Central Admissions & Intake Specialist - Flexible Schedule

Alliance Health & Human Services; Southborough, Northern (MA, KY); Hybrid; USD 90,000 - 100,000; Full time

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 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.