Skilled Nursing Facility Coordinator

Skilled Nursing Facility Coordinator

Location: Remote
Working Hours: US business hours

About the Role

We are seeking a detail-oriented Skilled Nursing Facility Coordinator to manage patient admissions, insurance verification, prior authorisations, and communication between healthcare providers, insurance companies, and skilled nursing facilities. The successful candidate will help ensure that admissions and care transitions are processed efficiently while maintaining accurate documentation and following up on outstanding insurance requirements.

Key Responsibilities

• Coordinate patient admissions into skilled nursing facilities (SNFs).
• Verify patient insurance eligibility, coverage, and benefits with US healthcare insurance providers.
• Submit, track, and follow up on prior authorisation requests to ensure timely approvals.
• Liaise with hospitals, discharge planners, case managers, insurance companies, and SNF admissions teams.
• Collect and review patient documentation required for admissions and authorisation processes.
• Monitor admission status and resolve outstanding documentation or insurance issues.
• Coordinate patient transitions from hospitals and rehabilitation facilities to skilled nursing facilities.
• Maintain accurate patient records, admission documentation, and authorisation information.
• Follow up with insurance providers regarding pending approvals, denials, and additional requirements.
• Communicate professionally with healthcare providers and relevant stakeholders to prevent unnecessary admission delays.
• Handle confidential patient information in accordance with applicable privacy requirements.

Minimum Requirements

• Previous experience in skilled nursing facility admissions, healthcare coordination, patient access, or medical administration.
• Experience with US healthcare insurance verification and prior authorisations.
• Knowledge of Medicare, Medicare Advantage, Medicaid, and commercial health insurance is highly desirable.
• Understanding of hospital discharge processes and transitions to post-acute care.
• Strong administrative, organisational, and follow-up skills.
• Excellent written and verbal English communication.
• Proficiency in computer systems, electronic health records (EHRs), and healthcare documentation.
• Ability to manage multiple admissions and outstanding requests in a fast-paced environment.

Preferred Experience

• Direct experience working with skilled nursing facilities (SNFs).
• Experience coordinating with hospital discharge planners and case managers.
• Familiarity with insurance authorisation requirements for post-acute care.
• Experience resolving insurance eligibility issues and following up on pending approvals.
• Knowledge of US healthcare regulations and patient confidentiality requirements.

Ideal Candidate

The ideal candidate is highly organised, proactive, and comfortable working with multiple stakeholders in the US healthcare system. They should have strong knowledge of admissions and insurance processes, excellent attention to detail, and the ability to follow cases through to completion while ensuring that documentation and authorisation requirements are met.