Admissions Coord Specialty Remote
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Job Location:
Englewood, CO - USA
Hourly Salary:
$ 24 - 28
Posted on:
3 hours ago
Vacancies:
1 Vacancy
Job Summary
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
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; 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 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
Salary Range
Key Skills
- Culinary Experience
- Sales Experience
- Time Management
- Marketing
- Public Relations
- Customer Service
- Computer Skills
- Microsoft Outlook
- Basecamp
- Salesforce
- Inside Sales
- Recruiting
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
