Revenue Cycle Specialist

Job Title : Revenue Cycle Specialist (ABA Therapy)

Department : Revenue Cycle

Reports To : VP of RCM

FLSA Status : Exempt

Position Summary

The Revenue Cycle Specialist is responsible for managing the end-to-end billing process for ABA therapy services, ensuring accurate credentialing, claims submission, payment posting, and efficient accounts receivable (A / R) follow-up. This role plays a critical part in maintaining the financial integrity of the organization by ensuring timely reimbursement, minimizing denials, and supporting families with accurate billing communication - all in strict alignment with payer regulations and HIPAA compliance.

Key Responsibilities

Insurance Eligibility, Credentialing & Intake

• Complete patient intake, insurance eligibility, and benefits verification (VOB) prior to service delivery.
• Manage and maintain credentialing and payer enrollment for clinicians and organization.
• Manage referrals and obtain authorizations for ABA services as required by payers.

Claims Processing & Billing Operations

Collections, A / R & Reconciliation

Compliance, Reporting & Data Integrity

Qualifications

Required :

Preferred :

Skills & Competencies

Pay Range

$60,000 - $70,000 (salary will be based on qualifications and experience)