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