Admissions Coordinator

• Own and manage TPN 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 dieticians, 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 for process improvement
• Serve as a key contact between patients, providers, pharmacy staff, and the sales team

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