Soleo Health

Clearance Specialist


Pay$23.00 - $26.00 / hour
LocationFrisco/Texas
Employment typeFull-Time

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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

      We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
      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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