Eligibility & Benefits Verification Supervisor

Description

IT’S MORE THAN A JOB. IT’S A CALLING.

At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas.

If you'd like to work for one of the nation's fastest-growing behavioral health providers, collaborating with other committed team members and making a positive impact on your community, we look forward to hearing from you.

Transforming lives is our life’s work.

• CARING & SUPPORTIVE CULTURE: We support you so you can support our patients. Our positive environment is complemented by an engaging wellness program, volunteer events, team activities and more.
• UNPARALLELED GROWTH OPPORTUNITIES: We offer clear paths for career advancement at every level, fostering your professional development and personal growth.
• BALANCED LIFESTYLE: Achieve professional fulfillment while nurturing a healthy work-life balance, free from weekend or evening hours. We understand the importance of both professional fulfillment and personal well-being.
• COLLABORATIVE TEAM: Join forces with a diverse team of top-notch behavioral health professionals, support staff and empowering leadership. Together, we work towards transforming the lives of our patients.
• IMPRESSIVE RETENTION RATES: Our compassionate, welcoming approach has helped us earn a higher-than-average provider retention rate of 88%.
• COMPREHENSIVE BENEFITS: We prioritize your overall well-being and financial security. Enjoy a full suite of competitive benefits, including medical, dental, fertility, retirement, wellness, profit sharing and more.
• Annual compensation: $65,000 – $70,000
  

Position Overview: The Supervisor, Eligibility & Benefits Verification is responsible for overseeing the daily operations of the eligibility and benefits verification team, ensuring accurate and timely verification of insurance coverage, copays, deductibles, out-of-pocket expenses, and cost estimates for new and established patients across all payer types. This position directly supervises team members, manages workflow prioritization, and serves as the subject matter expert for eligibility and benefits processes. The Supervisor partners with Revenue Cycle leadership to develop and maintain departmental policies and procedures and drives the adoption of AI-powered automation tools to improve team efficiency and accuracy. This role plays a critical part in supporting a positive patient financial experience and reducing claim denials.

Essential Responsibilities

• Manages and develops an effective staff: providing effective communication, leadership, guidance, and resources according to organizational policies and applicable laws and regulations. Determines staff qualifications and competency: recruits, interviews, selects, hires, trains, orients, mentors, evaluates, coaches, counsels, disciplines, and rewards. Establishes and monitors staff safety and regulatory compliance.
• Oversees the day-to-day workflow of the eligibility and benefits verification team, assigning and prioritizing work queues to ensure timely and accurate verification of insurance eligibility, benefits, copays, deductibles, out-of-pocket maximums, authorizations, and cost estimates for new and established patients.
• Serves as the primary escalation point for complex insurance verification issues, payer disputes, and patient or provider inquiries related to benefits and financial responsibility.
• Leads the evaluation, implementation, and ongoing optimization of AI-powered automation tools and technology solutions that support eligibility verification and cost estimation workflows; trains and supports staff in adoption of new tools.
• Partners with the Revenue Cycle Manager to develop, update, and enforce departmental policies and procedures specific to eligibility and benefits verification; ensures alignment with payer requirements and regulatory standards.
• Monitors key performance indicators (KPIs) including verification turnaround times, denial rates, and accuracy metrics; identifies trends and presents improvement opportunities to Revenue Cycle leadership.
• Conducts performance monitoring and provides real-time coaching to team members; advises the Revenue Cycle Manager on employee performance, development needs, and staffing recommendations.
• Supports onboarding of new team members; develops, maintains, and delivers role-specific training materials and programs covering payer portals, Electronic Health Record (EHR) systems, verification workflows, and automation tools.
• Collaborates cross-functionally with Patient Access, Clinical Operations, and Billing teams to resolve eligibility-related issues, reduce claim denials, and streamline the patient intake financial clearance process.
• Maintains current knowledge of payer-specific requirements, regulatory changes (including HIPAA), and industry best practices related to insurance eligibility and benefits coordination.
  
  

Other Duties

• Performs other related duties as assigned by management.
  
  

Supervisory or Managerial Responsibility

• Supervises 6-12 employees
  
  

Minimum Qualifications

• High school diploma or equivalent required. Associate degree in Healthcare Administration, Business Administration, or a related field preferred.
• Five years of healthcare revenue cycle experience, including two years in insurance eligibility, benefits verification, or prior authorization experience and one year of supervisory or team lead experience required.
• Experience with Microsoft Office Suite required. Proficiency with payer eligibility portals (Availity, NaviNet, or equivalent) required. Experience with an Electronic Health Record (EHR) system required. Familiarity with AI-assisted automation tools or Robotic Process Automation (RPA) platforms preferred. Knowledge of CPT and ICD-10 coding preferred.
• Continually required to sit, utilize hand and finger dexterity, talk, and hear. Work environment is usually quiet to moderate. Frequently working at a desk in front of a computer. Occasionally required to lift and/or move up to 15 pounds.
  
  

Location: Remote

Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.