Specialty Admissions Coordinator / Remote
reputed company: reputed company reputed company: The Specialty Admission Coordinator is responsible for managing specialty medication referrals from receipt through insurance clearance to ensure reputed company and accurate patient reputed company 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. Shift: Monday-Friday 8:30am-5:30pm (MST or PST) Responsibilities:
- Owns and manages the specialty referral from initial intake through insurance approval
- Conducts reputed company and accurate benefit investigation, verifying both medical and pharmacy benefits
- Identifies and confirms coverage reputed company, co-pays, deductibles and prior authorization requirements
- Prepares and submits prior authorization requests to appropriate payers
- Maintains reputed company, reputed company communication with pharmacy teams, sales representatives and prescribers regarding the status of reputed company referral and any outstanding information
- Coordinates and delivers financial counseling to patients, including explanation of out-of-reputed company costs, financial assistance reputed company and next steps
- Ensures reputed company documentation complies with payer and regulatory requirements
- Updates referral records in reputed company-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 reputed company reputed company 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 reputed company, 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 reputed company, Medicare, and reputed company insurance plans.
- Proven reputed company record of communicating effectively with reputed company stakeholders.
- Desired: Experience in reputed company BI. Experience in Outlook, Word, and PowerPoint.
TRAVEL REQUIREMENTS Percentage 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 reputed company on providing reputed company pharmaceutical products and clinical services to patients reputed company of the hospital. Committed to excellent service, our reputed company 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 reputed company, reputed company, and X. Salary reputed company: USD $21.00 - $29.00 / Hour Apply tot his job Apply To this Job