Support reimbursement operations and contract compliance from home.
About Soleo Health
Soleo Health is a national provider of complex specialty pharmacy and infusion services, administered in the home or alternate sites of care. Our mission is to simplify complex care and improve patients’ lives every day. We empower our team with a collaborative, inclusive culture grounded in passion, ownership, and doing the right thing.
Schedule
- Full-time, remote role
- Monday–Friday, 8:30 AM – 5:00 PM
- Standard business hours, 40 hours per week
- No weekends or holidays
Responsibilities
- Provide consultation, education, and training on payor contract requirements to Patient Access and Reimbursement teams
- Develop SOPs, learning aids, and billing/collection guidance for staff, including contract- or state-specific resources
- Audit medical billing for compliance with contracts, government programs, and regulations
- Confirm contract rate application on claims and investigate payment variances for contracted payor non-compliance
- Partner with payors on root cause analysis to resolve reimbursement issues
- Prepare claim-related reports for submission and assist with special projects
- Act as liaison between reimbursement/intake staff and contracted payors regarding reimbursement concerns
- Recommend improvements to billing practices to maximize margins and eliminate losses
- Collaborate with managers to assess training needs and share audit findings
Requirements
- High school diploma or equivalent required (degree in related field preferred)
- 5+ years of home infusion or specialty pharmacy billing, collections, auditing, or reimbursement analysis
- Strong knowledge of payor contracts, reimbursement methodologies, and infusion/specialty pharmacy pricing/fee schedules
- Advanced understanding of insurance plans: Managed Care, Commercial, Medicare Advantage, Self-Funded, TPAs
- Experience with billing audit practices, financial root cause analysis, and claims resolution
- Proficiency in Microsoft Office; CPR+ experience preferred
- Strong organizational skills and ability to develop documentation/manuals
Benefits
- Competitive salary: $58,000–$63,000 annually
- Affordable medical, dental, and vision insurance
- Company-paid disability and basic life insurance
- 401(k) with employer match
- Paid Time Off and 10 paid holidays
- Paid parental leave options
- HSA and FSA options, including dependent care
- Annual merit-based increases
- Referral bonus program
- Education assistance program
- Supportive company culture with growth opportunities
Join Soleo Health and help ensure contract compliance and optimized reimbursement while simplifying complex care for patients.
Happy Hunting,
~Two Chicks…