Soleo Health
Infusion Reimbursement Contract Specialist
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Job Description
- Req#: 3684836
Employer Industry: Specialty Pharmacy and Infusion Services
Why consider this job opportunity:
- Competitive wages with annual merit-based increases
- Flexible remote work arrangement
- Comprehensive benefits package including affordable medical, dental, and vision insurance
- Paid parental leave and generous paid time off
- 401(k) plan with company matching and referral bonuses
- Positive company culture that encourages creativity and employee engagement
What to Expect (Job Responsibilities):
- Assist the Reimbursement Contracts Manager in reviewing payor contracts and amendments
- Provide consultation, education, and training on payor contract requirements to Intake and Reimbursement teams
- Deliver timely and accurate information regarding payor reimbursement methodologies, rates, and policies to stakeholders
- Manage payor contract and reimbursement-related resources on the company intranet
- Prepare reports and assist with special projects related to reimbursement compliance
What is Required (Qualifications):
- Minimum of 4 years of experience with Home Infusion therapies and associated HCPC codes
- Thorough understanding of payor contracts, including audits and reimbursement language review
- Reimbursement experience related to auditing, root cause analysis, and financial analysis
- Advanced knowledge of medical insurance plans, including Managed Care Organizations and Medicare Advantage
- Proficiency in Microsoft Office Suite and high organizational skills
How to Stand Out (Preferred Qualifications):
- Experience in creating training materials or standard operating procedures (SOPs) for large groups
- Advanced knowledge of Home Infusion or Medical Specialty Pharmacy pricing and fee schedules
#SpecialtyPharmacy #InfusionServices #RemoteWork #CareerOpportunity #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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