Job Description

Behavioral Health Solutions (BHS) is seeking a Healthcare Operations Manager to lead and optimize the administrative operations that support patient access and provider scheduling across multiple markets.

This leadership role oversees teams responsible for provider scheduling and insurance eligibility verification, ensuring efficient workflows, high accuracy, and excellent service for patients, providers, and facility partners. The ideal candidate is an experienced healthcare operations leader who excels at managing teams, improving processes, and maintaining operational excellence in a fast-paced healthcare environment.

This position plays a critical role in supporting clinical operations and ensuring that scheduling and eligibility processes align with the organization’s commitment to high-quality care and seamless service delivery.

Key Responsibilities

Team Leadership & Management

• Lead and supervise administrative team members responsible for provider scheduling and insurance eligibility verification.
• Recruit, train, mentor, and evaluate staff while fostering a positive and accountable team culture.
• Establish performance expectations focused on accuracy, timeliness, productivity, and service excellence.

Scheduling Operations

• Oversee provider scheduling processes to ensure efficient appointment coordination and optimal provider utilization.
• Monitor and adjust scheduling templates to align with provider availability and operational demands.
• Ensure timely communication with facilities, providers, and patients regarding schedule updates or changes.

Insurance Eligibility & Verification

• Direct processes for verifying insurance coverage, eligibility, and benefits prior to appointments.
• Manage resolution of eligibility discrepancies and ensure documentation meets payer requirements.
• Collaborate with billing and revenue cycle teams to reduce claim denials and improve reimbursement accuracy.

Operational Improvement

• Develop and maintain standard operating procedures (SOPs) for scheduling and eligibility workflows.
• Track and analyze key performance indicators including scheduling accuracy, response times, and verification turnaround.
• Identify and implement process improvements that increase efficiency and improve patient experience.

Cross-Functional Collaboration

• Serve as the primary administrative liaison between scheduling/eligibility teams and clinical leadership.
• Partner with operational leaders to evaluate staffing models and support growth across markets.
• Resolve escalated issues involving scheduling, eligibility verification, or patient access.

Compliance & Quality

• Ensure compliance with HIPAA regulations, payer requirements, and company policies.
• Monitor quality standards and support internal audits and operational reviews.

Qualifications

Education

• Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred. Equivalent experience may be considered.

Experience

• 3–5 years of supervisory or management experience in healthcare administration
• Experience managing teams responsible for scheduling, patient access, or insurance verification
• Demonstrated ability to improve workflows and operational efficiency
• Experience with the Athena EMR System highly valued.

Skills & Competencies

• Healthcare operations leadership
• Team development and performance management
• Process improvement and operational efficiency
• Strong communication and collaboration skills
• Analytical thinking and problem-solving
• Ability to manage multiple priorities in a fast-paced environment
• Commitment to service excellence and patient experience

Why Join Behavioral Health Solutions?

Behavioral Health Solutions is a growing behavioral healthcare organization dedicated to improving access to high-quality mental health services in long-term care and healthcare settings. Our team is driven by a commitment to operational excellence, compassionate care, and meaningful impact in the communities we serve.

Benefits

• Competitive Earnings
• Hands-on Training and Supervision
• Work-Life Balance
• PTO and Paid Holidays
• A comprehensive benefits package (Medical, Dental, Vision, Life, and more)
• 401k with a 3% company match