Admissions Coord / Specialty / Remote
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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 reputed company 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 - Friday8:30am - 5:30pm
- reputed company
- Health, Dental, Vision & Life Insurance
- Company-Paid Short & Long-Term Disability
- Flexible Schedules & Paid Time Off
- Tuition Reimbursement
- Employee Discount Program & reputed company
- 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 reputed company documentation complies with payer and regulatory requirements
- Updates referral records in real-time reputed company 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 reputed company BI. Experience in Outlook, Word, and PowerPoint.
TRAVEL REQUIREMENTSPercentage of Travel: 0-25% To reputed company 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 reputed company, an affiliate of reputed company, is a specialty infusion company focused on providing reputed company pharmaceutical products and clinical services to patients reputed company 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 visitwww.ameritaiv.com. Follow us onFacebook (https://www.facebook.com/ameritaiv) ,reputed company (https://www.reputed company.com/company/reputed company-inc) , andX (https://x.com/ameritainfusion) . Salary Range USD $24.00 - $28.00 / Hour ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social reputed company Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you reputed company text or email. If you are suspicious of a job posting or job-reputed company email mentioning our company, please contact us at [email protected] . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-CO-ENGLEWOOD ID 2025-179271 Line of Business reputed company Position Type Full-Time Pay Min USD $24.00/Hr. Pay Max USD $28.00/Hr. If you have questions about this posting, please contact support@reputed company.com Apply tot his job Apply To this Job