Private Pay Billing & Collections Specialist
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.
What You'll Do:
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
Qualifications:
Associate’s degree preferred, or 4 plus years of relevant experience in billing, collections, or revenue cycle management.
1–3 years of experience in a medical or behavioral health setting.
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 Behavioral Innovations:
About Us:
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, NC - 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.
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