Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required. Must be able to work 9am-5:30pm Central Time or 8am-4:30pm Eastern Time and on-call once every 4 weeks. Soleo Health
Perks:
Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs.
They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, Monday-Friday 9am-5:30pm Central Time or 8am-4:30pm Eastern Time Weekend on-call once every 4 weeks Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Soleo Health is a national home infusion pharmacy that provides specialized infusion services and patient care. They focus on delivering high-quality, cost-effective solutions for patients requiring complex therapies at home.