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Specialty Admissions Coordinator
OktaSpecialty Admissions Coordinator managing specialty medication referrals for Amerita, a specialty infusion company. Coordinating insurance clearance, prior authorizations, and patient financial counseling.
Posted 8/4/2026full-timeRemote • Colorado • 🇺🇸 United StatesJuniorMid-Level💰 $21 - $26 per hourWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing specialty referrals, conducting benefit investigations, and preparing prior authorization requests while ensuring compliance with payer and regulatory requirements. Strong communication skills are essential for effective collaboration with pharmacy teams, sales representatives, and prescribers.
Highest-signal resume keywords
Specialty Pharmacy ExperienceBenefit VerificationPrior Authorization ProcessesPayer Portal FamiliarityInsurance Plan Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit InvestigationPrior Authorization Request PreparationDocumentation ComplianceReferral ManagementFinancial Counseling
Soft Skills
Effective CommunicationCollaborationPatient-Facing Experience
Tools & Technologies
Microsoft BIOutlookWordPowerPoint
Industry Keywords
HealthcareSpecialty MedicationsCommercial InsuranceMedicareMedicaid
About the role
Key responsibilities & impact- Own and manage specialty referrals from initial intake through insurance approval
- Conduct timely and accurate benefit investigations, verifying medical and pharmacy benefits
- Identify and confirm coverage criteria, co-pays, deductibles, and prior authorization requirements
- Prepare and submit prior authorization requests to appropriate payers
- Communicate with pharmacy teams, sales representatives, and prescribers regarding referral status and outstanding information
- Coordinate and deliver financial counseling to patients, including out-of-pocket costs, financial assistance options, and next steps
- Ensure documentation complies with payer and regulatory requirements
- Update referral records in real time within the computer system
- Collaborate with patient services and RCM teams to support transition to fulfillment
- Track and report referral statuses, turnaround times, and resolution outcomes to support process improvement
Requirements
What you’ll need- 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
- Desired: Experience in Microsoft BI
- Experience in Outlook, Word, and PowerPoint
- Availability for Monday-Friday, 8:30am-5:30pm shift
- Travel requirement of 0-25%
- Ability to constantly sit and type on a keyboard, occasionally stand and walk, and push/pull and lift/carry 1-10 lbs
Benefits
Comp & perks- Medical, Dental, Vision insurance
- Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
- Tuition discounts & reimbursement
- 401(k)
- Company Paid Time Off*
- Shift Differential
- DailyPay
- Pet Insurance
- Employee wellness and discount programs