Private Pay Billing & Collections Specialist

Behavioral Innovations • Addison, TX

7h • Onsite

About The Position

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.

Requirements

• 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.

Responsibilities

• 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

Benefits

• Hourly Pay Rate.
• 10 days PTO, 7 paid holidays.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees