Remote Clearance & Benefits Verification Specialist

Soleo Health; United States; À distance; USD 25 000 - 33 000; Plein temps

Avantages offerts par ce poste

Competitive Wages

401(k) with a Match

Referral Bonus

Paid Time Off

Great Company Culture

Annual Merit Based Increases

Paid Parental Leave Options

Affordable Medical, Dental, & Vision

Company Paid Disability & Basic Life

Education Assistance Program

Résumé du poste

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy from a remote location in the USA. The role requires at least 2 years of home infusion specialty pharmacy intake experience, including prior authorizations, benefit verifications, test claims, and HCPC calculations.

Hours are 9am - 5:30pm ET. Responsibilities include verifying eligibility, pursuing payer authorization requests, and communicating with patients and referral sources about status and costs.

Qualifications

• At least 2 years of home infusion specialty pharmacy intake experience.
• Understanding of Medicare, Medicaid, and managed care reimbursement.
• Ability to multitask while maintaining accuracy.
• Knowledge of HIPAA regulations.
• Proficiency in Excel and Word.
• CPR+ knowledge preferred.

Responsabilités

• Verify patient eligibility and perform benefit verification.
• Manage payer authorizations, pre-determinations, and medical reviews.
• Document coinsurance, copays, and deductible requirements.
• Prepare start-of-care paperwork and coordinate referrals.
• Communicate with patients and referral sources about status.
• Identify financial assistance options when needed.
• Handle test claim adjudication and HCPC calculations.
• Other duties as assigned.

Connaissances

Multitasking

HIPAA knowledge

Excel/Word proficiency

Strong communication

Formation

High school diploma or equivalent

Outils

Microsoft Excel

Microsoft Word

Description du poste

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy from a remote location in the USA. The role requires at least 2 years of home infusion specialty pharmacy intake experience, including prior authorizations, benefit verifications, test claims, and HCPC calculations.

Hours are 9am - 5:30pm ET. Responsibilities include verifying eligibility, pursuing payer authorization requests, and communicating with patients and referral sources about status and costs.