If you’ve worked specialty home infusion and you’re sharp with benefits verification and prior auth, this role is all about getting new referrals cleared fast so patients can start care without delays.
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 and improve patients’ lives every day.
Schedule
- Full-time, 40 hours/week
- Monday–Friday, 8:00 AM–5:30 PM Central
- No weekends or holidays
What You’ll Do
- Process new referrals by verifying eligibility, running test claim adjudication, and coordinating benefits
- Document coinsurance, copays, deductibles, and authorization requirements
- Calculate estimated out-of-pocket costs using benefit verification plus payer contracts or self-pay pricing
- Initiate and follow up on prior authorizations, pre-determinations, medical reviews, and obtain clinical docs for submissions
- Communicate status updates to patients, referral sources, and internal teams
- Support enrollment in manufacturer copay assistance programs and/or foundations when financial need is identified
- Generate start-of-care paperwork for new patients
- Handle other related duties as assigned
What You Need
- High school diploma or equivalent
- Specialty home infusion experience (required)
- Experience with acute infusion for prior auth/benefits verification (required)
- 2+ years of home infusion specialty pharmacy and/or medical intake/reimbursement experience (preferred)
- Working knowledge of Medicare/Medicaid/managed care reimbursement and ability to interpret payer fee schedules (NDC/HCPCS units)
- Ability to juggle multiple referrals in a fast-paced environment while meeting productivity and quality goals
- HIPAA knowledge
- Basic Microsoft Excel and Word skills
- CPR+ knowledge (preferred)
Benefits
- Competitive wages ($23–$27/hr)
- 401(k) with match
- Paid time off
- Annual merit-based increases
- Paid parental leave options
- Medical, dental, vision insurance
- Company-paid disability and basic life insurance
- HSA and FSA options (including dependent care)
- Education assistance program
- Referral bonus
This is a clean fit if you’re already living in prior auth land and know home infusion workflows cold.
Happy Hunting,
~Two Chicks…