- Receive and log all incoming referrals via phone, fax, email, and referral portals in the intake tracking system accurately and in real time - Conduct initial eligibility screenings to verify insurance coverage, benefit levels, and ABA service authorization requirements - Gather and organize all required intake documentation from families and referring providers, including diagnostic evaluations, prescription letters, and consent forms - Communicate referral receipt and next-step instructions to families promptly and professionally - Escalate complex or high-priority referrals to the Lead Intake Specialist as appropriate **Authorization Support ** - Assist in the preparation and submission of prior authorization requests for ABA services to Medicaid, managed care organizations, and commercial insurance payers - Follow up on pending authorization submissions and document status updates in the tracking system - Coordinate with clinical staff (BCBAs / LBAs) to collect required clinical documentation in support of authorization requests - Flag cases that may require Single Case Agreement (SCA) processing and refer them to the Lead Intake Specialist or SCA Specialist - Monitor approaching authorization expiration dates and initiate re-authorization outreach under the direction of the Lead Intake Specialist **Family & Referral Source Communication** - Contact families in a timely manner upon referral receipt to explain the intake process, collect required information, and address general inquiries - Provide empathetic and professional communication throughout the enrollment process, recognizing that families are often navigating a complex and unfamiliar system - Respond to inbound inquiries from families, pediatricians, schools, and other referral sources regarding intake status, required documents, and next steps - Ensure families are informed of any delays, documentation gaps, or payer-related requirements affecting their enrollment timeline **Documentation & Data Integrity ** - Maintain accurate, complete, and up-to-date records for all referrals and active intake cases in the designated tracking system - Ensure all intake files meet documentation standards required by payers, regulatory bodies - Conduct routine audits of assigned intake cases to identify missing documents, outstanding items, or stalled pipeline stages - Generate status reports on assigned caseload as requested by the Lead Intake Specialist or Director of Operations **Cross-Functional Coordination ** - Collaborate with the billing, clinical, and scheduling teams to ensure seamless handoff from intake authorization to active service delivery - Participate in intake team huddles, pipeline reviews, and cross-departmental coordination meetings as directed - Support the Lead Intake Specialist with special intake projects, payer-specific workflows, or capacity-driven assignments as needed - Adhere to all HIPAA regulations and confidentiality policies when handling client records and communications

Role Description Are you a dynamic leader with a passion for retail management? Join our team as a Bilingual Retail District Manager (Goya) and take charge of managing and developing a group of Retail Coverage Merchandisers and Lead Merchandisers. In this role, you will represent our company, clients, and customers by effectively supervising and managing RCM work, ensuring superior in-store results in assigned territories or stores. Qualifications - Bilingual proficiency - Experience in retail management - Strong leadership skills - Ability to manage and develop teams Requirements - Supervise and manage RCM work - Ensure superior in-store results - Manage assigned territories or stores Benefits - Supportive and collaborative environment - Recognition of everyday wins - Prioritized work-life balance - Commitment to diversity and inclusion - Growth opportunities for team members

Role Description We are seeking an exceptionally sharp, eagle-eyed, and bilingual Virtual Patient Care & Medical Document Coordinator to support a prominent, fast-paced Orthopedic and Pain Management practice. This practice operates with a highly structured local team and serves a predominantly Spanish-speaking patient demographic. This is not a passive typing role. Because the client dictates their own clinical charts, we are looking for a "Frontline Clinical Editor"—someone structurally analytical who intentionally hunts for medical errors, missing documentation, or inconsistencies in self-dictated notes. In specialized medicine, accurate documentation is the practice’s ultimate defense line; this position is vital to ensuring medical notes provide the ironclad medical necessity required to protect and maximize Workers’ Compensation (WC), Personal Injury (PI), and PIP/lien-based claims against insurance denials. When you are not auditing dictations, you will be actively managing the front-office workflow: bridging the communication gap for Spanish-speaking patients, answering inbound/outbound queues, and ensuring smooth appointment scheduling. Core Responsibilities - Medical Document Quality Assurance (Primary Focus) - Meticulous Chart Auditing: Review, edit, and actively scrub the client's self-dictated clinical reports and notes for terminology errors, missing body markers, anatomical discrepancies, or formatting issues. - Clinical Accuracy Safeguarding: Ensure all musculoskeletal treatment plans, injection notes, and surgical recommendations match the intended medical direction before final chart closure. - EMR Record Maintenance: Keep patient charts flawlessly organized and updated inside DrChrono, flagging missing clinical data or diagnostic lab results for the on-site team. - Inbound & Outbound Patient Care Coordination - Active Phone Queue Support: Answer live inbound calls and handle critical outbound patient phone queues professionally and efficiently. - Bilingual Patient Advocacy: Serve as the primary, high-comfort touchpoint for Spanish-speaking patients—clearly explaining scheduling details, post-op care timelines, and office workflows. - Schedule Optimization: Coordinate and book new patient consultations, specialized spinal/orthopedic follow-ups, and diagnostic testing slots to keep the practice's daily calendar perfectly maximized. - Personal Injury & Specialty Case Support (Preferred) - Lien-Based Workflow Support: Maintain precise data entry for Personal Injury (PI) and lien-based medical files, ensuring proper case tracking. - Med-Legal Documentation Handling: Assist the on-site team with organizing medical records required by case managers or legal affiliates when necessary. Qualifications - Specialty Medical Experience: Minimum 2 years of dedicated administrative, scribe, or clinical document improvement and auditing experience specifically within Orthopedics, Spine, Neurosurgery, Chiropractic, or Pain Management. - Bilingual Fluency: Total verbal and written command of both English and Spanish. Must be entirely comfortable translating complex musculoskeletal concepts to patients. - The "Editor" Mindset: Proven experience reviewing, proofreading, or editing physician clinical documentation with a firm, assertive eye for catching human error. - Technical Workspace: Dedicated, highly secure home office setup compliant with HIPAA privacy protocols, equipped with high-speed internet and an automated time-tracking system. Strongly Preferred Experience - Hands-on operational experience inside DrChrono EMR. - Prior background navigating Personal Injury (PI), med-legal liens, or Workers' Compensation patient pathways. - A deep, native familiarity with complex musculoskeletal and spinal anatomy terms.

Role Description We are seeking an exceptionally sharp, eagle-eyed, and bilingual Virtual Patient Care Coordinator & Medical Scribe to support a prominent, fast-paced Orthopedic and Pain Management practice. This practice operates with a highly structured local team and serves a predominantly Spanish-speaking patient demographic. This role uniquely blends high-touch patient care coordination with meticulous administrative quality control. The client dictates his own clinical charts; therefore, we are not looking for a passive typist. We need a "frontline editor"—someone who is direct, structurally analytical, and intentionally hunts for medical errors, missing documentation, or inconsistencies in the doctor's self-dictated notes. When you are not auditing dictations, you will be actively on the phone, bridging the communication gap for Spanish-speaking patients, managing the schedule, and keeping the clinical workflow moving smoothly. Qualifications - Minimum 2 years of dedicated administrative, scribe, or clinical experience specifically within Orthopedics, Spine, Neurosurgery, Chiropractic, or Pain Management. - Total verbal and written command of both English and Spanish. - Proven experience reviewing, proofreading, or editing physician clinical documentation. - Dedicated, highly secure home office setup compliant with HIPAA privacy protocols. - Equipped with high-speed internet and an automated time-tracking system. Requirements - Meticulous Chart Auditing: Review, edit, and actively scrub the client's self-dictated clinical reports and notes for terminology errors, missing body markers, anatomical discrepancies, or formatting issues. - Clinical Accuracy Safeguarding: Ensure all musculoskeletal treatment plans, injection notes, and surgical recommendations match the intended medical direction before final chart closure. - EMR Record Maintenance: Keep patient charts flawlessly organized and updated inside DrChrono, flagging missing clinical data or diagnostic lab results for the on-site team. - Active Phone Queue Support: Answer live inbound calls and handle critical outbound patient phone queues professionally and efficiently. - Bilingual Patient Advocacy: Serve as the primary, high-comfort touchpoint for Spanish-speaking patients—clearly explaining scheduling details, post-op care timelines, and office workflows. - Schedule Optimization: Coordinate and book new patient consultations, specialized spinal/orthopedic follow-ups, and diagnostic testing slots to keep the practice's daily calendar perfectly maximized. - Lien-Based Workflow Support: Maintain precise data entry for Personal Injury (PI) and lien-based medical files, ensuring proper case tracking. - Med-Legal Documentation Handling: Assist the on-site team with organizing medical records required by case managers or legal affiliates when necessary. Company Description