We're Hiring | Private Pay Representative - Join Our Growing Team!

Location: Addison, TX (Near Beltline & Tollway)
Schedule: Onsite-role | Monday-Friday | Full-Time

About Behavioral Innovations:

Celebrating 25 Years of Service: Behavioral Innovations (BI) is committed to transforming lives by providing compassionate, individualized, center-based Applied Behavior Analysis (ABA) therapy for children with autism, ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MA - and future expansions to come - we’re growing 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:

Behavioral Innovations is seeking a Private Pay Representative to join our fast-growing healthcare company. In this position, you will primarily focus on managing and collecting private pay balances, as well as invoicing. You may also assist with reviewing and assessing insurance denials or returned claims when needed. Your ability to communicate effectively with insurance companies and clients is key to resolving issues, focusing on insurance carrier guidelines, company policies, research, and collection efforts. It is important to have a strong understanding of debits and credits, with the ability to reconcile accounts receivables. Must have excellent working knowledge and experience in Medical Billing. This role offers an opportunity to foster a culture that is Caring, Accountable, Collaborative, and Family-Focused while making a direct impact on the success of our clients and the company.

• Bill insurance claims twice weekly.
• Investigate all refund requests to ensure the request is valid.
• Call Payers to reverify insurance if a denial occurs after first billing.
• Initiate collections process on past-due accounts.
• Reconcile payer and customer accounts to resolve discrepancies.
• Reviewing patients’ accounts.
• Identifying and investigating insurance claims issues to resolution/payment.
• Initiating claims adjustments and resubmission of claims to the insurance carrier.
• Identifying solutions and taking necessary actions to collect patient deductibles, co pays and co-insurance.
• Answering correspondence and responding to facilities request… questions -TASKS within 24 hr. of receipt.
• Continuing the notification process if reply is not received.
• Preparing reports and maintaining files.
• Completing prep arbitration.
• Timely medical records request for Appeal Process.
• Refunds follow up.
• Send secondary claims as soon as primary remit is received to avoid delays with payment.
• Reducing outstanding A/R and aging reports.
• Maintains a cooperative work environment to CFN (Concord Foundations Network) mission and values and to meet goals.

What We Are Looking For:

Qualifications:

• Education: Associates degree preferred, or 5 years of experience in lieu of a degree.
• Experience: 3-5 years of experience in a behavioral health or medical clinic setting is preferred but not required.
• Well-versed in the understanding of revenue cycles.
• Familiarity with Electronic Medical Records and Billing Systems.
• Basic proficiency with Microsoft Word/Excel.
• Strong interpersonal and communication skills with an ability to work effectively with teams, managers, and executive staff.
• Preferred Skills: High-quality work and excellent judgment, clear communication and problem-solving skills, ability to take initiative, resolve issues, and handle new tasks.
• Additional Skills: Resourcefulness, cooperation, and alignment with BI's core values in all interactions.
• This position requires onsite work at our corporate office in Addison, TX.

Why Choose Us:

• 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? Apply Today and be part of a team dedicated to improving the lives of children and families.

Be a Private Pay Representative at Behavioral Innovations.

Where Potential Thrives.

CORP2025