Clearance Specialist
2 weeks ago
Soleo Health is seeking a highly skilled Clearance Specialist to join our team. As a Clearance Specialist, you will play a critical role in processing new referrals, verifying patient eligibility, and coordinating benefits.
Key Responsibilities:- Verify patient eligibility and benefits for infusion services
- Process new referrals, including prior authorization and pre-determination
- Coordinate benefits and identify patient estimated out-of-pocket costs
- Communicate with patients, referral sources, and other departments regarding referral status and updates
- Refer patients to manufacturer copay assistance programs and foundations as needed
- High school diploma or equivalent
- At least 2 years of home infusion specialty pharmacy experience
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
- Strong ability to multi-task and support numerous referrals/priorities
- Ability to work in a fast-paced environment
- Knowledge of HIPAA regulations
- Basic level skill in Microsoft Excel & Word
Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference.
Soleo's Core Values:
- Improve patients' lives every day
- Be passionate in everything you do
- Encourage unlimited ideas and creative thinking
- Make decisions as if you own the company
- Do the right thing
- Have fun
Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive.
Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.
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