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Specialty Admissions Coordinator / Remote

BrightSpring Health Services • Remote (Englewood, CO, United States) • from $21 / hour • 2d ago

Specialty Admissions Coordinator / Remote

ID 2026-190629

Line of Business Amerita

Position Type Full-Time

Pay Min USD $21.00/Hr.

Pay Max USD $29.00/Hr.

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.

Shift: Monday-Friday 8:30am-5:30pm (MST or PST)

Responsibilities

Owns and manages the specialty referral from initial intake through insurance approval

Conducts 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: 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 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

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.