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Private Pay Billing and Collections Specialist
Overview
We're Hiring: Private Pay Billing & Collections Specialist
Location: Addison, TX (near Beltline & Dallas North Tollway)
Schedule:Monday-Friday | Full-time | Onsite In-Office, ability to transition to RCM hybrid schedule based on individual performance following 90 days
Department: Revenue Cycle Management
Reports To: RCM Supervisor
About Behavioral Innovations:
Since 2000, Behavioral Innovations (BI) has been a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD - and more to come - we’re continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.
Your Role and What You'll Do:
The Private Pay Billing & Collections Specialist plays a critical role within the Revenue Cycle Management team, owning all private pay billing and collection activities. This role is responsible for conducting initial cost calls with families, explaining benefits and financial responsibility, generating invoices, reconciling accounts, and collecting outstanding balances with accuracy and professionalism. Success in this role requires strong revenue cycle knowledge, attention to detail, sound judgment, and the ability to communicate clearly and confidently with families, internal teams, and leadership. Your work directly supports BI’s financial health and the families we serve.
Conduct initial cost calls with families to explain benefits, financial responsibility, and payment expectations
Generate and distribute private pay invoices accurately and on schedule
Reconcile patient accounts, ensuring accurate posting of charges, payments, adjustments, and refunds
Manage and collect outstanding private pay balances, including follow-up communications
Review, research, and resolve billing discrepancies promptly and accurately
Provide accurate benefit quotations and financial information to families and internal stakeholders
Validate and process refund requests in compliance with company policy
Maintain thorough, compliant documentation of all billing activity and communications
Communicate professionally with families, payers, internal departments, and leadership
Collaborate with RCM, clinical, and administrative teams to support efficient billing workflows
Adhere to all regulatory, compliance, and privacy requirements, including HIPAA
Identify opportunities to improve billing accuracy, efficiency, and customer experience
What We Are Looking For:
Qualifications:
Associate’s degree preferred, or 4+ years of relevant experience in billing, collections, or revenue cycle management.
1–3 years of experience in a medical or behavioral health setting - highly preferred.
- Private pay billing and collections experience - highly preferred.
- EMR and billing systems experience - highly preferred.
Strong understanding of revenue cycle and patient billing processes.
High attention to detail with consistently accurate work.
Sound judgment and strong problem-solving skills.
Clear, professional communication skills — especially in financial conversations.
Ability to manage multiple accounts and priorities in a fast-paced environment.
Willingness to learn, take initiative, and support continuous improvement.
Why Choose Behavioral Innovations:
- Compensation: Hourly Pay Rate.
- Generous Work-Life Balance: 10 days PTO, 7 paid holidays.
- Insurance:Medical, Vision, Dental, and Supplemental Insurance Policies.
- Wellbeing Program: Equipping you with tools to achieve your wellness goals.
- Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
- Family-Centric Culture – We foster a caring and collaborative work environment.
Award-Winning Culture – Honored with the Clinical Excellence Award in 2021 for our commitment to ethical standards and compassionate care.
Recognized Industry Leader – Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field.
National Recognition – Proudly ranked on the Inc. 5000 list as one of America’s Fastest Growing Private Companies.
Mission-Driven Work – Dedicated to transforming the lives of children with autism through high-quality, center-based ABA therapy.
Values-Driven Organization – Guided daily by our Core Values, with integrity at the heart of everything we do.
Ready to Make a Difference? If you value accuracy, accountability, and meaningful work in healthcare, this role offers long-term stability and growth.
Become a Private Pay Billing & Collections Specialist at Behavioral Innovations.
Where Potential Thrives.
CORP2026
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