Bierman Autism Centers is looking for a full-time Intake and Referral Specialist to join a motivated and energetic team focused on transforming the lives of children diagnosed with autism.

Key Responsibilities:

• Serves as a primary point of contact both internally and externally for inquiries and issues related to insurance benefits. Acts as a liaison between Bierman and clients for matters pertaining to insurance coverage.
• Supports clients in navigating insurance changes including Medicaid policies, the health insurance marketplace, and child-only policies.
• Performs client insurance benefits verification in an accurate and timely manner.
• Spearheads conversations with clients to discuss financial agreements, out of pocket expenses, and insurance options.
• Manages onboarding of new clients. Leverages expert knowledge of insurance policies and process to ensure high-quality client experience. Onboarding includes process management, medical records creation, and client financial orientation.
• Triages inbound phone and email inquiries and responds in an efficient manner. Communicates professionally with both internal and external stakeholders.
• Coordinates submission of requests for service authorization for new clients.
• Troubleshoots and resolves problems related to client insurance benefits, changes in coverage, and service authorizations.
• Develops strong working relationships with key colleagues at each Bierman location to promote coordinated, efficient, and effective services for new clients.
• Maintains strong relationships with insurance departments and representatives to efficiently oversee client service authorizations. Independently manages timelines and due dates for all new client authorizations.
• Assists with development and maintenance of departmental operations protocols, policies, and procedures.
• Understands regulatory policies and requirements and helps department maintain compliance.
• Problem solves any issues in claims payment resulting from issues pertaining to client insurance eligibility and policy changes.
• Ensures appropriate escalation and referral of patient/customer inquiries, complaints, and grievances to the appropriate department according to established procedures. Addresses and resolves escalated calls/issues, as needed.

Skills:

• Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
• Problem Solving: Ability to address problems that are routine, somewhat repetitive and generally solved by following clear directions and procedures and by identifying opportunities for process improvements.
• Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
• Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
• Oral Communications: Ability to communicate effectively with clinical center staff, families and external customers.
• Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
• Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Experience and Qualifications

• Required prior relevant experience in intake, benefits checks and prior authorizations within healthcare
• Relevant experience within ABA highly desirable
• Minimum education – Diploma
• Must be highly organized
• Ability to problem solve and work independently
• Strong technology skills, and fluency with basic software like Word, Excel etc