Senior Revenue Cycle Specialist (RCM)
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Job Location:
Monthly Salary:
Posted on:
23 hours ago
Vacancies:
1 Vacancy
Job Summary
*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
Bachelors 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
Required Experience:
Senior IC
Key Skills
- Business Development
- Apprentice
- Asset Management
- ABAP
- IT Strategy
- Manufacturing
About Company
Houston Pediatrics Therapy & private duty nursing company in Houston, TX. Home Health and Outpatient services available.
