Central Admissions / Intake Specialist

Alliance-Health-; Southborough (MA); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Medical insurance

Dental insurance

Vision insurance

401K matching

Employee Assistance Program

Education assistance

Tuition reimbursement

Flexible schedule

Job summary

Alliance Health and Human Services in Southborough, MA seeks a Central Admissions Director / Intake Specialist to oversee the admissions process for skilled nursing facilities. The role involves clinical screening, insurance verification, prior authorization, regulatory compliance, and final placement decisions from referral through admission.

The position collaborates with hospital partners and insurance providers, ensuring timely, accurate admissions.

Responsibilities

• Manage incoming referrals and communicate decisions to hospitals and leadership.
• Conduct clinical screenings, including medical history and care level appropriateness.
• Verify insurance eligibility and determine benefits for admissions.
• Provide daily admissions reporting and maintain records for compliance.

Job description

Alliance Health and Human Services in need of a:

Central Admissions / Intake Specialist

Central Admissions Director / Intake Specialist
Alliance Health Management Services
Southborough, MA (Corporate Office)

Salary Range: $90,000-$100,000

Position Summary

Alliance Health is expanding its Central Admissions team due to continued growth across our skilled nursing portfolio. We are seeking an experienced Central Admissions Director to join our established team in partnership to oversee the admissions process for our skilled nursing facilities.

This is a high-responsibility role that manages clinical screening, insurance verification, prior authorization, regulatory compliance, and final placement decisions from referral through admission. The position works closely with hospital partners, insurance providers, and internal facility leadership to ensure timely, accurate, and compliant admissions.

Primary Responsibilities Include:

Referral Screening and Clinical Decision-Making

• Manage and review incoming referrals across all hospital referral platforms. Communicate decisions to hospitals, case managers, and internal leadership.
• Conduct full clinical screenings, including medical history, diagnoses, treatment needs, rehabilitation potential, and level of care appropriateness.
• Maintain ongoing communication with hospital case managers.

Insurance Verification and Benefit Determination

• Run full insurance eligibility for all payers, including Medicare, Medicaid, Managed Care, commercial, and supplemental plans.
• Review benefits, co-pays, SNF coverage days, exclusions, and financial risk factors.
• Identify primary and secondary insurance, out-of-network implications, and authorization requirements.
• Verify all demographic and financial information prior to admission.

Coordination with Hospitals and Facilities

• Communicate regularly with hospital case managers, social workers, and discharge teams.
• Coordinate with internal facility teams regarding bed availability, isolation needs, dialysis coordination, transportation arrangements, and specialty equipment requirements.
• Provide consistent updates to administrators and nursing leadership on pending admissions.

End-of-Day Reporting and Data Management

• Provide daily recaps of admissions activity to each facility.
• Track admissions, denials, payer mix, authorization statuses, and referral trends.
• Maintain accurate records for operational, financial, and regulatory reporting.

Benefits offered:

• Paid time off
• Paid holidays
• Medical, Dental and Vision Insurance
• Matching 401K
• Employee Assistance Program
• Education assistance or tuition reimbursement
• Flexible Schedule

Compensation is based on experience!

Job Type: Full-time

Schedule: 40 hours per week

License/Certification: N/A

Work Location: 144 Turnpike Rd, Southborough, MA 01772