More jobs:
Senior Revenue Cycle Specialist; RCM
Job in
Katy, Harris County, Texas, 77494, USA
Listed on 2026-02-21
Listing for:
Reliant Healthcare Group
Full Time
position Listed on 2026-02-21
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Management, Healthcare Administration, Healthcare Compliance
Job Description & How to Apply Below
Senior Revenue Cycle Specialist (RCM)
Location: Katy, TX
Job Type: Full-Time
Reports To: Revenue Cycle Manager
NOT Remote
Job OverviewWe 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
- 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
- Multi‑clinic or multi‑service healthcare experience
- ABA authorization and treatment plan billing knowledge
- EMR / billing system experience
- Bachelor’s degree (preferred, not required)
- 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
Position Requirements
10+ Years
work experience
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