Behavioral Innovations · 4 hours ago
Revenue Cycle Collections Specialist
Addison, TX
Full-time
Onsite
Senior Level
5+ years expBehavioral Innovations is committed to transforming lives by providing compassionate, individualized center-based Applied Behavior Analysis (ABA) therapy for children with autism. The Revenue Cycle Collections Specialist is responsible for ensuring the accurate and timely adjudication of third-party claims submitted to insurance carriers, focusing on cash collections and outstanding patient account balances.
Electronic Health Record (EHR)Health CarePersonal Health
Hiring Manager
Sotirios N.
Responsibilities
Analyze and evaluate claim payments using internal systems and tools to ensure provider reimbursement aligns with applicable state fee schedules
Review payer documentation and follow up with insurance carriers via phone to confirm receipt of claims and facilitate prompt reimbursement
Investigate and resolve third-party payer claim issues, including initiating claim adjustments and resubmissions according to payer-specific guidelines
Follow up on submitted claims to ensure timely payment; escalate unresolved issues to payers, internal departments, or RCM leadership as needed
Evaluate payment and denial accuracy, apply payments appropriately to patient accounts, and identify bad debt write-offs and A/R adjustments per company policy
Detect and resolve duplicate or overpayments and process necessary corrections
Maintain communication with internal departments to gather missing patient or insurance information
Ensure compliance with HIPAA regulations and all applicable federal, state, and payer guidelines
Verify billing accounts against A/R ledger to confirm accurate payment posting
Clearly document all interactions in the EHR, including call details, contact information, and outcomes
Address denial issues within three (3) days of receipt
Submit required medical records and documentation for medical necessity reviews, denials, and appeal processes in a timely manner
Submit secondary claims promptly upon receipt of the primary remit to prevent payment delays
Work to reduce third-party accounts receivable (A/R) and improve days sales outstanding (DSO)
Use electronic medical records (EMR) and billing systems efficiently
Collaborate effectively with team members, leadership, and other departments using strong interpersonal and communication skills
Support workflow across departments and assist with other duties as assigned
Qualification
Required
Minimum 5 years of experience in the healthcare industry required
Minimum 5 years of experience in medical revenue cycle collections required
Strong attention to detail and commitment to high-quality work
Excellent judgment and decision-making skills
Clear and effective communication abilities
Proactive approach to identifying and resolving issues
Eagerness to learn and take on new responsibilities
Demonstrated resourcefulness, collaboration, and teamwork
Consistently uphold and reflect BI's core values in all professional interactions
This position requires onsite work at our corporate office in Addison, TX
Preferred
Minimum 5 years of experience in a behavioral health or medical clinic setting preferred, but not required
Benefits
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
Company
Behavioral Innovations
Behavioral Innovations is a health care company that specializes in applied behavior analysis service.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Tenex Capital Management
2024-06-06Acquired
2024-05-31Private Equity
Leadership Team
Lori Russo
Co-Founder, Vice President Clinical Research & Development
Chris Dardi, CPA
Chief Financial Officer
Recent News
EIN Presswire
2025-11-18
2025-10-13
Behavioral Health Business
2025-08-14
Company data provided by crunchbase