Senior Revenue Cycle Specialist (RCM)

This is NOT remote position Healthcare Billing - ABA Therapy | Pediatric Therapy | Private Duty Nursing (PDN) Location: Katy, TX Job Type: Full-Time Reports To: Revenue Cycle Manager Job Overview We are seeking an experienced Senior Revenue Cycle Specialist (RCM) to support advanced billing and revenue cycle operations for ABA therapy, pediatric therapy (OT/PT/SLP), and Private Duty Nursing (PDN) services. This is a hands-on, non-supervisory role focused on complex claims, authorizations, denials, and assigned RCM projects. Key Responsibilities • Execute end-to-end revenue cycle management: eligibility, authorizations, billing, AR follow-up, and collections • Handle complex billing for ABA services, pediatric therapy, and PDN • Submit and track claims with Medicaid, Medicaid MCOs, and commercial insurance • Manage denials, appeals, underpayments, and payer escalations • Monitor authorized units, frequency, and payer compliance • Work assigned accounts receivable (AR) and aging buckets • Support billing audits, payer reviews, and documentation requests • Own assigned RCM projects (workflow optimization, payer setup, EMR clean-up) • Collaborate with intake, scheduling, and clinical teams • Provide reporting and insights to the RCM Manager Required Experience • 4+ years in healthcare revenue cycle, medical billing, or AR • Direct experience with ABA billing, therapy billing, or PDN billing a plus • Strong knowledge of Medicaid, MCOs, and commercial payors • Experience with authorizations, denials management, and appeals • Ability to work independently on complex billing issues • High attention to detail and strong problem-solving skills Preferred Experience • Multi-clinic or multi-service healthcare experience • ABA authorization and treatment plan billing knowledge • EMR / billing system experience • Bachelor's degree (preferred, not required) What We Offer • Competitive pay based on experience • Stable, growth-focused healthcare organization • Exposure to multiple service lines (ABA, therapy, PDN) • Professional development and advancement opportunities • Benefits including PTO, health insurance, paid holidays , and 401K

Created: 2026-03-04