Soleo Health
Clearance Specialist
5 days agoWhat's your preference?
Job Description
- Req#: 3782443
Employer Industry: Specialty Pharmacy and Infusion Services
Why Consider this Job Opportunity:
- Competitive wages with annual merit-based increases
- 401(k) plan with employer match
- Referral bonus and paid parental leave options
- Affordable medical, dental, and vision insurance plans
- Great company culture with no weekends or holidays
- Opportunity to work remotely, Monday-Friday from 9 am to 5:30 pm CST
What to Expect (Job Responsibilities):
- Process new referrals, including verifying patient eligibility and coordination of benefits
- Document all information related to coinsurance, copays, deductibles, and authorization requirements
- Calculate estimated patient financial responsibility based on benefit verification
- Initiate and secure prior authorization and medical review, including obtaining necessary clinical documents
- Communicate with patients and referral sources regarding the status of referrals 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
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong multitasking skills in a fast-paced environment
- Basic proficiency in Microsoft Excel and Word
How to Stand Out (Preferred Qualifications):
- Knowledge of CPR+ software
- Experience with prior authorization and benefits verification in specialty infusion
#SpecialtyPharmacy #InfusionServices #RemoteWork #HealthcareCareers #DiversityAndInclusion
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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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