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