Amerita

The analyst provides day-to-day support, configuration, and optimization of clinical and pharmacy applications for Home Infusion business. They act as a liaison between stakeholders and vendors to ensure system stability and resolve data quality issues.

Responsible for the initiation, clinical review, and submission of prior authorization requests for medications and supplies. Collaborates with healthcare providers and insurance companies to ensure compliance with payer requirements.

Responsible for the initiation, clinical review, submission, and follow-up of prior authorization requests for medications and supplies. Collaborates with healthcare providers and insurance companies to gather necessary clinical documentation.

Supervise and mentor the Payer Collections team to optimize the collection of accounts receivable from government and commercial insurances. Ensure compliance with healthcare laws and regulations while driving efficiency through process improvement and cross-functional collaboration.

Supports revenue cycle performance by monitoring compliance with standardized workflows and providing operational support to intake, nursing, and pharmacy teams. Identifies execution gaps and performs root-cause analysis on denials to redesign processes and prevent revenue leakage.

The Specialty Admission Coordinator manages specialty medication referrals from intake through insurance approval, serving as the main contact for benefit investigation, prior authorization, and financial counseling with patients. This role ensures referrals meet payer requirements and facilitates seamless communication among patients, providers, pharmacy staff, and the sales team.