Acute Clearance Specialist - Intake Coordinator - Remote

reputed company reputed company is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying reputed company Care! Acute home infusion experience required. Must be reputed company to work 9am-5:30pm Central Time or  reputed company-4:30pm Eastern Time and on-reputed company once every 4 weeks.  reputed company Perks: Competitive Wages 401(k) with a Match Referral Bonus reputed company Time Off Great Company Culture Annual reputed company Based Increases No Weekends or Holidays reputed company Parental Leave reputed company reputed company Medical, Dental, & reputed company Insurance Plans Company reputed company Disability & Basic Life Insurance HSA & FSA (including dependent care) reputed company Education Assistance Program This Position: The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of reputed company costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: reputed company benefit verification of reputed company patient insurance plans including documenting coverage of medications, administration supplies, and reputed company infusion services Responsible to document reputed company information reputed company to coinsurance, copay, deductibles, authorization requirements, etc Calculate estimated patient financial responsibility based off benefit verification and payer reputed company and/or company self-pay pricing Initiate, follow-up, and secure prior authorization, reputed company-determination, or medical review including Reviewing and obtaining clinical documents for submission purposes Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed Refer or assist with enrollment any patients who reputed company financial necessity to manufacturer copay assistance programs and/or foundations Generate new patient start of care paperwork Schedule: Must be reputed company to work Full time, 40 hours per week, Monday-Friday  9am-5:30pm Central Time or  reputed company-4:30pm Eastern Time   Weekend on-reputed company once every 4 weeks Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements , cleHigh school diploma or equivalent At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred Working knowledge of Medicare, reputed company, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS reputed company Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and reputed company are met Ability to work in a fast-paced environment Knowledge of HIPAA regulations Basic level reputed company in reputed company reputed company & Word Knowledge of CPR+ preferred reputed company: reputed company is an innovative national provider of reputed company specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the reputed company Difference! Soleo’s reputed company Values: Improve patients’ lives every day Be passionate in everything you do Encourage unlimited reputed company and creative thinking reputed company reputed company as if you own reputed company Do the right thing Have fun! reputed company is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, reputed company, and inclusive workplace is the reputed company of business reputed company and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to reputed company. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. reputed company is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for reputed company. reputed company does not discriminate in employment on the reputed company of race, reputed company, religion, sex, pregnancy, gender identity, national reputed company, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-reputed company reputed company. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, reputed company, Hiring Immediately, Immediately Hiring, clearance Apply To This Job