Remote Clearance Specialist – Infusion Pharmacy

Soleo Health; Frisco (TX); Remote; USD 32.000 - 37.000; Vollzeit

Benefits dieser Stelle

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 Options

Education Assistance Program

Zusammenfassung

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work remotely in the USA. The role requires 2+ years of home infusion experience, eligibility verification, and authorization coordination.

Responsibilities include processing referrals, verifying insurance, calculating patient financial responsibility, and communicating with patients and providers. Monday–Friday with 9am–5:30pm ET hours.

Qualifikationen

• At least 2 years of home infusion specialty pharmacy intake experience.
• Knowl edge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contracts.
• Ability to interpret payor contract fee schedules based on NDC and HCPCS units.

Aufgaben

• Process new referrals including eligibility verification and test claim adjudication.
• Coordinate benefits and estimate patient out-of-pocket costs.
• Initiate and follow up on prior authorizations and medical reviews.
• Communicate with patients, referrals, and departments regarding referrals and coverage.

Kenntnisse

Home infusion intake

Benefit verification

Prior authorizations

HCPC calculations

Medicare/Medicaid knowledge

HIPAA knowledge

Excel

Word

CPR+ knowledge (preferred)

Ausbildung

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Jobbeschreibung

Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work remotely in the USA. The role requires 2+ years of home infusion experience, eligibility verification, and authorization coordination.

Responsibilities include processing referrals, verifying insurance, calculating patient financial responsibility, and communicating with patients and providers. Monday–Friday with 9am–5:30pm ET hours.