Admissions Coord / Specialty / Remote

Admissions Coord / Specialty / Remote

Job Locations

US-CO-ENGLEWOOD

ID

Line of Business

Amerita

Position Type

Full-Time

Pay Min

USD $24.00/Hr.

Pay Max

USD $28.00/Hr.

Our Company

Amerita

Overview

The Specialty Admission Coordinator is responsible for managing specialty medication referrals from receipt through insurance clearance to ensure timely and accurate patient access to therapy. This role serves as the key point of contact for benefit investigation, prior authorization, coordination with internal stakeholders (pharmacy and nursing staff) and financial counseling with patients. The coordinator plays a critical role in ensuring referrals meet payer requirements and in facilitating seamless communication between patients, providers, pharmacy staff and the sales team.

Schedule:
Monday - Friday
8:30am - 5:30pm

We Offer:
* Competitive Pay
* Health, Dental, Vision & Life Insurance
* Company-Paid Short & Long-Term Disability
* Flexible Schedules & Paid Time Off
* Tuition Reimbursement
* Employee Discount Program & DailyPay
* 401k
* Pet Insurance

Responsibilities

Owns and manages the specialty referral from initial intake through insurance approval

Conducts timely and accurate benefit investigation, verifying both medical and pharmacy benefits
Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements
Prepares and submits prior authorization requests to appropriate payers
Maintains clear, timely communication with pharmacy teams, sales representatives and prescribers regarding the status of each referral and any outstanding information
Coordinates and delivers financial counseling to patients, including explanation of out-of-pocket costs, financial assistance options and next steps
Ensures all documentation complies with payer and regulatory requirements
Updates referral records in real-time within computer system
Collaborates with patient services and RCM teams to support a smooth transition to fulfillment
Tracks and reports referral statuses, turnaround times and resolution outcomes to support process improvement
Supervisory Responsibility: No

Qualifications

EDUCATION/EXPERIENCE
* High school diploma or GED required; Associate's or Bachelor's degree preferred.
* Minimum of 2 years of experience in a healthcare, specialty pharmacy, or insurance verification role.
* Experience working with specialty medications, including benefit verification and prior authorization processes.
* Experience in patient-facing roles is a plus, especially involving financial or benefit discussion.

KNOWLEDGE/SKILLS/ABILITIES
* Familiarity with payer portals.
* Strong understanding of commercial, Medicare, and Medicaid insurance plans.
* Proven track record of communicating effectively with internal and external stakeholders.
* Desired: Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint.

TRAVEL REQUIREMENTS
Percentage of Travel: 0-25%

**To perform this role will require constant sitting and typing on a keyboard with fingers, and occasional standing, and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**

About our Line of Business

Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.

Salary Range

USD $24.00 - $28.00 / Hour