The TPN Admission Coordinator is responsible for managing TPN 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 authorization, coordination with internal stakeholders (dieticians) and financial counseling with patients. The coordinator plays a critical role in ensuring referrals meet payer requirements and in facilitating seamless communication between patients, providers, pharmacy staff and the sales team.

Shift: Monday-Friday 8:30am-5:00pm

Benefits and perks for You!    

• 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 

• Owns and manages the TPN referral from initial intake through insurance approval
• Conducts timely and accurate benefit investigation, verifying both medical and pharmacy benefits
• Identifies and confirms coverage criteria, co-pays, deductibles and prior authorization requirements
• Prepares and submits prior authorization requests to appropriate payers
• Maintains clear, timely communication with dieticians, sales representatives and prescribers regarding the status of each referral and any outstanding information
• Coordinates and delivers financial counseling to patients, including explanation of out-of-pocket costs, financial assistance options and next steps
• Ensures all documentation complies with payer and regulatory requirements
• Updates referral records in real-time within computer system
• Collaborates with patient services and RCM teams to support a smooth transition to fulfillment
• Tracks and report referral statuses, turnaround times and resolution outcomes to support process improvement
• Supervisory Responsibility: No

• 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
• Experience in Microsoft BI. Experience in Outlook, Word, and PowerPoint desired
• Percentage of Travel: 0-25%

**To perform this role will require sitting for extended periods of time and typing on a keyboard with fingers, and occasionally standing and walking. The physical requirements will be the ability to push/pull and lift/carry 1-10 lbs**

At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing by leading with integrity, accountability, and transparency in all that we do.

As part of our hiring process, we may use third-party artificial intelligence (AI) tools to assist in processing employment-related information. These tools are used to support our recruitment activities and are subject to human oversight and review. BrightSpring does not use AI to make employment decisions independently, and AI is not used to discriminate against applicants or employees. We do not use zip codes as a proxy for protected characteristics. All hiring decisions are made by people, including our recruiters and hiring leaders.

BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities. If you need a reasonable accommodation during the application or hiring process, please contact your recruiter or email TalentAcquisition@brightspringhealth.com. For additional information about how our company uses AI in the hiring process, please contact TalentAcquisition@brightspringhealth.com.

BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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