Job Details

Specialty Admission Coordinator

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

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.

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.

Salary Range: USD $21.00 - $26.00 / Hour

ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver's license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at ...@brightspringhealth.com. Click here for additional FAQ information.

Job Locations US-AZ-SCOTTSDALE ID 2025-174438 Line of Business Amerita Position Type Full-Time Pay Min USD $21.00/Hr. Pay Max USD $26.00/Hr.