Soleo Health
Clearance Specialist / Intake Coordinator - Houston
Soleo Health, Houston, Texas, United States, 77246
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 PayPaid Parental Leave Options401(k) with a matchReferral BonusAnnual Merit Based IncreasesNo Weekends or HolidaysAffordable Medical, Dental, & Vision Insurance PlansCompany Paid Disability & Basic Life InsuranceHSA & FSA (including dependent care) optionsPaid Time OffEducation Assistant ProgramGreat Company CultureThis 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 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 including reviewing 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 9a-530pOn-call rotation from homeOvertime as neededRequirements
Acute Home Infusion experience requiredExperience 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+ preferredAbout 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 dayBe passionate in everything you doEncourage unlimited ideas and creative thinkingMake decisions as if you own the companyDo the right thingHave 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
#INDALL
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 PayPaid Parental Leave Options401(k) with a matchReferral BonusAnnual Merit Based IncreasesNo Weekends or HolidaysAffordable Medical, Dental, & Vision Insurance PlansCompany Paid Disability & Basic Life InsuranceHSA & FSA (including dependent care) optionsPaid Time OffEducation Assistant ProgramGreat Company CultureThis 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 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 including reviewing 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 9a-530pOn-call rotation from homeOvertime as neededRequirements
Acute Home Infusion experience requiredExperience 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+ preferredAbout 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 dayBe passionate in everything you doEncourage unlimited ideas and creative thinkingMake decisions as if you own the companyDo the right thingHave 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
#INDALL