Be the person who clears specialty infusion patients to start care by handling benefits verification, test claims, and prior auth follow-through with speed and precision. If you’ve done specialty infusion clearance work and you can manage high referral volume without missing details, this role is a strong fit.
About Soleo Health
Soleo Health is a national provider of complex specialty pharmacy and infusion services delivered in the home or alternate sites of care. Their mission is to simplify complex care, supported by core values centered on ownership, integrity, creativity, and improving patients’ lives every day.
Schedule
- Full-time, remote
- 40 hours per week
- Shift: 8:30am to 5:00pm Central Standard Time
- No weekends or holidays
- Specialty infusion prior authorization and benefits verification experience required
- Pay range: $23–$27 per hour
What You’ll Do
⦁ Process new referrals by verifying eligibility, running test claim adjudication, and coordinating benefits
⦁ Verify insurance benefits and document coverage for medications, administration supplies, and infusion-related services
⦁ Document coinsurance, copays, deductibles, authorization requirements, and other key benefit details
⦁ Calculate estimated patient financial responsibility using benefit verification, payer contracts, and self-pay pricing when needed
⦁ Initiate, follow up on, and secure prior authorizations, pre-determinations, and medical reviews
⦁ Review and obtain clinical documents required for payer submissions
⦁ Communicate status updates to patients, referral sources, internal departments, and other stakeholders
⦁ Assist patients needing financial support by helping with manufacturer copay programs or foundations
⦁ Generate start-of-care paperwork and support other assigned tasks to keep referrals moving
What You Need
⦁ High school diploma or equivalent
⦁ Specialty infusion prior authorization and benefits verification experience (required)
⦁ 2+ years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred
⦁ Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines
⦁ Ability to interpret payer contract fee schedules using NDC and HCPCS units
⦁ Strong multitasking skills to manage multiple referrals while meeting productivity and quality expectations
⦁ Ability to work in a fast-paced environment with tight deadlines
⦁ Knowledge of HIPAA regulations
⦁ Basic skills in Microsoft Excel and Word
⦁ Bonus: CPR+ system experience
Benefits
⦁ Competitive wages ($23–$27/hour)
⦁ 401(k) with match
⦁ Paid time off
⦁ No weekends or holidays
⦁ Paid parental leave options
⦁ Medical, dental, and vision insurance plans
⦁ Company-paid disability and basic life insurance
⦁ HSA and FSA options (including dependent care)
⦁ Referral bonus
⦁ Education assistance program
⦁ Annual merit-based increases
⦁ Great company culture
This is a core “access to care” role. When you do your job well, patients don’t wait, clinicians aren’t stuck, and the business gets paid.
Happy Hunting,
~Two Chicks…