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.
Admissions Coordinator / Specialty
Location
United States
Posted
6 days ago
Salary
Not specified
Job Description
Role Description
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)
- 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
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 the 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
- 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
- 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, Outlook, Word, and PowerPoint
Requirements
- Percentage of Travel: 0-25%
- Physical requirements include constant sitting and typing on a keyboard, occasional standing, and walking
- Ability to push/pull and lift/carry 1-10 lbs
Benefits
- 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
Company Description
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
Job Requirements
- 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
- 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, Outlook, Word, and PowerPoint
- Percentage of Travel: 0-25%
- Physical requirements include constant sitting and typing on a keyboard, occasional standing, and walking
- Ability to push/pull and lift/carry 1-10 lbs
Benefits
- 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
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