Intake Specialist (Spanish Bilingual)

New
C
CrewBloomABA therapy
Workable workplace: remote; Workable locations: Colombia. Costa Rica. PhilippinesFull-TimeJunior
Salary not disclosed
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Job Details

Languages
Fluency in English and Spanish, spoken and written; Mandarin as a third language is a nice to have.
Experience
1–2 years of experience in healthcare intake, patient access, insurance coordination or admin support
Required Skills
Microsoft OfficeGoogle WorkspaceHIPAA

Requirements

  • Be fluent in spoken and written English and Spanish.
  • Have a high school diploma or equivalent.
  • Have 1–2 years of experience in healthcare intake, patient access, insurance coordination, or administrative support.
  • Have working knowledge of prior authorizations, eligibility verification, EOBs, and Medicaid managed care.
  • Be organized and able to manage multiple cases accurately.
  • Communicate clearly and warmly with families who are new to the healthcare system.
  • Be proficient in Microsoft Office or Google Workspace and comfortable learning new systems.
  • An associate’s or bachelor’s degree in healthcare administration, human services, or business is a plus.
  • Experience in ABA, behavioral health, or pediatric healthcare is a plus.
  • Familiarity with NYS Medicaid managed care plans and payer authorization portals is a plus.
  • Experience with EHR, CRM, or intake software is a plus.
  • Mandarin as a third language is a plus.

Responsibilities

  • Receive and log referrals from phone, fax, email, and portals on the 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, including 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 obtain clinical documents and flag cases that may need a Single Case Agreement.
  • Track authorization expiration dates and start re-authorizations 30+ days before expiration.
  • Maintain accurate tracking-system records, audit the caseload, and report case status.
  • Coordinate with billing, clinical, and scheduling teams to support families moving into services.
  • Follow HIPAA and confidentiality rules.
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