Soleo Health

Clearance Specialist- National Central Standard or Mountain Standard

6 days ago

Pay$21.00 - $25.00 / hour
LocationFrisco/Texas
Employment typeFull-Time

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  • Job Description

      Req#: 3365404
      Employer Industry: Specialty Pharmacy and Infusion Services

      Why consider this job opportunity:
      - Competitive wages with annual merit-based increases
      - 401(k) plan with company match
      - Referral bonuses and paid parental leave options
      - Affordable medical, dental, and vision insurance plans
      - No weekends or holidays, promoting work-life balance
      - Supportive company culture focused on innovation and employee well-being

      What to Expect (Job Responsibilities):
      - Process new referrals by verifying patient eligibility and coordinating benefits
      - Document coverage information related to medications, supplies, and infusion services
      - Calculate estimated patient financial responsibility based on benefit verification
      - Initiate and secure prior authorizations and follow up on medical reviews
      - Communicate 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 skills in Microsoft Excel and Word; knowledge of CPR+ preferred

      How to Stand Out (Preferred Qualifications):
      - Experience with benefit verification and prior authorization specifically for specialty infusion
      - Familiarity with interpreting payor contract fee schedules based on NDC and HCPCS units

      #SpecialtyPharmacy #InfusionServices #RemoteWork #CareerOpportunity #HealthcareJobs

      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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