Senior Revenue Cycle Specialist (RCM)

• This is NOT a 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