The ABA Intake Specialist manages the intake process for prospective ABA therapy clients, from referral through enrollment. Reporting to the Lead Intake Specialist, this role handles referral processing, insurance verification, documentation, and authorization follow-ups to ensure a smooth and timely transition to services. The ideal candidate is proficient in both Mandarin Chinese and English, with strong communication and organizational skills.

Key Responsibilities

• Process and track incoming referrals from families, providers, and referral portals.
• Verify insurance eligibility, benefits, and ABA authorization requirements.
• Collect and organize required documents, including diagnostic evaluations, prescriptions, and consent forms.
• Communicate with families and referral sources regarding intake requirements, case status, and next steps.
• Assist with prior authorization submissions, follow-ups, and re-authorization tracking.
• Coordinate with clinical teams to obtain required documentation for insurance approvals.
• Maintain accurate intake records and ensure compliance with HIPAA and documentation standards.
• Review cases for missing information, delays, and outstanding requirements; escalate complex cases when needed.
• Coordinate with clinical, billing, and scheduling teams to support a smooth transition to active services.

Requirements

• Mandarin Chinese: Strong verbal proficiency to communicate effectively with Mandarin-speaking families and referral sources.
• English: Strong verbal and written proficiency for documentation, internal coordination, and professional communication.
• One to two years of experience in healthcare intake, patient access, insurance coordination, or administrative support.
• Basic knowledge of insurance eligibility, prior authorizations, and Medicaid managed care.
• Strong organizational, communication, and follow-up skills.
• Proficiency in Microsoft Office or Google Workspace and the ability to learn new systems.
• Understanding of HIPAA and patient confidentiality requirements.
• Preferred: Experience in ABA, behavioral health, or pediatric healthcare; familiarity with New York Medicaid and payer portals; bilingual English-Spanish skills; and experience with EHR or intake management systems.

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.