Eligibility Specialist

About Children’s Specialized ABA

Children’s Specialized ABA is designed to address the comprehensive needs of children diagnosed with Autism Spectrum Disorder (ASD). By leveraging the expertise of the Children’s Specialized Hospital Autism Center of Excellence, the program aims to expand access to innovative and compassionate care, empowering children diagnosed with autism to thrive. Children’s Specialized ABA offers home-based, community-based, and center-based ABA therapy.

At Children’s Specialized ABA, we envision a future where every child diagnosed with autism has access to innovative and compassionate care, empowering them to thrive and reach their full potential. Our vision is built on four core values:

• Inclusivity: We celebrate the diversity within the Autism spectrum and are committed to creating an inclusive environment that respects and values each person’s individual strengths and differences.
• Innovation: We foster a culture of creativity and collaboration, exploring new ideas to develop personalized solutions that enhance quality of life for all children with Autism.
• Connection: We actively engage with the health systems and broader community to coordinate services and care for people with Autism.
• Quality and Safety: We invest in research and training to provide cutting-edge, effective, safe, and personalized services tailored to the unique needs of those we serve.

The Eligibility Specialist in Behavioral Health is responsible for determining the eligibility of individuals seeking behavioral health services. This role ensures that all applicants meet the necessary criteria for various insurance programs, and behavioral health services. The eligibility specialist will also assist clients in navigating the application and billing process, verifying insurance benefits, and ensuring that all necessary documentation is accurate and complete.

• Maintain accurate records of client eligibility, including data entry and documentation in relevant systems such as EHR and CRM.
• Assess clients' financial situations and recommend appropriate assistance programs, ensuring compliance with state and federal guidelines.
• Respond to client inquiries regarding eligibility status during the intake process.
• Collaborate with intake, clinical staff, and insurance providers to ensure timely processing of eligibility determinations.
• Maintain up-to-date, accurate records of all client eligibility and related documentation.
• Ensure that all required documents (e.g., income verification, insurance coverage) are received and processed in a timely manner.
• Work closely with clinical and administrative teams to ensure seamless intake and eligibility processes.
• Communicate with clients about their financial responsibility and educate them on available services.

• High school diploma or equivalent (GED)
• 2+ years of medical insurance verification and eligibility OR 1 year of behavioral health insurance verification
• Experience using an electronic records medical system
• Bilingual in English/Spanish is a big plus
• Detail oriented, strong organizational, time management, analytical, problem solving, and customer service skills
• Ability to multitask and track multiple items at the same time
• Exceptional verbal, written, and interpersonal communication skills, including phone and email
• Proficient in Microsoft Office, Google Sheets and Google Docs, with strong computer skills
• Ability to work in a fast-paced environment with changing circumstances while maintaining a positive attitude

This is a full-time position in a hybrid work setting that can be in either our Newark or Voorhees, NJ EI Centers. The core hours are 8:30am to 5:00pm.

We’re an amazing ABA provider! We take a whole-child
, whole-caregiver approach. Our integrated model combines ABA therapy with speech, occupational therapy, and behavioral health support. You’ll be part of a deeply collaborative, mission-driven team.

• Up to 19 paid days off in your first year (including PTO, sick time, and holidays); earned on an accrual basis, paid time off…