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- Competitive Wages
- Paid Parental Leave Options
- 401(k) with a match
- Referral Bonus
- Annual Merit Based Increases
- No Weekends or Holidays
- Affordable Medical, Dental, & Vision Insurance Plans
- Company Paid Disability & Basic Life Insurance
- HSA & FSA (including dependent care) options
- Paid Time Off
- Education Assistant Program
- Great Company Culture
- Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
- Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
- Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
- Initiate, follow-up, and secure prior authorization, pre-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 express financial necessity to manufacturer copay assistance programs and/or foundations
- Generate new patient start of care paperwork
- In person
- M-F 9a-530p
- On-call rotation from home
- Overtime as needed
- Acute Home Infusion experience required
- Experience with referrals, benefit verifications and authorizations required
- At least 2 years of home infusion pharmacy and/or medical intake/reimbursement experience preferred
- High school diploma or equivalent
- Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
- Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met
- Ability to work in a fast-paced environment
- Knowledge of HIPAA regulations
- Basic level skill in Microsoft Excel & Word
- Knowledge of CPR+ preferred
- 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
Clearance Specialist - Houston, United States - Soleo Health
Description
Job Type
Full-time
Description
Soleo Health is seeking a Clearance Specialist/Intake Coordinator to support our Home Infusion Specialty Pharmacy in Houston, TX. This is an in-person role. Join us in Simplifying Complex Care
Acute Home Infusion experience required.
Soleo Health Perks:
This position will be responsible for verifying insurance benefits for specialty medications and services along with submitting and tracking authorization requests. This position will also be responsible for communicating updates on pending referrals and ensuring timely referral processing. Responsibilities include:
Soleo's Core Values:
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
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