Patient Eligibility - Authorizations Team Lead (Care Readiness)

Overview

We're Hiring : Patient Eligibility-Authorization Team Lead

(Care Readiness Team Lead)

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 In-Office

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 :

The Patient Eligibility and Authorization Team Lead (Care Readiness Team Lead) serves as a key resource and working leader within the department. This role is responsible for supporting day-to-day operations of the authorization team, ensuring insurance verification and authorization processes are completed accurately and efficiently for ABA and diagnostic services. In addition to maintaining a reduced caseload, the Team Lead provides hands-on guidance to Patient Eligibility Authorization Specialists, assists with training and onboarding, addresses escalated issues, and supports continuous improvement initiatives. The ideal candidate will demonstrate strong leadership, problem-solving, and communication skills, and possess a detailed understanding of payor guidelines and insurance workflows.

Responsibilities :

Serve as the primary point of support for Patient Eligibility Authorization Specialists regarding process questions, issue resolution, and daily task execution.

Maintain a working knowledge of insurance payor guidelines, ensuring team adherence to established policies and procedures.

Manage a partial caseload while assisting with team assignments and workload balancing to ensure timeliness and accuracy.

Support the onboarding and training of new team members, including the development of training materials and standard operating procedures.

Conduct real-time quality checks and provide constructive feedback to improve performance and consistency.

Communicate effectively with clinical, intake, billing, and RCM leadership teams to resolve barriers to successful insurance verification and authorization.

Monitor daily metrics, productivity, and performance standards, reporting trends and opportunities to the supervisor.

Escalate complex authorization or eligibility issues to appropriate leadership with thorough documentation and proposed resolutions.

Assist in tracking and responding to payor updates, guideline changes, and authorization process revisions.

Foster a collaborative team environment aligned with BI's values, emphasizing patient-centered care and operational excellence.

Provide backup support to the supervisor when needed, including attending meetings and facilitating internal communication.

Perform other duties as assigned.

Outcomes :

Improve Team Performance and Accuracy- Provide real-time support and conduct quality checks for Patient Eligibility Authorization Specialists to improve accuracy and adherence to insurance guidelines.

Achieve a 95%+ accuracy rate in insurance verification and authorization tasks across the team.

Conduct a minimum of 10 quality reviews per week and provide documented feedback.

Reduce rework or escalation rates due to processing errors by 20% within six months.

Enhance Training and Onboarding Effectiveness- Lead the onboarding of new team members and update training materials to improve performance consistency.

Ensure 100% of new hires complete training within the first 30 days.

Develop or update at least one core training document or resource per quarter.

Optimize Workflow and Workload Distribution- Assist in managing team assignments and caseloads to balance workload and maintain timely task completion.

Maintain average task completion within 24-48 hours of receipt for 98% of cases.

Monitor daily metrics and report workload imbalances weekly.

Complete 100% of Weekly Team Lead checklist by the designated deadline.

What We Are Looking For :

High school diploma or equivalent required; associate or bachelor's degree preferred.

Minimum of 1 year experience as a Patient Eligibility and Authorization Specialist at Behavioral Innovations or equivalent.

3-5 years of experience in healthcare insurance verification, authorizations, or revenue cycle management, preferably in a behavioral health setting.

Demonstrated ability to meet / exceed performance expectations and lead by example.

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 :

Compensation :

Competitive Hourly rate

Work-Life Balance :

10 days PTO, 7 paid holidays

Insurance :

Medical, Vision, Dental, and Supplemental Plans

Wellbeing :

Tools and programs to support physical, mental, and emotional wellness

Employee Assistance Program (EAP) :

Comprehensive support

Family-Centric Culture :

Caring, collaborative environment

Award-Winning Culture :

Recognized for clinical excellence and ethical standards

Mission-Driven Work :

Help children with autism reach their full potential

Values-Driven Organization :

Integrity, accountability, collaboration, and family-focused care

Ready to Make a Difference?

Join

Behavioral Innovations

as a Patient Eligibility-Authorizations Team Lead 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.

CORP2025

#LI-SN1

#LI-Onsite