Behavioral Innovations · 17 hours ago
Care Readiness Specialist (Patient Eligibility and Authorizations)
Addison, TX
Full-time
Hybrid
Mid Level
3+ years expBehavioral Innovations is a leading provider committed to transforming lives by providing compassionate, center-based Applied Behavioral Analysis (ABA) therapy for children with autism. The Care Readiness Specialist is responsible for verifying patient insurance eligibility and benefits and obtaining pre-authorizations for outpatient services, ensuring proper documentation and communication with insurance providers.
Electronic Health Record (EHR)Health CarePersonal Health
Responsibilities
Verifying patient insurance eligibility and benefits
Obtaining pre-authorizations for outpatient services
Ensuring proper and timely documentation, tracking, and communication of client authorizations
Working closely with clinical teams, area and regional leadership, insurance providers, intake team, and billing personnel
Communicating via phone and email with commercial, Medicaid, and managed care payors
Escalating issues to leadership when necessary
Maintaining confidentiality and adhering to HIPAA standards
Qualification
Required
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
Benefits
10 days PTO
7 paid holidays
Medical, Vision, Dental, and Supplemental Plans
Tools and programs to support physical, mental, and emotional wellness
Comprehensive support
Company
Behavioral Innovations
Behavioral Innovations is a health care company that specializes in applied behavior analysis service.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Tenex Capital Management
2024-06-06Acquired
2024-05-31Private Equity
Leadership Team
Lori Russo
Co-Founder, Vice President Clinical Research & Development
Chris Dardi, CPA
Chief Financial Officer
Recent News
EIN Presswire
2025-11-18
2025-10-13
Behavioral Health Business
2025-08-14
Company data provided by crunchbase