Patient Relations 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.

• 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 Patient Relations Specialist serves as the primary point of contact for patients and families, ensuring a positive and supportive experience throughout their care journey. This role is responsible for managing patient communications, financial responsibility, addressing concerns, and coordinating with clinical and administrative teams. The ideal candidate demonstrates empathy, professionalism, and strong organizational skills while promoting a patient-first approach in all interactions.

• Serve as the first point of contact for patients and families via phone or email.
• Provide clear, compassionate, and professional communication regarding financial responsibility, insurance verification and timelines, and general inquiries.
• Assist in patient onboarding, including patient responsibility forms, consent documents, and coordination of benefits.
• Educate patients and caregivers on behavioral health services, procedures, and expectations.

• Review and verify client information to determine eligibility for behavioral health services, including Medicaid, commercial insurance, and other funding sources for various services.
• 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.
• Educate clients on available services and assist in connecting them with appropriate resources.

• High school diploma or equivalent (GED)
• 1 year of authorizations, medical insurance, billing, or claims processing experience.
• Bilingual in English/Spanish is HIGHLY preferred.
• Experience using an electronic medical records system
• 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, 40 hours per week role, in a hybrid setting. You will…