Clearance Specialist - Tempe, United States - Soleo Health

Description

Job Type Full-timeDescriptionSoleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Phoenix, AZ, Specialty Pharmacy. This is an in-person role. Join us in Simplifying Complex CareAcute Home Infusion experience required.


Soleo Health Perks:
Competitive Wages401(k) with a MatchReferral BonusPaid Time OffGreat Company CultureAnnual Merit Based IncreasesPaid Parental Leave OptionsAffordable Medical, Dental, & Vision Insurance PlansCompany Paid Disability & Basic Life InsuranceHSA & FSA (including dependent care)

OptionsEducation Assistant ProgramThis Position:

The Soleo Health Clearance Specialist will be 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 pocket costs.

They will also be responsible for preparation, submission, and follow up of payer authorization requests.


Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion servicesResponsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etcCalculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricingInitiate, follow-up, and secure prior authorization, pre-determination, or medical review includingreviewing and obtaining clinical documents for submission purposesCommunicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as neededRefer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundationsGenerate new patient start of care paperworkSchedule:In personM-F 9:30-6:00PMMust be available for holidays and on call for a weekend once a month Requirements Acute home infusionExperience with referrals, benefit verifications and authorizations requiredAt least 2 years of home infusion pharmacy and/or medical intake/reimbursement experience preferredHigh school diploma or equivalentWorking knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS unitsStrong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are metAbility to work in a fast-paced environmentKnowledge of HIPAA regulationsBasic level skill in Microsoft Excel & WordKnowledge of CPR+ preferred

About Us:

Soleo Health is an innovative national provider of complex 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 Soleo Health DifferenceSoleo's Core Values:

Improve patients' lives every dayBe passionate in everything you doEncourage unlimited ideas and creative thinkingMake decisions as if you own the companyDo the right thingHave funSoleo 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.

Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture.
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.

Keywords:
Prior Authorization coordinator, Insurance, Referrals, intake coordinator, healthcare eligibility, benefits verification coordinator, Patient Intake Coordinator, Patient care coordinator, medical receptionist, intake specialist, referral coordinator, patient access coordinator, patient service, patient coordinator