The Intake Specialist supports the full intake cycle for prospective ABA therapy clients, serving as a key point of contact for families, referring providers, and internal departments throughout enrollment. Working under the direction of the Lead Intake Specialist, this role is responsible for capturing and processing new referrals, verifying insurance eligibility, coordinating initial documentation, and supporting authorization workflows to move families from referral to active service as efficiently as possible. The idóneo candidate is organized, compassionate, detail-oriented, and comfortable navigating healthcare insurance processes in a high-volume, regulated environment.
KEY RESPONSIBILITIES
Referral Intake & Processing
Receive and log all incoming referrals via phone, fax, email, and referral portals in the intake tracking system accurately and in real time
Conduct initial eligibility screenings to verify insurance coverage, benefit levels, and ABA service authorization requirements
Gather and organize all required intake documentation from families and referring providers,
including diagnostic evaluations, prescription letters, and consent forms
Communicate referral receipt and next-step instructions to families promptly and professionally
Escalate complex or high-priority referrals to the Lead Intake Specialist as appropriate
Authorization Support
Assist in the preparation and submission of prior authorization requests for ABA services to Medicaid, managed care organizations, and commercial insurance payers
Follow up on pending authorization submissions and document status updates in the tracking system
Coordinate with clinical staff (BCBAs / LBAs) to collect required clinical documentation in support of authorization requests
Flag cases that may require Single Case Agreement (SCA) processing and refer them to the Lead Intake Specialist or SCA Specialist
Monitor approaching authorization expiration dates and initiate re-authorization outreach under the direc