Team Lead Credentialing and Payor Contracting at Behavior Innovations

Addison, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jul, 26

Salary

0.0

Posted On

03 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider credentialing, Payor contracting, Team leadership, Workflow management, Revenue cycle management, Provider enrollment, Regulatory compliance, Data analysis, Problem solving, Microsoft Excel, Electronic medical records, Communication, Project management, Process optimization, Healthcare administration

Industry

Mental Health Care

Description

Overview We're Hiring: Team Lead of Credentialing and Payor Contracting! Join Behavioral Innovations, a fast-growing team and leading provider of Applied Behavior Analysis (ABA) therapy for children with autism! Location: Corporate Office - Addison, TX (Near Beltline & Tollway) Schedule: Monday-Friday | Full-Time | Hybrid-role, starts onsite full-time during initial 90 day training period, with ability to transition to RCM hybrid scheduled based on performance. About Behavioral Innovations: Since 2000, Behavioral Innovations (BI) has been 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 Team Lead of Credentialing and Payor Contracting ensures the timely, accurate, and fully compliant credentialing of all providers, including initial enrollment, re-enrollment, roster submission and linking providers to the appropriate locations across commercial, government, and contracted payors. This role leads the credentialing team, overseeing daily operations, workflow management, and performance metrics to ensure efficiency and quality. The position is responsible for facilitating provider enrollment and revalidation processes, maintaining complete and accurate provider records in credentialing databases, and ensuring all regulatory and payer-specific requirements are met. By ensuring accurate provider enrollment, this role directly supports revenue integrity, minimizes claim denials, and maximizes reimbursement for services rendered. Responsibilities: Facilitate payor calls to resolve contracting and credentialing issues. Support DeNovo site launches by ensuring new providers and locations are credentialed, enrolled, and billing-ready on time. Coordinate provider onboarding, including payor enrollment and provider-to-location linking across all applicable networks. Proactively identify and resolve enrollment obstacles to prevent delays in credentialing and reimbursement. Partner cross-functionally with HR, Revenue Cycle, Billing, and Clinical teams to ensure alignment and operational readiness. Serve as a key point of contact for external payors to maintain compliance, clarify requirements, and expedite enrollment processes. Monitor credentialing progress to minimize disruptions to billing and ensure continuity of care and revenue flow. Ensure adherence to all payer-specific and regulatory requirements throughout the credentialing and enrollment process. Drive collaboration across internal and external stakeholders to maintain efficient, accurate, and scalable credentialing operations. Maintain a strong focus on accuracy, timeliness, and process consistency to support provider satisfaction and financial performance. Maintain confidentiality of all information in accordance with HIPAA and organizational guidelines. Utilize multiple methods to verify enrollment status, instructions, and application processes (outbound calls, web portals, email). Communicate with the revenue cycle team to ensure provider numbers and enrollment dates are accurately entered for claim submissions. Coordinate enrollment for providers into out-of-state Medicaid programs as required. Prepare commercial, Medicaid, and third-party application forms for credentialing and re-credentialing, manage existing provider accounts, and manage expirable items. Respond to all client or center inquiries within 24 hours of receipt. Demonstrate proficiency with Electronic Medical Records (EMR), billing systems, and Microsoft Word/Excel. Promote BI’s cultural values: Caring, Accountable, Collaborative, and Family-Focused. Exercise strong analytical, problem-solving, and organizational skills while maintaining professionalism in all communications. What We Are Looking For: Qualifications: Associate’s degree in healthcare administration, Health Information Management, Business Administration Minimum of 3–5 years of experience in provider credentialing, enrollment, or payor contracting within a healthcare or behavioral health setting. Experience managing full credentialing lifecycle (not just processing applications). Prior experience in a lead or supervisory role preferred, with demonstrated ability to manage team workflows and performance. Strong knowledge of credentialing processes, including initial enrollment, re-enrollment, revalidation, and provider-to-location linking across commercial and government payors. In-depth understanding of payer requirements, regulatory standards and credentialing best practices. Experience in multi-site healthcare or high-growth environments (ABA a plus) Experience supporting DeNovo provider onboarding and managing credentialing timelines in a growth environment preferred. Proficient in using credentialing softwares, payer portals, Electronic Medical Records (EMR), and billing systems. Intermediate to advanced proficiency in Microsoft Office applications, particularly Excel. Demonstrated ability to manage multiple priorities, meet deadlines, and work effectively in a demanding environment. Ability to manage confidential and sensitive information with discretion and professionalism. Self-motivated, highly organized, high level of attention to detail, and able to manage competing priorities. Demonstrated commitment to continuous improvement, process optimization, and operational efficiency. Strong analytical, problem-solving, and critical thinking skills with the ability to identify issues and implement solutions proactively. Strong communicator who can work across teams and with external stakeholders. Consistently embody and promote BI’s core values in all professional interactions. Why Choose Behavioral Innovations: Compensation: Base Salary Comprehensive Benefits: Medical, Dental, Vision, and Supplemental Insurance. Work-life Balance: 15 days PTO, plus 7 Paid Holidays Wellbeing & EAP Programs: Supporting your personal and professional wellness. Career Growth: Be part of an expanding organization that will double in size within 18 months, opening doors for professional advancement and leadership opportunities. Family-Centric Culture: Recognized for clinical excellence, integrity, and innovation Mission-Driven Work: Transform the lives of children with autism while building a stronger future for yourself and your team. Recognized Industry Leader: Named Company of the Year in 2022, reflecting our continued growth and impact in the ABA field. National Recognition: Proudly ranked on the Inc. 5000 list as one of America’s Fastest Growing Private Companies - for 3 consecutive years! Ready to make an impact? Apply today and become a vital part of our mission at Behavioral Innovations! Become a Team Lead of Payor Contracting & Credentialing at Behavioral Innovations. CORP2026 #LI-SN1 #LI-Hybrid

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Responsibilities

The Team Lead oversees the credentialing and payor contracting team to ensure accurate, compliant, and timely provider enrollment across various networks. This role manages daily operations, resolves enrollment obstacles, and collaborates cross-functionally to support revenue integrity and operational readiness.