Pharmacy Intake Coordinator

BrightSpring Health Services•Oklahoma City, OK

About The Position

The Pharmacy Intake Coordinator is primarily responsible for timely clearance of new referrals. The role takes infusion therapy referrals, checks that intake documentation is complete and within Amerita’s scope of service, and obtains required authorizations and re-authorizations. The coordinator enters patient demographic, insurance, and authorization information into the computer system and communicates referral status with other departments. The role also informs patients and families about coverage and payment responsibilities, verifies insurance and authorization before forwarding referrals to a pharmacist, and maintains confidentiality of patient and proprietary information. Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside the hospital. Its vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider.

Requirements

High school diploma, GED, or equivalent required.
At least two years of experience collecting referral information in the healthcare market.
Experience working with all payer types, including Medicare, Medicaid, and commercial insurance companies.
Knowledge of insurance verification and pre-certification procedures.
Understanding of the scope of services Amerita can provide.
Strong verbal and written communication skills.

Nice To Haves

Associate’s degree or some college preferred.

Responsibilities

Take infusion therapy referrals from referral sources.
Ensure intake forms are complete, clear, and within Amerita’s scope of service.
Obtain authorizations and re-authorizations as required by payers.
Enter patient demographic, insurance, and authorization information into the computer system.
Communicate with other departments regarding referral status.
Notify patients and families about coverage and payment responsibilities.
Understand which insurance companies have active contracts with Amerita.
Ensure insurance verification is completed and authorization is in place before forwarding a referral to a pharmacist.
Maintain confidentiality of patient and proprietary information.