Amerita, Inc · 4 days ago
Specialty Admissions Coordinator
Nashville, TN
Full-time
Onsite
Entry, Mid Level
2+ years expAmerita, Inc is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. The Specialty Admissions Coordinator is responsible for managing specialty medication referrals, ensuring timely and accurate patient access to therapy while coordinating with various stakeholders.
BiotechnologyMedicalPharmaceutical
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
Qualification
Required
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
Familiarity with payer portals
Strong understanding of commercial, Medicare, and Medicaid insurance plans
Proven track record of communicating effectively with internal and external stakeholders
Preferred
Associate's or Bachelor's degree preferred
Desired: Experience in Microsoft BI
Experience in Outlook, Word, and PowerPoint
Benefits
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
Company
Amerita, Inc
Amerita is a leading specialty infusion company focused on providing a wide range of complex therapies and personalized clinical services for acute and chronic health conditions.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Christopher J. Urban
Chief Operating Officer
Richard Iriye
COO
Recent News
2023-10-08
Louisville Business First
2023-09-05
Company data provided by crunchbase