Revenue Cycle Collections Specialist (Behavioral Health / Pediatrics)

Behavioral Innovations • Full-time • Addison, Texas, United States • 2w ago

Overview

Join Behavioral Innovations as a Healthcare or Behavioral Health - Revenue Cycle Collections Specialist!

** This is a full-time, in-office position based at our corporate headquarters in Addison, TX (near Beltline/Tollway) **

About Behavioral Innovations:

Behavioral Innovations is committed to transforming lives by providing compassionate, center-based ABA therapy for children with autism, ages 18 months to 10 years. With over 90 locations across Texas, Oklahoma, and Colorado—and upcoming expansions into Virginia and Maryland—we’re growing rapidly. Join our dynamic team and use your expertise to streamline processes and strengthen the financial health of our organization, enabling us to stay focused on what matters most: making a meaningful difference in the lives of the families we serve.

Position Summary:

We’re seeking a skilled and motivated Healthcare or Behavioral Health - Revenue Cycle Collections Specialist to ensure the efficient adjudication of Third-Party claims and optimize cash collections. You will play a vital role in reducing A/R aging by resolving claim issues, navigating payer guidelines, and driving collection efforts. This is an exciting opportunity for experienced professionals passionate about problem-solving and collaboration in a healthcare setting. This role reports to the Supervisor of Revenue Cycle Management.

What You'll Do:

Claims Management & Follow-Up:
- Analyze claim payments and ensure compliance with applicable guidelines.
- Perform timely phone follow-ups with insurance carriers for prompt reimbursement.
- Handle payer denials, corrections, appeals, adjustments, and write-offs.
Operational Excellence:
- Manage and process confidential patient health information (PHI) in line with HIPAA regulations.
- Document interactions in the EHR system with accuracy and consistency.
- Investigate and resolve Third-Party claims issues and initiate corrective actions as needed.
Collaboration & Communication:
- Work closely with internal departments to secure information for claim resolution.
- Communicate effectively with payers, leadership, and team members to ensure timely outcomes.
Regulatory Compliance:
- Stay informed about Federal, State, and payer regulations.
- Submit medical records promptly for medical necessity requests, appeals, and secondary claims.
Performance Goals:
- Reduce outstanding A/R and DSO aging.
- Resolve claim denials within three days of receipt.

Why Choose Behavioral Innovations:

Comepnsation: Competitive Hourly Pay.
Insurance: Medical, Vision, Dental, and Supplemental Insurance Policies.
Daily Pay: Access your pay when you need it!
Wellbeing Program: Equipping you with tools to achieve your wellness goals.
Employee Assistance Program (EAP): Comprehensive support for your mental, emotional, and physical health.
Supportive Team Structure: Our clients and families are our top priority, and we foster a collaborative and expert team environment.
Additional Programs Offered at BI: Referral Bonuses, Employee Recognition, Employee Perks.
Career Advancement Opportunities: Ongoing training & Professional development for all employees.
University Partnerships: Enjoy tuition rate discounts.
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.
Team Unity & Trust – Achievements are made possible by a collaborative, purpose-driven team and strong partnerships.