Remote Benefits Verification & Clearance Specialist

Paylocity; Northern (KY); Hybrid; USD 52,000 - 65,000; Full time

Benefits offered by this job

401(k) with a Match

Paid Time Off

Referral Bonus

Paid Parental Leave Options

Competitive Wages

Annual Merit Based Increases

Education Assistance Program

Affordable Medical, Dental, & Vision

Job summary

Soleo Health is seeking a Specialty Clearance Specialist to support our Specialty Infusion Pharmacy and perform benefits verification tasks remotely across the United States. The role handles intake, authorizations, and payer communications while coordinating with care teams.

Requirements include at least 2 years of home infusion specialty pharmacy experience, knowledge of Medicare/Medicaid reimbursement, HIPAA compliance, and basic Excel/Word skills.

Qualifications

• At least 2 years of home infusion specialty pharmacy intake experience.
• High school diploma or equivalent.
• Knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
• Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality
• Ability to work in a fast-paced environment
• Knowledge of HIPAA regulations
• Basic level skill in Microsoft Excel & Word
• Knowledge of CPR+ preferred

Responsibilities

• Perform benefits verification for specialty medications.
• Handle prior authorizations and test claims.
• Calculate HCPC units as needed.
• Interpret payer contracts and fee schedules based on NDC/HCPCS.
• Coordinate with care teams to support referrals and ensure timely processing.

Skills

Home infusion intake

Medicare/Medicaid knowledge

HIPAA regulations

Multitasking

Fast-paced environment

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Job description

Soleo Health is seeking a Specialty Clearance Specialist to support our Specialty Infusion Pharmacy and perform benefits verification tasks remotely across the United States. The role handles intake, authorizations, and payer communications while coordinating with care teams.

Requirements include at least 2 years of home infusion specialty pharmacy experience, knowledge of Medicare/Medicaid reimbursement, HIPAA compliance, and basic Excel/Word skills.