Admissions Coord Specialty Remote at BrightSpring Health Services

Our CompanyAmeritaOverviewThe 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 & DailyPay 401k Pet InsuranceResponsibilitiesOwns and manages the specialty referral from initial intake through insurance approvalConducts timely and accurate benefit investigation verifying both medical and pharmacy benefitsIdentifies and confirms coverage criteria co-pays deductibles and prior authorization requirementsPrepares and submits prior authorization requests to appropriate payersMaintains clear timely communication with pharmacy teams sales representatives and prescribers regarding the status of each referral and any outstanding informationCoordinates and delivers financial counseling to patients including explanation of out-of-pocket costs financial assistance options and next stepsEnsures all documentation complies with payer and regulatory requirementsUpdates referral records in real-time within computer systemCollaborates with patient services and RCM teams to support a smooth transition to fulfillmentTracks and reports referral statuses turnaround times and resolution outcomes to support process improvementSupervisory Responsibility: NoQualificationsEDUCATION/EXPERIENCE High school diploma or GED required; Associates or Bachelors 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 REQUIREMENTSPercentage 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 BusinessAmerita 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 . Follow us on Facebook LinkedIn and X.Salary RangeUSD $24.00 - $28.00 / Hour Key Skills Culinary Experience,Sales Experience,Time Management,Marketing,Public Relations,Customer Service,Computer Skills,Microsoft Outlook,Basecamp,Salesforce,Inside Sales,Recruiting Employment Type : Full-Time Experience: years Vacancy: 1 Hourly Salary Salary: 24 - 28