Private Pay Billing and Collections Specialist

Benefits

Qualifications

• •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
• •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
• •4 more items(s)

Responsibilities

• •Reports To: RCM Supervisor
• •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
• •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
• •12 more items(s)