Lead Intake Specialist

LTE Care Plus Inc.Town of Huntington, NY
Onsite

About The Position

LTE Care Plus is a growing Applied Behavior Analysis (ABA) therapy organization serving families across New York City, Long Island, and Westchester County. We're hiring a Lead Intake Specialist to own our end-to-end client intake process, the critical bridge between a family's first call and their child's first session. You'll manage the full referral-to-enrollment pipeline: screening eligibility, coordinating authorizations with commercial and Medicaid payers, communicating with families and referring providers, and ensuring every file is audit-ready from day one.

Requirements

  • 2–3 years of experience in healthcare intake, patient access, prior authorization, or insurance coordination
  • 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

Nice To Haves

  • Experience in an ABA therapy, behavioral health, or pediatric specialty setting strongly preferred
  • Bilingual (English/Spanish or English/Haitian Creole) strongly preferred
  • Bachelor's in Healthcare Administration, Business, or related field preferred

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

Benefits

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