Amerita

This role is responsible for verifying patient prescription benefits, including medical and pharmacy coverage, to ensure accurate billing and reimbursement. The specialist will also investigate authorization requirements for medications and facilitate patient enrollment in copay card assistance programs based on eligibility.

This role manages the Payer Contract Administration and Payer Implementation functions, including PBM and Managed Care contracting, while collaborating with various internal directors on payer-related issues. Responsibilities also include overseeing the acquisition due diligence, integration for government and commercial payers, and leading the HIT managed care sales process including contract negotiations.

The Clinical Review Coordinator supports patient onboarding by gathering missing information required to initiate care, working within the Clinical Review team to process new referrals efficiently. This role involves reviewing referral documents, updating patient demographics, and coordinating with pharmacists to ensure all necessary details are obtained from various sources.

The Regional Director of Operations supports the development and implementation of pharmacy policy, ensuring branch compliance with all relevant laws, regulations, and accreditation standards. This role also involves supporting the hiring, training, and ongoing education of branch pharmacy personnel while overseeing internal audit systems and quality assurance programs.

This role leads enterprise revenue process improvement initiatives focused on reducing denials, bad debt, and A/R aging by serving as the primary liaison between Revenue Cycle Management (RCM) and Operations. Responsibilities include translating payer rules into operational workflows, owning root-cause analysis of denials, and developing standardized, auditable processes that drive predictable financial outcomes.

This role is responsible for initiating, processing, and overseeing the clinical review of prior authorization requests for medication and supplies, ensuring compliance with payer requirements. Responsibilities also include collaborating with providers and patients to gather necessary documentation and submitting requests accurately and timely.

The Specialty Admission Coordinator manages specialty medication referrals from intake through insurance approval, serving as the key contact for benefit investigation and prior authorization submission. This role also involves coordinating with internal staff and providing financial counseling to patients regarding out-of-pocket costs.

The Specialty Admission Coordinator is responsible for managing specialty medication 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 authoriza...

This role is responsible for verifying patient medical and pharmacy coverage to ensure accurate billing and investigating authorization requirements for medications and supplies. The specialist will also determine patient eligibility for and facilitate enrollment in copay card assistance programs.

The Regional Director of Operations will support the development and implementation of pharmacy policy, ensuring branch compliance with all relevant laws, regulations, and accreditation standards. This role also involves providing support for hiring, training, ongoing education of pharmacy personnel, and supporting quality assurance programs.