Clearance Specialist - Intake Coordinator

Soleo Health; Frisco (TX); Hybrid; USD 45,000 - 70,000; Full time

Job summary

A specialty pharmacy company is seeking a dedicated professional to join their team in Frisco, Texas. The role involves processing new referrals, documenting patient insurance coverage, and managing prior authorizations. Candidates should have a high school diploma and at least 2 years of experience in home infusion pharmacy. The company offers competitive wages, 401(k) matching, remote work options, and a robust benefits package. Join a supportive culture that prioritizes employee well-being and growth.

Benefits

401(k) with match

Paid time off

Paid parental leave options

Affordable medical, dental, and vision insurance plans

Flexible remote work opportunity

Qualifications

• Minimum of 2 years of experience in home infusion specialty pharmacy.
• Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines.
• Familiarity with HIPAA regulations.

Responsibilities

• Process new referrals by verifying patient eligibility and coordinating benefits.
• Document patient insurance coverage, including medications and related services.
• Initiate and secure prior authorization and medical review requests.

Skills

Multi-tasking

Basic Microsoft Excel skills

Basic Microsoft Word skills

Education

High school diploma or equivalent

Tools

CPR+ software

Job description

Employer Industry: Specialty Pharmacy and Infusion Services

Why consider this job opportunity:
- Competitive wages and annual merit-based increases
- 401(k) with a match and referral bonus
- Paid time off and paid parental leave options
- Affordable medical, dental, and vision insurance plans
- Flexible remote work opportunity with no weekends or holidays
- Supportive company culture focused on employee well-being and growth

What to Expect (Job Responsibilities):
- Process new referrals by verifying patient eligibility and coordinating benefits
- Document patient insurance coverage, including medications and related services
- Calculate estimated patient financial responsibility based on benefit verification
- Initiate and secure prior authorization and medical review requests
- 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
- Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong ability to multi-task in a fast-paced environment while meeting productivity expectations
- Basic skills in Microsoft Excel and Word, with knowledge of HIPAA regulations

How to Stand Out (Preferred Qualifications):
- Familiarity with CPR+ software

#SpecialtyPharmacy #InfusionServices #RemoteWork #HealthcareCareers #EmployeeBenefits

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