Skilled Nursing Facility Intake Coordinator
Skilled Nursing Facility Intake Coordinator
Location: Remote – South Africa
Client: US Skilled Nursing Facility
Working Hours: US Time Zone
Employment Type: Full-Time
About the Role
We are looking for an experienced Skilled Nursing Facility (SNF) Intake Coordinator to manage the intake process for patients being admitted to a US skilled nursing facility. The successful candidate will have strong experience working with insurance companies, Medicare/Medicaid, authorizations, eligibility verification, and medical documentation.
You will be responsible for ensuring that patient referrals are processed accurately and efficiently, insurance coverage is confirmed, and all required documentation and authorizations are in place before admission.
Key Responsibilities
- Manage the patient intake and referral process for skilled nursing facility admissions.
- Review incoming referrals and patient documentation for completeness and accuracy.
- Verify Medicare, Medicaid, and commercial insurance eligibility and benefits.
- Contact insurance providers to confirm coverage, benefits, deductibles, and patient responsibility.
- Obtain and track pre-authorizations and admission authorizations.
- Follow up with insurance companies regarding pending or outstanding authorizations.
- Review medical documentation to ensure the patient meets the required admission criteria.
- Coordinate with hospitals, discharge planners, case managers, physicians, families, and insurance representatives.
- Ensure all required clinical and insurance documentation is received before admission.
- Enter and maintain accurate patient and insurance information in the facility's systems.
- Communicate admission status and outstanding requirements to internal teams.
- Identify potential insurance or authorization issues and escalating them promptly.
- Maintain accurate records of referrals, authorizations, insurance verification, and admission status.
- Assist with Medicare/Medicaid and insurance-related documentation as required.
- Maintain confidentiality and comply with HIPAA and US healthcare regulations.
Requirements
- Previous experience in a US healthcare environment is essential.
- Experience working with a Skilled Nursing Facility (SNF), nursing home, hospital, rehabilitation facility, or healthcare provider is highly advantageous.
- Strong experience with patient intake and admissions.
- Experience with insurance eligibility and benefits verification.
- Experience obtaining and following up on insurance authorizations/pre-authorizations.
- Knowledge of Medicare and Medicaid.
- Understanding of medical terminology and healthcare documentation.
- Strong computer skills and experience working with healthcare/EMR systems.
- Excellent written and spoken English.
- Strong attention to detail and accuracy.
- Excellent communication and follow-up skills.
- Ability to work independently and manage multiple referrals simultaneously.
- Must be comfortable working US hours.
Advantageous Experience
- SNF admissions/intake experience
- Medicaid experience
- Managed care/HMO experience
- Medical claims experience
- Insurance verification
- Case management
- EMR/EHR systems
- Medical billing or revenue cycle experience
Ideal Candidate
The ideal candidate is an experienced US healthcare intake or admissions professional who understands the SNF environment and can confidently communicate with hospitals, insurance companies, case managers, and patients. You should be highly organized, detail-oriented, proactive with follow-ups, and comfortable handling sensitive patient and insurance information.
Key Skills:
Patient Intake | SNF Admissions | Insurance Verification | Medicare | Medicaid | Authorizations | Pre-Authorizations | Medical Documentation | Healthcare Administration | EMR/EHR | HIPAA | Medical Terminology
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