Admissions Coordinator TPN / Remote

Amerita

The TPN Admission Coordinator is responsible for managing TPN 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 (dieticians) 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.

 

• →Owns and manages the TPN 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 dieticians, 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 report referral statuses, turnaround times and resolution outcomes to support process improvement
• →Supervisory Responsibility: No

• 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
• Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired
• Percentage of Travel: 0-25%

**To perform this role will require sitting for extended periods of time and typing on a keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**

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.  

USD $20.00 - $29.00 / Hour