Care Readiness Specialist (Patient Eligibility and Authorizations)

Overview

We're Hiring : Care Readiness Specialist (Patient Eligibility and Authorization)

Join our fast-growing behavioral health company and play a key role to help prospective and existing clients with Insurance Authorizations!

Location : Addison, TX (Near Beltline & Tollway)

Schedule : Full-Time | Monday-Friday | Required to work onsite | Eligible for a hybrid schedule after the 60-90 day training period based on individual performance.

About Behavioral Innovations :

Celebrating 25 Years of Service : Behavioral Innovations (BI) is a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism , ages 18 months to 10 years. With more than 100+ locations across TX, OK, CO, VA, MD - and more to come - we're continuing to expand rapidly. Join our dynamic team and make a meaningful difference in the lives of the families we serve.

Your Work and How You'll Make a Difference :

As a key member of the BI team, the Patient Eligibility and Authorizations Specialist, also known as the Care Readiness Specialist, is responsible for verifying patient insurance eligibility and benefits and obtaining pre-authorizations for outpatient services, specifically for ABA, in accordance with insurance carrier requirements. This role is critical in ensuring proper and timely documentation, tracking, and communication of client authorizations. The specialist works closely with clinical teams, area and regional leadership, insurance providers, the intake team, and billing personnel. Strong communication skills are essential for successful collaboration and resolution of insurance related issues. A thorough understanding of insurance payor guidelines, eligibility requirements, and authorization processes is required. The role requires proactive communication via phone and email with commercial, Medicaid, and managed care payors, and escalations to leadership when necessary. Communication must be solution-oriented and based on carrier guidelines, internal policies and procedures, detailed research, and third-party collection efforts.

What We Are Looking For :

• Bachelor's degree preferred.
• 3-5 years of experience in clinical operations, insurance verification, or authorization within a behavioral health or medical setting preferred.
• Excellent written and verbal communication skills with a strong focus on collaboration and customer service.
• Ability to manage multiple priorities in a fast-paced environment with strong attention to detail.
• Proficiency in Electronic Medical Records (EMR), CRM systems, and insurance portals.
• Proven problem-solving skills and initiative.
• Ability to maintain confidentiality and adhere to HIPAA standards.
• Must uphold BI's core values and mission in all professional interactions.

Why Choose Behavioral Innovations :

Ready to Make a Difference?

Join Behavioral Innovations as a Care Readiness Specialist and contribute to a mission-driven team dedicated to helping children with autism thrive.

Apply today and be part of a growing, purpose-driven organization where your work directly impacts families and communities.

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