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Clearance Specialist / Intake Coordinator - Houston

Houston, TX, United States

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:

Competitive Wages & Incentive Pay

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

This Position:

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: 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

Schedule: In person

M-F 9a-530p

On-call rotation from home

Overtime as needed

Requirements 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

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 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. 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

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Clearance Specialist / Intake Coordinator - Houston jobs in Houston, TX, United States

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