Specialty Admissions Coordinator

Job not on LinkedIn

🔥 6 minutes ago

⛰️ Colorado – Remote

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💵 $21 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of Okta

Okta

5001 - 10000 employees

Founded 2010

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

Okta is a leading provider of identity management solutions, offering both Customer Identity and Workforce Identity Clouds to ensure seamless and secure access for organizations across various industries. With a focus on flexibility, neutrality, and extensibility, Okta enables businesses to create high-performing IT systems and optimized digital experiences while maintaining top-notch security. Their platform supports a wide range of use cases including single sign-on, multifactor authentication, and identity governance, helping companies across sectors like finance, healthcare, government, and retail to manage identities efficiently. Okta continues to lead in identity access management, as highlighted by its recognition in the Gartner Magic Quadrant.

📋 Description

• Own and manage specialty referrals from initial intake through insurance approval • Conduct timely and accurate benefit investigations, verifying medical and pharmacy benefits • Identify and confirm coverage criteria, co-pays, deductibles, and prior authorization requirements • Prepare and submit prior authorization requests to appropriate payers • Communicate with pharmacy teams, sales representatives, and prescribers regarding referral status and outstanding information • Coordinate and deliver financial counseling to patients, including out-of-pocket costs, financial assistance options, and next steps • Ensure documentation complies with payer and regulatory requirements • Update referral records in real time within the computer system • Collaborate with patient services and RCM teams to support transition to fulfillment • Track and report referral statuses, turnaround times, and resolution outcomes to support process improvement

🎯 Requirements

• High school diploma or GED required; Associate’s or Bachelor’s degree preferred • Minimum of 2 years of experience in a healthcare, specialty pharmacy, or insurance verification role • Experience working with specialty medications, including benefit verification and prior authorization processes • Experience in patient-facing roles is a plus, especially involving financial or benefit discussion • Familiarity with payer portals • Strong understanding of commercial, Medicare, and Medicaid insurance plans • Proven track record of communicating effectively with internal and external stakeholders • Desired: Experience in Microsoft BI • Experience in Outlook, Word, and PowerPoint • Availability for Monday-Friday, 8:30am-5:30pm shift • Travel requirement of 0-25% • Ability to constantly sit and type on a keyboard, occasionally stand and walk, and push/pull and lift/carry 1-10 lbs

🏖️ Benefits

• Medical, Dental, Vision insurance • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) • Tuition discounts & reimbursement • 401(k) • Company Paid Time Off* • Shift Differential • DailyPay • Pet Insurance • Employee wellness and discount programs

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