Paralegal Patient Advocate

Brief Description

Paralegal Patient Advocate – ABA Centers of America

Lauderdale Lakes, FL

About ABA Centers Of America

ABA Centers of America is a healthcare innovator experiencing steady growth while revolutionizing the autism care field. We provide ABA (Applied Behavior Analysis) therapy and diagnostic services to our clients and families in our centers, in homes, and in the community. Our teams also support a small group of affiliated addiction treatment centers and related companies.

Listed by Inc. magazine as the 5th fastest-growing private company in the U.S., we are focused on opening new clinics and remaining self-funded without private equity investment. We’re also named in Inc.’s Best in Business list for “Health Services,” honoring companies that have made an extraordinary impact in their fields and on society.

We are currently in 10 states with over 30 clinical service areas, and our roadmap will bring us to more than 50 clinical service areas over the next 12-24 months. We have the resources and talent usually found at a more mature organization, including fully staffed teams to support marketing, IT, accounting, and clinic growth.

Growth Opportunity

If you're an experienced paralegal or legal assistant looking for a challenge outside the typical law firm environment, join our company's growing Legal Department and broaden your skills! This is an exciting time to be a part of our company as we grow to become the nation’s leading commercial autism care provider!

Reporting to the Director of SCA (single-case agreements), the Paralegal Patient Advocate will use legal knowledge and experience to expedite the intake and admission process for SCAs. The primary focus of the role is to handle payor processes and be an advocate for children with autism by helping them and their families gain access to the life-changing care so desperately needed. In addition to directly working with caregivers (most often parents), care managers, and payor representatives via phone, text, and email, you will also be reviewing and preparing documents relating to obtaining reimbursement for care and treatment. This is an on-site position with minimal travel.

Responsibilities

• Serve as the primary point of contact for families and insurance companies throughout the single-case agreement (SCA) process
• Communicate effectively with families to gather necessary information and provide guidance on the admissions process
• Explain the benefits of single-case agreements to payors and patients
• Collaborate with clinical teams to develop individualized treatment plans and gather supporting documentation to present to insurance companies
• Advocate for clients' needs by negotiating with insurance companies to secure SCAs for ABA services
• Maintain detailed records of all communications with families, insurance providers, and internal stakeholders
• Monitor the progress of SCAs and maintain regular communication with families to provide updates and address concerns
• Stay current on industry regulations, trends, and best practices to ensure compliance and effective advocacy for our clients
• Communicate and work directly with attorneys in the Legal Department to prioritize, collect, examine and organize information and documents for review and case preparation
• Draft and proofread correspondence and legal documents
• Work within the company’s proprietary technological framework to promptly update cases and streamline case management processes, supporting enhancements within the system and ensuring the accuracy of data
• Track and organize internal matters
• No billable hours
  
  
  

Requirements

Education/Experience and Other Requirements

• Associate's degree in paralegal studies, a paralegal certificate, or a bachelor’s degree preferred
• Previous familiarity with the healthcare system, insurance reimbursement, or revenue cycle management preferred
• 5 years of experience as a legal assistant, legal secretary, or paralegal
• Large law firm experience a plus
• Strong understanding of the single-case agreement process and insurance regulations
• Proven track record in negotiation and advocacy on behalf of clients
• Willingness to submit to drug and background screenings
• Proficiency in Microsoft Office Suite, Westlaw, and other systems
• Minimal travel time
  
  
  

Expertise Needed

• Ability to build rapport with families, insurance providers, and internal stakeholders
• Proper telephone etiquette
• Detail-oriented, with strong organizational and time management skills
• Ability to work independently and as part of a team in a fast-paced environment
• Attention to detail and critical thinking skills
• Familiarity with ABA therapy principles and practices is a plus
• High degree of professionalism and ability to handle confidential information
• Significant analytical skills
• Excellent verbal and written communication skills
  
  
  

Summary

Benefits

• Three weeks of paid time off in first year (more added with tenure)
• Medical, dental, vision, long-term disability, and life insurance
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Generous 401(k) with employer match up to 6%
  
  
  

ABA Centers of America Culture

ABA Centers of America is determined to maintain its culture with a team of seasoned professionals working toward a shared vision of creating the nation’s leading provider of autism care. All our decisions are data-informed, mission-driven, and client-centric.

Recruiter ID:

ABA Centers of America participates in the U.S. Department of Homeland Security E-Verify program.