Admissions Coord​/Specialty​/Remote

Remote Full-time
Position: Admissions Coord / Specialty /RemoteOur Company Amerita OverviewThe 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 • Competitive Pay • Health, Dental, Vision & Life Insurance • Company-Paid Short & Long-Term Disability • Flexible Schedules & Paid Time Off • Tuition Reimbursement • Employee Discount Program & Daily Pay • 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 bolthires 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 Bright Spring 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 Follow us on Facebook, Linked In, and X. Salary Range USD $24.00 - $28.00 / Hour #J-18808-Ljbffr Apply tot his job
Apply Now

Similar Opportunities

Bring Your Creativity to Life as Our Graphic Designer!

Remote Full-time

GIS Systems Engineer-ArcGIS experience required (Remote)

Remote Full-time

GIS Technician

Remote Full-time

GIS Technician – (ArcGIS Pro) – Entry Level – South Austin BGE Office

Remote Full-time

GIS Web Developer - Esri/React Specialist (Remote)

Remote Full-time

Fractional Recruiter

Remote Full-time

Entry Level GIS Analyst (FEMA Program)

Remote Full-time

GIS Technician | Entry-Level

Remote Full-time

Medical Administrator Trainees Wanted – No Experience Needed

Remote Full-time

Entry Level: Patient Accounts Resolution Representative – National Remote/No Degree UnitedHealt[…]

Remote Full-time

Experience Designer

Remote Full-time

[Remote] Work from home sales - hiring immediately

Remote Full-time

Experienced Customer Service Representative – Remote Work Opportunity at arenaflex

Remote Full-time

Experienced Remote Data Entry Clerk – Part-Time Entry-Level Opportunity for Career Growth and Development at arenaflex

Remote Full-time

Experienced Remote Customer Service Representative – Delivering Exceptional Client Experiences from the Comfort of Your Own Home with arenaflex

Remote Full-time

Consultant/Senior Consultant - Healthcare Strategy & Innovation US - Remote (Any location)

Remote Full-time

Senior Business Process Analyst, CRM

Remote Full-time

Experienced Customer Care Representative – Delivering Exceptional Service Experience in Financial Products and Services at arenaflex

Remote Full-time

Diversity, Equity and Inclusion Manager

Remote Full-time

Experienced Data Entry Clerk – Remote Work Opportunity with arenaflex

Remote Full-time
← Back to Home