Intake and Authorization Coordinator

Epic Nursing Services; Brockton (MA); On-site; USD 30,307 - 33,062; Full time

Job summary

A growing home care agency in Massachusetts is seeking a highly organized and proactive Intake & Authorization Coordinator. This role involves managing the full intake process, verifying insurance eligibility, and coordinating with healthcare teams for assessments. The ideal candidate should have at least 1 year of experience in healthcare intake and possess excellent organizational and communication skills. Competitive hourly pay of $22–$24 is offered, along with opportunities for growth within the organization.

Qualifications

• 1+ year experience in healthcare intake, coordination, or administrative role.
• Strong organizational and follow-up skills.
• Ability to manage multiple cases simultaneously.
• Excellent communication skills.

Responsibilities

• Manage the full intake process from referral to enrollment.
• Verify MassHealth and managed care eligibility.
• Coordinate with Nurse Case Managers for assessments.
• Track initial and ongoing prior authorizations.

Skills

Organizational skills

Follow-up skills

Communication skills

Ability to manage multiple cases

Tools

EHR systems

Job description

About Us

Epic Nursing Services, LLC is a growing home care agency providing Adult Foster Care (AFC) and Group Adult Foster Care (GAFC) services across Massachusetts. We are committed to delivering person-centered care while maintaining the highest standards of compliance and operational excellence.

Position Overview

We are seeking a highly organized and proactive Intake & Authorization Coordinator to manage the full intake process—from referral to enrollment—and ensure all members maintain continuous authorization for services.

This role is critical to the organization’s growth and revenue, as it directly impacts admissions, compliance, and continuity of care.

Key Responsibilities

Referral Management & Follow-Up

• Follow up with hospitals, physician offices, and referral sources
• Collect required documentation (Provider Orders, clinical notes, etc.)
• Ensure timely conversion of referrals into active members

Insurance Verification

• Verify MassHealth and managed care eligibility
• Confirm program eligibility (AFC / GAFC)
• Identify and resolve eligibility issues early

Care Coordination

• Coordinate with Nurse Case Managers to schedule:
  • Initial assessments
  • Reassessments
• Ensure timely completion of required visits

Authorization & Compliance Tracking

• Track initial and ongoing prior authorizations (PAs)
• Monitor expiration dates and prevent lapses
• Work closely with Compliance and Nursing teams

Documentation Management

• Ensure all intake and member documentation is:
  • Complete
  • Accurate
  • Submitted on time

Key Performance Indicators (KPIs)

• Referral → Admission Conversion Rate
• Time from Referral to Admission
• % of Complete Intake Packets (first submission)
• Authorization Lapse Rate (target: 0%)

Qualifications

Required:

• 1+ year experience in healthcare intake, coordination, or administrative role
• Strong organizational and follow-up skills
• Ability to manage multiple cases simultaneously
• Excellent communication skills

Preferred:

• Experience with MassHealth, AFC, GAFC, or home care
• Familiarity with EHR systems (e.g., Ritiko)
• Bilingual (Spanish, Portuguese, or Haitian Creole)

What We’re Looking For

• Someone who takes ownership and follows through
• A problem-solver who doesn’t need step-by-step direction
• Ability to work independently and move tasks forward quickly
• Strong attention to detail and compliance

Compensation & Benefits

• Competitive hourly pay ($22–$24/hour)
• Growth opportunities within a rapidly expanding organization