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Intake Specialist

1 month, 1 week ago
Philippines
Full-time
Junior
Operations Specialist
Customer and Technical Support
HIPAA
Apply Now
Hire Premium Sales & Support Global Team - CrewBloom

Hire Premium Sales & Support Global Team - CrewBloom

CrewBloom is a matchmaking platform for sales and support talent, connecting high-growth companies with highly vetted professionals globally. With a focus on reducing hiring costs by up to 70% and ensuring compliance, we facilitate quick and efficient ...

Professional Services
51-250
Founded 2016
View All Jobs 39

Description

  • Receive, log, and track incoming referrals from phone, fax, email, and portals in real time.
  • Verify initial insurance eligibility, benefit levels, and authorization requirements for ABA services.
  • Collect and organize intake documentation from families and referring providers, including evaluations, prescriptions, and consent forms.
  • Communicate referral receipt, next steps, delays, and documentation needs to families and referral sources professionally and empathetically.
  • Assist with preparing and submitting prior authorization requests to Medicaid, managed care, and commercial payers.
  • Follow up on pending authorizations, document status updates, and monitor expiration dates for re-authorization needs.
  • Coordinate with clinical staff to obtain supporting documentation for authorization requests.
  • Flag complex, high-priority, or SCA-related cases and escalate them to the Lead Intake Specialist or appropriate specialist.
  • Maintain accurate intake records, complete documentation audits, and generate caseload status reports.
  • Collaborate with billing, clinical, and scheduling teams to ensure smooth handoff from intake to active service delivery.

Requirements

  • High school diploma or equivalent required; associate's or bachelor's degree in Healthcare Administration, Human Services, Business, or a related field preferred.
  • 1–2 years of experience in healthcare intake, patient access, insurance coordination, or administrative support.
  • Working knowledge of health insurance terminology, including prior authorizations, eligibility verification, EOBs, and Medicaid managed care.
  • Strong organizational skills with the ability to manage multiple active cases accurately.
  • Excellent written and verbal communication skills with the ability to communicate sensitively with families.
  • Proficiency in Microsoft Office Suite and/or Google Workspace, with the ability to learn new intake and tracking systems quickly.
  • Strict adherence to HIPAA regulations and confidentiality standards.
  • Experience in ABA therapy, behavioral health, or pediatric healthcare intake or patient access is preferred.
  • Familiarity with New York State Medicaid managed care plans, commercial payer prior authorization portals, and ABA-specific authorization requirements is preferred.
  • Bilingual English and Spanish is strongly preferred.
  • Experience using EHR systems, CRM platforms, or intake management software is preferred.
  • Ability to work in structured, process-driven environments with defined performance metrics and turnaround standards is preferred.
  • Primary internet connection of at least 15 Mbps and backup internet connection of at least 10 Mbps, with backup capable of supporting work during a power outage.
  • Desktop or laptop with at least an Intel Core i5 8th generation or newer, Intel Core i3 10th generation or newer, AMD Ryzen 5, or equivalent processor, plus 8 GB RAM.
  • Backup device that meets or exceeds an Intel Core i3 processor and remains functional during power interruptions.
  • Functioning webcam, noise-canceling USB headset, quiet dedicated home office space, and smartphone for communication and verification.

Benefits

  • Flexible remote work, with the option to work from home or another location of your choice.
  • Inclusive, innovative team culture that values employee contributions.
  • Opportunities for learning, career growth, and professional development.
  • Fast-paced, engaging work environment with meaningful impact.
  • Improved work-life balance by reducing commute stress and increasing time at home.

Interested in this position?

Apply directly on the company website

Apply Now

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