Admissions Coordinator I - Infusion

CommonSpirit Health•Lexington, KY

2d•Onsite

About The Position

AmeriMed Infusion Pharmacy is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where it is best received, at home. As a faith-based organization, we are committed to finding new ways to improve the health of our patients and their families and the health of the communities we serve. Rooted in humankindness, our ministry is at the heart of everything we do and can be seen in every patient we touch. We are seeking an experienced Admission Coordinator I to join our team. The ideal candidate will have a strong background in infusion therapy intake, excellent communication skills, and the ability to serve as a resource for both internal teams and referral sources. This role involves managing the full admission process, coordinating services, and supporting continuous quality improvement initiatives.

Requirements

High school diploma or equivalent.
Minimum of 3 years’ experience in infusion intake or related healthcare roles.
Strong knowledge of medical terminology, insurance processes, and prior authorizations.
Excellent organizational, time management, and interpersonal skills.
Proficient in computer skills, including typing and data entry.
Ability to work collaboratively with multidisciplinary teams.

Nice To Haves

Experience in home infusion intake, knowledge of government and commercial insurance payor coverage.

Responsibilities

Perform all duties of Admission Coordinator I with added responsibilities.
Serve as a resource for infusion therapy, enteral therapy, durable medical equipment, and associated services.
Initiate and coordinate patient admissions, ensuring timely collection and entry of referral data into CPR+.
Verify insurance coverage, obtain prior authorizations, and manage benefit checks.
Develop and maintain relationships with referral sources and outside agencies to facilitate seamless patient transitions.
Coordinate start of care with referral sources, patients, pharmacy, nursing, and delivery teams.
Manage documentation such as Certificates of Medical Necessity (CMNs), Statements of Medical Necessity (SMNs), and Detailed Written Orders (DWOs).
Participate in team meetings and quality improvement activities.
Negotiate payment rates with insurance agencies and maintain knowledge of revenue and reimbursement processes.
Act as an educational resource regarding product lines and payer coverage.
Maintain current knowledge of local insurance providers, indigent care sources, and reimbursement policies.
Perform data entry with high accuracy, ensuring timely submission of paperwork.
Troubleshoot and resolve issues related to patient admission and intake processes.