ABA Revenue Cycle Management RCM Specialist

Overview

Job Title:

ABA Revenue Cycle Management (RCM) Specialist - Southwest Houston, TX

Department:
Finance / Billing

Reports To:

CEO

Employment Type:

Full-Time

Location:

Hybrid

The ABA Revenue Cycle Management (RCM) Specialist is responsible for managing and optimizing the full revenue cycle for Applied Behavior Analysis (ABA) services, from authorization and credentialing through claims submission, payment posting, and denial resolution. This role ensures timely, accurate reimbursement and compliance with payer requirements.

• Manage end-to-end ABA billing (97151, 97153, 97155, 97156)
• Submit and follow up on claims
• Post payments and resolve denials
• Track authorizations and utilization
• Support re-authorizations and medical necessity documentation
• Compliance & Reporting:
  Ensure compliance with Medicaid, TRICARE, and commercial payers
• Generate A/R, denial, and utilization reports
• Identify revenue leakage and corrective actions

• 2+ years ABA billing/RCM experience
• Knowledge of ABA CPT codes
• Experience with payer portals and ABA software Central Reach

• Multi-state ABA experience
• TRICARE authorization knowledge
• Billing certification preferred

Email resume to eric at dallashealthcareconsultants .com

All your information will be kept confidential according to EEO guidelines.