Help specialty infusion patients start therapy faster by owning benefits verification, test claims, and prior auth follow-through from the moment a referral arrives. If you’re strong in specialty infusion clearance and you can keep multiple referrals moving at once without missing details, this role is your lane.
About Soleo Health
Soleo Health is an innovative 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, backed by a culture built on ownership, integrity, and improving patients’ lives every day.
Schedule
- Full-time, remote
- Monday to Friday, 9:00am to 5:30pm CST (40 hours per week)
- 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 and clear patients to start care by handling eligibility verification, test claims, and coordination of benefits
⦁ Verify benefits across insurance plans and document coverage for medications, supplies, and infusion services
⦁ Document key benefit details including coinsurance, copays, deductibles, and authorization requirements
⦁ Calculate estimated patient financial responsibility using benefit verification, payer contracts, and self-pay pricing when applicable
⦁ Initiate, follow up on, and secure prior authorizations, pre-determinations, and medical reviews
⦁ Obtain and compile clinical documentation needed for payer submissions
⦁ Communicate with patients, referral sources, and internal departments regarding referral status, coverage updates, and next steps
⦁ Assist patients who need financial support by helping enroll in manufacturer copay assistance programs or foundations
⦁ Generate start-of-care paperwork to keep referrals moving quickly into therapy
What You Need
⦁ High school diploma or equivalent
⦁ Experience with specialty infusion prior authorization and benefits verification (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 ability to manage high referral volume while meeting productivity and quality expectations
⦁ Ability to thrive in a fast-paced environment with tight timelines
⦁ Knowledge of HIPAA regulations
⦁ Basic skills in Microsoft Excel and Word
⦁ Bonus: CPR+ experience
Benefits
⦁ $23–$27 per 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
If you like being the person who gets the “yes” from payers and clears the path for treatment, this job will reward you.
Happy Hunting,
~Two Chicks…