Intake Specialist, Spanish Bilingual

This is a fully remote position, open to applicants in Colombia, +2 more countries.

📋 Description

• Log and receive referrals through phone, fax, email, and online portals on the same day they are received.

• Verify insurance eligibility, benefits, and requirements for ABA authorization.

• Reach out to families within 24–48 hours of receiving a referral to explain the intake process in both English and Spanish.

• Gather necessary intake documents, including diagnostic evaluations, prescriptions, and consent forms.

• Assist in the preparation and submission of prior authorizations to Medicaid, managed care, and commercial payers, and ensure follow-up.

• Collaborate with BCBAs and LBAs to acquire clinical documents and identify cases that may require a Single Case Agreement.

• Monitor authorization expiration dates and initiate re-authorizations at least 30 days prior to expiration.

• Maintain accurate records in the tracking system, audit caseloads, and report on case statuses.

• Coordinate with billing, clinical, and scheduling teams to facilitate a smooth transition for families into services.

• Adhere to HIPAA regulations and confidentiality standards.

• Act as the primary contact for both Spanish-speaking and English-speaking families, referring providers, and internal teams.

• Report to the Lead Intake Specialist.

⛳️ Requirements

• Proficiency in both spoken and written English and Spanish.

• A high school diploma or equivalent qualification.

• 1–2 years of experience in healthcare intake, patient access, insurance coordination, or administrative support.

• Familiarity with prior authorizations, eligibility verification, EOBs, and Medicaid managed care.

• Strong organizational skills and the ability to manage multiple cases with precision.

• Effective and warm communication skills for families new to the healthcare system.

• Proficient in Microsoft Office or Google Workspace.

• Quick to learn new systems.

• Experience in ABA, behavioral health, or pediatric healthcare is a plus.

• Knowledge of NYS Medicaid managed care plans and payer authorization portals is a plus.

• Experience with EHR, CRM, or intake software is a plus.

• Proficiency in Mandarin as a third language is a plus.

🏝️ Benefits

• A fun, inclusive, and innovative culture that values diverse contributions and promotes professional development.

• Daily opportunities for learning, innovation, and excellence.

• Opportunities for career advancement and resources.

• Flexible work-from-home options or any location of your preference.

• A work-life balance that eliminates stressful commutes.