Single Case Agreement Specialist in Melville, New York at LTE CARE PLUS INC

About the role

LTE Care Plus is a growing Applied Behavior Analysis (ABA) therapy organization

serving families across New York City, Long Island, and Westchester County. We are

hiring a Single Case Agreement (SCA) Specialist to expand our commercial

insurance client base by negotiating case-by-case agreements with out-of-network

payers, enabling more families to access the ABA services their children need.

This is a mid-level, payer-facing role. You will own the full SCA lifecycle: identifying

eligible referrals, negotiating reimbursement terms directly with insurance carriers,

securing authorizations, and tracking agreement renewals. You will work closely with

intake, billing, and clinical teams to ensure timely client access and compliant service

delivery.

What you'll do

 Initiate and lead SCA negotiations with commercial insurance carriers for

individual client cases

 Evaluate referral insurance coverage and determine SCA viability before intake

proceeds

 Secure reimbursement rates, service authorization terms, and agreement

durations that are financially sustainable

 Coordinate prior authorization requests and track approval status for all SCA

clients

 Serve as the primary payer contact for SCA-related inquiries throughout the

agreement lifecycle

 Monitor renewal timelines and initiate extensions before agreement expiration

 Maintain accurate documentation of all agreements, payer correspondence,

rates, and authorization records

 Communicate SCA status and timelines to families and referral sources

throughout the process

 Report on SCA pipeline activity, conversion rates, and revenue impact to HR

Director and leadership

 Ensure all SCA activity complies with New York State insurance regulations and

organizational policy

What we're looking for

 2–4 years of experience in healthcare insurance coordination, payer relations,

prior authorization, or a closely related function

 Demonstrated ability to communicate and negotiate directly with commercial

insurance carriers

 Working knowledge of insurance benefit structures, prior authorization

processes, and claims coordination

 Experience in behavioral health, ABA, pediatric healthcare, or a Medicaid-

adjacent multi-payer environment preferred

 Familiarity with ABA CPT codes (97151–97158) is a plus

 Strong organizational skills and the ability to manage multiple concurrent cases

 Bachelor's degree in Healthcare Administration, Business, Social Work, or

related field; equivalent experience considered

 Bilingual English/Spanish a plus

Benefits

 Health, dental, and vision insurance

 Paid time off and holidays

 Professional development support

 Collaborative, mission-driven team environment

LTE Care Plus is an equal opportunity employer. We are committed to building a diverse

and inclusive workforce and do not discriminate based on race, color, religion, sex,

national origin, age, disability, or any other characteristic protected by applicable law.

LTE Care Plus · 265 Broadhollow Rd, Suite 110, Melville, NY 11747 · ltecare.com