Coordinates patient-centered care across the continuum by identifying member needs, supporting care plans and transitions, collaborating with providers, and connecting members with healthcare and community resources.
Intake Specialist (Spanish Bilingual)
📜 Description
- Receive and log referrals from phone, fax, email, and portals on the day they arrive.
- Contact families within 24–48 hours and explain the intake process in English or Spanish.
- Verify insurance eligibility, benefits, and ABA authorization requirements; prepare, submit, and follow up on prior authorizations.
- Collect intake documents and coordinate clinical documentation with BCBAs and LBAs.
- Track authorization expirations, maintain accurate case records, and report case status.
- Coordinate with billing, clinical, and scheduling teams to support families moving into services.
🛠️ Requirements
- Fluency in English and Spanish, spoken and written
- A high school diploma or equivalent (an associate’s or bachelor’s degree in healthcare administration, human services or business is a plus)
- 1–2 years of experience in healthcare intake, patient access, insurance coordination or admin support
- Working knowledge of prior authorizations, eligibility verification, EOBs and Medicaid managed care
- Strong organization and the ability to handle multiple cases accurately
- Warm, clear communication with families who are new to the healthcare system
- Proficiency in Microsoft Office or Google Workspace, and comfort learning new systems quickly
- Experience in ABA, behavioral health or pediatric healthcare
- Familiarity with NYS Medicaid managed care plans and payer authorization portals
- Experience with EHR, CRM or intake software
✨ Benefits
- Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
- Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
- Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
- Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
- Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
- Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones.
Full job description
We provide ABA therapy, and we’re looking for a caring, organized Intake Specialist. You’ll help families get from their first referral to active services. You’ll be the main contact for Spanish-speaking and English-speaking families, referring providers, and our internal teams. Your work will include accepting new referrals, verifying insurance, collecting documents, and supporting authorizations. You’ll report to our Lead Intake Specialist.
Requirements
What You’ll Do
- Receive and log referrals from phone, fax, email and portals on the same day they arrive
- Check insurance eligibility, benefits and ABA authorization requirements
- Contact families within 24–48 hours of a referral to explain the intake process, in English or Spanish
- Collect intake documents such as diagnostic evaluations, prescriptions and consent forms
- Help prepare and submit prior authorizations to Medicaid, managed care and commercial payers, and follow up on them
- Work with BCBAs and LBAs to get clinical documents, and flag cases that may need a Single Case Agreement
- Track authorization expiration dates and start re-authorizations 30+ days before they expire
- Keep tracking-system records accurate, audit your caseload and report on case status
- Work with the billing, clinical, and scheduling teams so families move smoothly into services
- Follow HIPAA and confidentiality rules at all times
What You Bring
- Fluency in English and Spanish, spoken and written
- A high school diploma or equivalent (an associate’s or bachelor’s degree in healthcare administration, human services or business is a plus)
- 1–2 years of experience in healthcare intake, patient access, insurance coordination or admin support
- Working knowledge of prior authorizations, eligibility verification, EOBs and Medicaid managed care
- Strong organization and the ability to handle multiple cases accurately
- Warm, clear communication with families who are new to the healthcare system
- Proficiency in Microsoft Office or Google Workspace, and comfort learning new systems quickly
Nice to Have
- Experience in ABA, behavioral health or pediatric healthcare
- Familiarity with NYS Medicaid managed care plans and payer authorization portals
- Experience with EHR, CRM or intake software
- Mandarin as a third language
Benefits
- Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
- Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
- Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
- Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
- Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
- Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.
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