Infusion Clearance Specialist – Insurance Coordinator

Soleo Health

Full time Clearance Specialist supporting Specialty Infusion patients remotely at Soleo Health. Processing referrals, verifying eligibility, and coordinating benefits while ensuring a great patient experience.

Posted 5/5/2026full-timeRemote • Texas • 🇺🇸 United StatesJuniorMid-Level💰 $23 - $27 per hourWebsite

About the role

Key responsibilities & impact

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.
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes
Communicate 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 foundations
Generate new patient start of care paperwork

Requirements

What you’ll need

High school diploma or equivalent
At 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 met
Ability to work in a fast-paced environment
Knowledge of HIPAA regulations
Basic level skill in Microsoft Excel & Word
Knowledge of CPR+ preferred

Benefits

Comp & 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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

benefit verificationtest claim adjudicationpatient eligibility verificationfinancial responsibility calculationprior authorizationmedical reviewdocumentation of coveragecoinsurance calculationcopay calculationdeductible calculation

Soft Skills

multi-taskingcommunicationorganizational skillscustomer serviceattention to detailproblem-solvingtime managementadaptabilitycollaborationinterpersonal skills