Hybrid Clearance & Intake Specialist (Infusion Pharmacy)

Soleo Health; Chesterfield (MO); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

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

Company Paid Disability & Basic Life

HSA & FSA

Education Assistance Program

Job summary

Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO, supporting our Specialty Infusion Pharmacy by processing referrals, verifying benefits, calculating patient financials, and handling prior authorizations.

The role requires at least 2 years of home infusion specialty pharmacy experience, knowledge of Medicare/Medicaid, and HIPAA proficiency. Onsite hybrid schedule with no weekends.

Qualifications

• At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience.
• Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines.
• Ability to interpret payor contract fee schedules based on NDC/HCPCS units.
• HIPAA regulations knowledge and basic computer skills (Excel & Word).
• High school diploma or equivalent required.

Responsibilities

• Verify patient eligibility and benefits for prescriptions and infusion services.
• Calculate estimated patient financial responsibility from verifications and payer contracts.
• Prepare and submit prior authorization requests and follow up on denials/appeals.
• Coordinate with patients, referral sources and internal departments.
• Document coinsurance, copays, deductibles and authorization requirements.

Skills

Home infusion experience

Medicare/Medicaid knowledge

HIPAA knowledge

Microsoft Excel

Microsoft Word

CPR+

Education

High school diploma or equivalent

Tools

CPR+

Job description

Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO, supporting our Specialty Infusion Pharmacy by processing referrals, verifying benefits, calculating patient financials, and handling prior authorizations.

The role requires at least 2 years of home infusion specialty pharmacy experience, knowledge of Medicare/Medicaid, and HIPAA proficiency. Onsite hybrid schedule with no weekends.