Remote Insurance Intake & Authorization Specialist

Soleo Health Inc; United States; Remote; USD 48,000 - 64,000; Full time

Benefits offered by this job

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

Job summary

Soleo Health is seeking a remote Clearance Specialist to support our Specialty Infusion Pharmacy. You will handle referrals, verify eligibility, coordinate benefits, and prepare payer authorizations from a home-based setting across the United States.

The role requires at least 2 years of home infusion intake experience, familiarity with Medicare/Medicaid guidelines, and strong communication with patients and referral sources. A fast-paced environment is expected with 8:30am–5pm Central time.

Qualifications

• At least 2 years of home infusion specialty pharmacy intake experience.
• High school diploma or equivalent.
• Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including payor contract interpretation.
• Strong multi-tasking ability in a fast-paced environment.
• HIPAA knowledge and basic computer skills.

Responsibilities

• Verify patient eligibility and benefit coverage for infusion therapies.
• Document coinsurance, copays, deductibles, and authorization requirements.
• Calculate estimated patient financial responsibility based on benefits and payer contracts.
• Initiate, follow up, and secure prior authorizations and medical reviews.

Skills

Home infusion

Prior authorizations

Benefit verifications

HCPCS

Customer communication

Education

High school diploma

Tools

Excel

Word

Job description

Soleo Health is seeking a remote Clearance Specialist to support our Specialty Infusion Pharmacy. You will handle referrals, verify eligibility, coordinate benefits, and prepare payer authorizations from a home-based setting across the United States.

The role requires at least 2 years of home infusion intake experience, familiarity with Medicare/Medicaid guidelines, and strong communication with patients and referral sources. A fast-paced environment is expected with 8:30am–5pm Central time.