Home Health Intake Specialist

Upham's Community Care; Boston (MA); On-site; USD 60,000 - 75,000; Full time

Job summary

Upham's Community Care in Boston, MA seeks an Homecare Intake Coordinator to evaluate referrals, verify insurance and authorizations, and coordinate start of care for home health services. You will act as a liaison among patients, families, and the clinical team to ensure smooth transitions and regulatory compliance.

The role requires MA RN or LPN licensure, 2+ years of clinical experience, and 1+ year in intake or similar insurance workflows.

Qualifications

• Current RN or LPN unrestricted licensure in Massachusetts.
• At least 2 years clinical experience.
• At least 1 year of insurance/medical experience.
• At least 1 year of intake coordination, preferably in a homecare setting.
• Familiarity with electronic health data systems (WellSky, OCHIN, and/or EPIC).
• Competent with Microsoft Office applications (Excel, Word, PowerPoint).
• Excellent organizational, written, and verbal communication skills.
• Bilingual language skills preferred (English/Spanish, Portuguese Creole, or French Creole).
• Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation.
• Current CPR/BLS certification.

Responsibilities

• Obtain demographic and clinical information from clients, physician offices, and other referral sources to compile referrals.
• Verify insurance eligibility and authorization requirements for each referral.
• Obtain and process prior authorizations as required by insurance carriers.
• Communicate with insurance companies and clinical staff regarding authorization status.
• Maintain accurate records of authorization requests, approvals, denials, and expiration dates.
• Schedule initial home visits for the clinical team, ensuring timely and efficient start of care for patients.
• Educate patients and families about home health services, care plans, and the roles of various healthcare professionals involved in their care.
• Facilitate communication between patients, families, and the home health care team to ensure coordination of services and adherence to the care plan.
• Maintain accurate and comprehensive patient records in the agency’s electronic health record (EHR) system, including documentation of all interactions, referrals, and coordination activities.
• Assist in the development and implementation of intake policies and procedures to improve efficiency and effectiveness of service delivery.
• Perform quality assurance reviews of intake documents and patient files to ensure accuracy, completeness, and compliance with regulatory standards.
• Assist in skilled nursing visits as needed.
• Ensure presence and completion of required forms, including Consent and 485.
• Coordinate care among various healthcare Providers, including physicians, therapists, and other specialists.
• Adhere to UCC’s standards of Employee Conduct, including customer service, respect, non-discrimination, privacy, and attendance.
• Maintain confidentiality of all patient and employee records and information.
• Follow safety protocols and participate in all required training.
• Assist in skilled nursing visits as needed.
• Perform other duties as needed.

Skills

Clinical experience

Intake coordination

Insurance/authorization

EHR systems

MS Office

Bilingual

Education

RN or LPN licensure in MA

Tools

WellSky

OCHIN

EPIC

Job description

Upham's Community Care in Boston, MA seeks an Homecare Intake Coordinator to evaluate referrals, verify insurance and authorizations, and coordinate start of care for home health services. You will act as a liaison among patients, families, and the clinical team to ensure smooth transitions and regulatory compliance.

The role requires MA RN or LPN licensure, 2+ years of clinical experience, and 1+ year in intake or similar insurance workflows.