Clearance Specialist

Job Type Full-timeDescriptionSoleo Health is seeking a Full time, Remote, Clearance Specialist to support our Specialty Infusion patients. Join us in Simplifying Complex Care!Soleo Health Perks:Competitive Wages 401(k) with a Match Referral Bonus Paid Time Off Great Company Culture Annual Merit Based Increases No Weekends or Holidays Paid Parental Leave Options Affordable Medical, Dental, & Vision Insurance Plans Company Paid Disability & Basic Life Insurance HSA & FSA (including dependent care) Options Education Assistance Program This Position:The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. 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 needed Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundationsGenerate new patient start of care paperwork Schedule:Must be able to work remote, Monday-Friday 9am-5:30pm, CST- 40 hours per weekMust have experience with Specialty Infusion for Prior authorization/Benefits VerificationRequirements High school diploma or equivalentAt least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred 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 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 Auth, Insurance, Referrals, Now hiring, hiring now, immediately hiring, hiring immediatelySalary Description $23.00-$27.00 per hour

Created: 2026-04-13