Remote Infusion Benefit & Authorization Specialist

Soleo Health; United States; Remote; USD 52,000 - 72,000; 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

Paid Parental Leave Options

Affordable Medical, Dental, & Vision

Company Paid Disability & Basic Life

Education Assistance Program

Job summary

Soleo Health is seeking a Clearance Specialist to manage infusion benefit verification and payer authorizations, working remotely within the United States. The role involves coordinating benefits, estimating patient out-of-pocket costs, and obtaining necessary clinical documentation for submissions.

You will handle referrals, verify coverage, and follow up on authorizations, while supporting patients and external partners in a fast-paced environment.

Qualifications

• Infusion benefit verification and prior authorization experience required.
• Experience running test claims and calculating HCPC codes.
• Knowledge of Medicare, Medicaid, and managed care guidelines.

Responsibilities

• Verify patient insurance benefits for medications and infusion services.
• Document coinsurance, copays, deductibles, and authorization requirements.
• Calculate estimated patient financial responsibility from verifications and contracts.
• Initiate and follow up on prior authorizations and medical reviews.
• Communicate status updates to patients, referral sources, and internal teams.
• Assist enrollment in copay assistance programs when needed.
• Prepare new patient start-of-care paperwork.

Skills

Infusion benefit verification

Prior authorization

Test claims & HCPC codes

Microsoft Excel

Education

High school diploma or equivalent

Job description

Soleo Health is seeking a Clearance Specialist to manage infusion benefit verification and payer authorizations, working remotely within the United States. The role involves coordinating benefits, estimating patient out-of-pocket costs, and obtaining necessary clinical documentation for submissions.

You will handle referrals, verify coverage, and follow up on authorizations, while supporting patients and external partners in a fast-paced environment.