Clinical Review Coordinator / Specialty / Remote
BrightSpring Health Services
Our Company
Amerita
Overview
The Specialty Clinical Review Coordinator will ensure referrals and new orders meet clinical admission payer criteria. This role ensure that all assigned specialty patients are provided with timely and exceptional clinical service and an exception customer experience.
Schedule: Monday - Friday8:30am - 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
+ On-board all new specialty infusion referrals
+ Manage relationships with internal customers to ensure effective workflow
+ Reviews referral documents and updates information in the patient’s demographics
+ Reference clinical admission criteria for specialty therapies and navigate patient charts to locate documentation for admission criteria
+ Works closely with sales partners to ensure completeness of submitted referral information
+ Participates in the development of best practices for documentation supporting clinical care and reimbursement qualification for Specialty Patients
+ Support patient retention efforts by ensuring all reasonable interventions are executed to retain a patient on service
+ Supervisory Responsibility: No
Qualifications
EDUCATION/EXPERIENCE• Pharmacy Technician background• Recent three to five (3-5) years of experience in specialty pharmacy, home infusion and/or home health• Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired
LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS• State pharmacy technician licensure• PTCB certified technician credentials preferred
KNOWLEDGE/SKILLS/ABILITIES• Ability to work effectively within a multidisciplinary team
TRAVEL REQUIREMENTSPercentage of Travel: 0-25%
**To perform this role will require sitting, and typing on a keyboard with fingers for an extensive amount of time, and occasionally standing, walking, bending, and reaching. 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 visitwww.ameritaiv.com. Follow us onFacebook (https://www.facebook.com/ameritaiv) ,LinkedIn (https://www.linkedin.com/company/amerita-inc) , andX (https://x.com/ameritainfusion) .
Salary Range
USD $24.00 - $28.00 / 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 TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-CO-ENGLEWOOD
ID 2025-179270
Line of Business Amerita
Position Type Full-Time
Pay Min USD $24.00/Hr.
Pay Max USD $28.00/Hr.
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