Central Admissions / Intake Specialist

Alliance Health & Human Services

Southborough, Northern (MA, KY)

Hybrid

USD 90,000 - 100,000

Full time

14 days+

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Benefits offered by this job

Paid time off

Paid holidays

Medical, Dental and Vision Insurance

401K matching

Employee Assistance Program

Education assistance

Flexible schedule

Job summary

Alliance Health Management Services in Southborough, MA is seeking an experienced Central Admissions Director to oversee the admissions process for skilled nursing facilities, from referral to admission.

This role manages clinical screening, insurance verification, prior authorization, regulatory compliance, and final placement decisions, coordinating with hospital partners and internal leadership to ensure timely, accurate admissions.

Qualifications

Experience in Central Admissions or intake in healthcare.
Strong coordination with hospitals and case managers.
Knowledge of insurance eligibility and authorizations.
Ability to manage data and reporting.

Responsibilities

Manage and review incoming referrals across hospital platforms and communicate decisions to hospitals, case managers, and 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 and discharge teams.
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.
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.

Skills

Clinical screening

Insurance verification

Regulatory compliance

Admission coordination

Hospital liaison

Payer portals

EMR systems

Tools

Payer portals

EMR systems

Job description

Alliance Health and Human Services in need of a:

Central Admissions / 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.