Soleo Health
Clearance Specialist
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Job Description
- Req#: 3602698
Employer Industry: Specialty Infusion Pharmacy
Why consider this job opportunity:
- Competitive wages with annual merit-based increases
- 401(k) with a match and referral bonus program
- Comprehensive benefits including medical, dental, and vision insurance
- Paid time off, including parental leave options, with no weekends or holidays required
- Supportive company culture focused on employee growth and development
- Opportunity to work remotely while managing important patient care processes
What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and coordinating benefits
- Document coverage details for medications and infusion services, including coinsurance and copay information
- Calculate estimated patient financial responsibilities based on benefit verification
- Initiate and secure prior authorizations and medical reviews, including obtaining necessary clinical documents
- Communicate effectively with patients and referral sources regarding referral status and coverage updates
What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of 2 years of experience in home infusion specialty pharmacy and/or medical intake/reimbursement
- Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong multitasking abilities in a fast-paced environment
- Basic proficiency in Microsoft Excel and Word; knowledge of CPR+ preferred
How to Stand Out (Preferred Qualifications):
- Experience with specialty infusion prior authorization and benefits verification
- Familiarity with HIPAA regulations and compliance
#SpecialtyPharmacy #HealthcareCareers #RemoteWork #PatientCare #InsuranceVerification
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We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.About the company
Soleo Health specialty infusion services. Data-driven care working with health systems across the US to bring quality alternate site care to patients.
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