Job description

Soleo Health is seeking Full-time Temporary to hire, Clearance Support Coordinators to work (in-office) at our Tempe, AZ branch. Join Us in Simplifying Complex Care!

This position is responsible for assisting CenterSource Clearance Specialists with expediting pending referrals and providing support to CenterSource Clearance staff.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits
• Expedite medication referrals and facilitate collaboration among stakeholders
• Verify and document insurance coverage of medications, run test claims, administration supplies, and related infusion services including prior authorization requirements and coordination of benefits
• Contact referral source, patient, and/or doctors office to obtain additional information that is required to complete verification of benefits or prior approvals
• Review clinical documents for prior authorization/pre-determination submission purposes
• Initiate and secure prior authorization, pre-determination, or medical review
• Collaborate with prescribers to complete or facilitate payor denial appeals
• Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
• Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
• Generate new patient forms
• Referral data entry and document management
• Places outbound calls to patients or doctors offices to notify of any delays due to more information needed to process or due to a prior authorization
• Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided

Schedule: Candidate must be able to work 40 hours a week between the hours of 8:30am and 5:00pm - Monday - Friday

Requirements:

• Required to submit to a detailed background check, and if applicable, Motor Vehicle Report and drug screen
• High School Diploma
• Previous home infusion or specialty pharmacy clearance preferred
• Must have Knowledge of Medical/Health insurance plans, Intake, Administrative duties and therapy requirements is preferred
• Ability to effectively handle multiple priorities within a changing environment
• Ability to effectively utilize multiple computer systems to complete duties
• Experience collaborating with internal resources
• Intermediate level skill in Microsoft Excel
• Intermediate level skill in Microsoft Word

As a condition of hire, full dosage of the COVID-19 vaccination is a requirement for this position. Soleo Health will consider accommodation for disability/medical and/or sincerely held religious beliefs.

About 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 day
• Be passionate in everything you do
• Encourage unlimited ideas and creative thinking
• Make decisions as if you own the company
• Do the right thing
• Have 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: Medical Admin Assistant, Administrative Assistant, Intake, Medical Billing

Job Types: Full-time, Temporary

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Tempe, AZ: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you able to work independently as well as in a team environment?
• Are you able to work the hours of 8:30am to 5pm Monday through Friday in office?
• Are you an expert in using all Microsoft Suite Programs (word, excel, outlook)?

Education:

• High school or equivalent (Required)

Experience:

• Medical Insurance Verification: 1 year (Required)
• Answering Multi-Line Phone Systems: 1 year (Preferred)
• Medical Billing/Coding: 1 year (Preferred)
• Prior Authorization (medical): 1 year (Required)
• Customer service (medical): 1 year (Required)

Work Location: In person

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