Hospice Intake, Scheduling & Authorizations Specialist

AdminEdge; Metro Manila; Remote; PHP 614,000 - 702,000; Full time

Benefits offered by this job

Fixed U.S. working schedule

Fully remote role — work from anywhere

Paid time off — 10 PTO days per year,

6 U.S. holidays off

Job summary

AdminEdge is seeking a Hospice Intake, Scheduling & Authorizations Specialist to join our remote-first team serving U.S. clients on CST hours.

The role focuses on intake management, scheduling across markets, and handling insurance authorizations with accuracy and urgency. The ideal candidate will have 3+ years supporting US-based hospice agencies, strong WellSky/Kinnser proficiency, and excellent coordination with clinical staff and referral sources while maintaining patient confidentiality

Qualifications

• Minimum 3 years of experience supporting US-based hospice agencies.
• Strong working knowledge of hospice intake workflows and referral processing.
• Experience using WellSky/Kinnser EMR preferred.
• Excellent English communication and remote collaboration.
• Ability to manage multiple administrative responsibilities across locations.

Responsibilities

• Manage hospice intake, scheduling, and authorizations workflows.
• Verify insurance eligibility and coordinate authorizations.
• Enter and maintain patient information in WellSky/Kinnser.
• Coordinate scheduling across three hospice markets and with interdisciplinary teams.
• Maintain HIPAA-compliant records and communicate with providers.

Skills

US hospice experience

English communication

Remote work

Tools

WellSky/Kinnser

Job description

Position: Hospice Intake, Scheduling & Authorizations Specialist

Job Type: Full-time (40 hours/week)

Location: Philippines (Remote, CST hours)

Salary: $7.00 - $8.00 per hour

Overview

Our client is a Texas-based healthcare organization providing compassionate home health and hospice services across multiple markets. With a focus on patient comfort, clinical excellence, and family-centered care, the client supports patients and their families through skilled nursing, symptom management, interdisciplinary care, and end-of-life services.

Our client is seeking an experienced Hospice Intake, Scheduling & Authorizations Specialist to support its hospice operations, currently serving approximately 140 patients across three markets and averaging eight new admissions per week. This position will play an important role in managing daily intake, scheduling, insurance verification, and authorization workflows while reducing the administrative burden on clinical leadership and management.

The ideal candidate has extensive experience supporting US-based hospice agencies, strong proficiency in WellSky/Kinnser, and the ability to independently manage multiple operational responsibilities. This role requires excellent organization, communication, problem-solving skills, and the ability to coordinate effectively with clinical staff, referral sources, and agency leadership.

Key Responsibilities

Hospice Intake & Referral Coordination

• Receive, process, and track incoming hospice referrals from hospitals, physicians, facilities, and other referral sources.
• Review referral packets for completeness, including patient demographics, insurance information, physician orders, and supporting documentation.
• Verify Medicare, Medicaid, and commercial insurance eligibility and benefits as applicable.
• Coordinate with clinical leadership regarding referral acceptance, admission readiness, and clinical eligibility questions.
• Enter and maintain accurate patient information, referral records, and admission documentation in WellSky/Kinnser.
• Communicate with referral sources, patients, families, and internal teams to obtain missing information and facilitate timely admissions.
• Monitor pending referrals, follow up on outstanding requirements, and maintain accurate intake tracking records.
• Escalate clinical questions, eligibility concerns, and potential admission barriers to appropriate licensed staff.

Scheduling & Field Staff Coordination

• Coordinate patient visits and scheduling needs across the client's three hospice service markets.
• Assist with scheduling nurses, hospice aides, social workers, and other interdisciplinary team members.
• Monitor visit schedules, frequencies, staffing availability, and outstanding visits.
• Communicate schedule changes, cancellations, and urgent coverage needs to appropriate team members.
• Coordinate with case managers and clinical leadership to support timely patient visits and continuity of care.
• Track missed, declined, or rescheduled visits and facilitate appropriate administrative follow-up.
• Maintain accurate schedules and visit information within WellSky/Kinnser.
• Assist with daily scheduling challenges while escalating clinical prioritization decisions to licensed staff.

Insurance Verification & Authorizations

• Verify patient insurance coverage, benefits, and payer requirements before admission and as needed throughout care.
• Identify authorization requirements for Medicare Advantage, Medicaid managed care, and commercial insurance plans.
• Submit, track, and follow up on prior authorization requests when required by the applicable payer.
• Coordinate with clinical staff to obtain documentation needed for authorization submissions.
• Monitor pending approvals, authorization expiration dates, and outstanding payer requests.
• Maintain accurate insurance and authorization records within the EMR and supporting tracking systems.
• Communicate authorization delays, coverage issues, and potential reimbursement concerns to management.
• Assist with resolving administrative insurance discrepancies and payer-related documentation requests.

Administrative & Operational Support

• Provide daily back-office support to hospice management and clinical teams across multiple locations.
• Monitor shared inboxes, incoming communications, outstanding tasks, and operational follow-ups.
• Assist with processing physician orders, obtaining signatures, and tracking outstanding documentation.
• Upload and organize referral documents, hospital records, physician orders, and other patient information.
• Maintain accurate patient records and ensure timely updates within WellSky/Kinnser.
• Coordinate with QA and clinical teams regarding missing documentation or outstanding operational requirements.
• Identify workflow bottlenecks and proactively recommend improvements to intake, scheduling, and authorization processes.
• Provide regular updates to leadership regarding referral status, scheduling challenges, and unresolved administrative issues.
• Maintain patient confidentiality and follow HIPAA requirements and organizational policies.

Preferred Skills & Qualifications

• Minimum 3 years of experience supporting US-based hospice agencies in intake, scheduling, authorizations, or related back-office operations.
• Strong working knowledge of hospice intake workflows, referral processing, and patient admission coordination.
• Experience using WellSky/Kinnser EMR strongly preferred.
• Familiarity with Medicare hospice benefits, insurance eligibility verification, and payer authorization requirements.
• Experience coordinating schedules for hospice nurses, aides, and interdisciplinary team members.
• Ability to independently manage multiple administrative responsibilities across different service locations.
• Strong organizational skills, attention to detail, and ability to prioritize time-sensitive tasks.
• Excellent written and verbal English communication skills.
• Proactive problem-solving skills and ability to identify and elevate issues appropriately.
• Comfortable working remotely and collaborating with US-based clinical and management teams during CST business hours.

Nice-to-Have (Bonus Skills)

• Registered Nurse (RN) or Licensed Vocational/Practical Nurse (LVN/LPN) with prior US hospice experience.
• Experience supporting both hospice and home health operations.
• Familiarity with Medicare Advantage and managed care authorization workflows.
• Experience with hospice physician orders, certification tracking, and documentation management.
• Previous experience supporting multi-location hospice agencies.
• Familiarity with hospice QA workflows and clinical documentation requirements.
• Experience improving intake efficiency, scheduling processes, or administrative workflows.

What we offer:

• Fixed U.S. working schedule
• Fully remote role — work from anywhere
• Direct collaboration with U.S. small businesses and entrepreneurs
• Paid time off — 10 PTO days per year, plus 6 U.S. holidays off