Senior Revenue Cycle Specialist (RCM)

Reliant Healthcare Group•Katy, TX

14d•$60,000•Onsite

About The Position

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.

Requirements

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

Nice To Haves

Multi-clinic or multi-service healthcare experience
ABA authorization and treatment plan billing knowledge
EMR / billing system experience
Bachelor’s degree (preferred, not required)

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