 for patient service revenue net of contractual adjustments and expected payer

concessions.

● Maintain accurate accounting across all clinic locations, service lines (center-based and in-

home), and corporate departments using a consistent chart of accounts and cost-center

structure.

● Analyze financial results, identify variances, and communicate findings and recommendations to

the CEO and leadership team.

2. Budgeting, Forecasting & Financial Analysis

● Lead the development and monitoring of annual operating budgets and rolling forecasts by

clinic, service line, and department.

● Analyze revenue, labor costs, and operating margins by location, including revenue per billable

hour, clinician cost per billable hour, and clinic contribution margin.

● Build and maintain KPI reporting on core ABA metrics such as authorized vs. delivered hours

(authorization utilization), session cancellations, BCBA and RBT billable productivity, caseload,

and supervision ratios.

● Model the financial impact of payer mix, reimbursement rate changes, staffing levels, and wage

or incentive changes.

● Partner with Operations and Clinical Leadership to identify cost-saving opportunities and

improve clinic profitability without compromising quality of care.

3. Revenue Cycle, Cash Flow & Payer Reimbursement

● Monitor cash flow, working capital, and liquidity, and maintain a 13-week cash forecast.

● Oversee the financial side of the revenue cycle in partnership with our outsourced billing

partner, BillMax, from authorization and charge capture through claims, payment posting,

denials, and collections.

● Reconcile delivered and documented sessions in the practice management system to billed

claims and to cash received to identify unbilled services and revenue leakage.

● Track A/R aging, days sales outstanding (DSO), clean claim rate, denial trends, and collection

rates by payer, including commercial insurers, Texas Medicaid and its managed care

organizations, and TRICARE.

● Hold BillMax accountable to agreed service levels, and monitor payer reimbursement against

contracted rates by CPT code (e.g., 97151–97158) and flag underpayments, rate discrepancies,