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About the Role

LTE Care Plus is seeking a Lead Intake Specialist to manage the end-to-end client intake process, serving as the critical bridge between a family's first call and their child's first session. This role involves screening eligibility, coordinating authorizations, communicating with families and providers, and ensuring all files are audit-ready.

Responsibilities

• Serve as the first point of contact for all incoming referrals via phone, fax, email, physician offices, school districts, and community partners.
• Submit prior authorization requests to commercial carriers and Medicaid managed care organizations.
• Follow up on pending authorizations and escalate delays as needed; track expiration dates and initiate re-authorization 30 days in advance.
• Coordinate with BCBAs/LBAs to gather required clinical documentation for authorization submissions.
• Identify cases requiring Single Case Agreement negotiation and escalate to the appropriate team member.
• Contact families within 24–48 hours of referral receipt, explain the intake process, and collect required consents and documents.
• Build and maintain relationships with referring providers, pediatricians, and school districts to sustain referral volume.
• Document all communications accurately in the intake management system.
• Collect and verify diagnostic reports, insurance information, consent forms, and clinical records for every intake file.
• Maintain HIPAA-compliant documentation practices across all intake communications and file handling.
• Ensure files are complete, accurate, and audit-ready at all times.
• Conduct initial eligibility screening to verify insurance coverage, benefit levels, and ABA authorization requirements before scheduling intake.
• Prioritize and triage referral volume based on urgency, referral source, and clinical capacity.
• Track referral-to-enrollment conversion rates and deliver weekly pipeline reports to leadership.

Requirements

• 2–3 years of experience in healthcare intake, patient access, prior authorization, or insurance coordination.
• Experience in an ABA therapy, behavioral health, or pediatric specialty setting strongly preferred.
• Demonstrated knowledge of Medicaid managed care and commercial insurance authorization processes.
• Proficiency with EHR, intake management, or HRIS platforms; Zoho familiarity a plus.
• Exceptional organizational skills with the ability to manage high-volume referral pipelines across multiple payers.
• Strong written and verbal communication skills — you can explain complex insurance processes clearly to families.
• Associate's degree required; Bachelor's in Healthcare Administration, Business, or related field preferred.
• Bilingual (English/Spanish or English/Haitian Creole) strongly preferred.

Skills

• Intake pipeline management
• Authorization and payer coordination
• Family and referral source communication
• Documentation and compliance
• HIPAA-compliant documentation
• Eligibility screening
• Referral volume tracking
• Pipeline reporting
• EHR proficiency
• Intake management system proficiency
• HRIS platform proficiency
• Zoho familiarity
• Organizational skills
• Communication skills (written and verbal)

Location

• Melville, NY 11747

Work Type

• In person

Experience Level

• 2-3 years of experience

Education Level

• Associate's degree required
• Bachelor's in Healthcare Administration, Business, or related field preferred

Benefits

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

About the Company

• LTE Care Plus is a growing Applied Behavior Analysis (ABA) therapy organization serving families across New York City, Long Island, and Westchester County.