Clearance Team Lead

Soleo Health

Clearance Team Lead managing Patient Access team and overseeing benefit verification for specialty home infusion. Remote position with a focus on exceptional patient care and team support.

Posted 7/17/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $29 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in specialty home infusion benefit verification and prior authorization, with a strong understanding of Medicare, Medicaid, and Managed Care reimbursement guidelines. Capable of providing training and guidance to team members while ensuring exceptional customer service and effective problem resolution.

Highest-signal resume keywords

Specialty Home Infusion Benefit VerificationPrior Authorization ExperienceMedicare, Medicaid, and Managed Care KnowledgeMicrosoft Excel Intermediate SkillsCustomer Service Excellence

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit VerificationPrior AuthorizationPayor Contract InterpretationComplex Issue ResolutionReport Creation and Distribution

Soft Skills

Team LeadershipTraining and DevelopmentEffective CommunicationProblem-SolvingTime Management

Industry Keywords

Patient AccessHealthcare ReimbursementNDCHCPCSEscalation Management

About the role

Key responsibilities & impact

Provide daily support and guidance to the Patient Access team
Assist with escalations
Participate in complex therapy benefit verification and prior authorization submissions
Perform duties of both the Clearance Specialist and Prior Authorization Coordinator
Oversee the clearance team’s workload and direct the work of other staff members
Work autonomously to handle more complex issues related to benefits and authorization within established procedures and practices
Provide exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
Ensure new team members understand their roles and responsibilities and provide ongoing training to enhance their skills and knowledge
Provide necessary guidance, feedback and counseling and may contribute input for performance evaluations
Create, update and distribute patient access-related reports as needed

Requirements

What you’ll need

Specialty home infusion benefit verification and prior authorization experience required
At least 2 years of experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines
High School Diploma or equivalent
Ability to interpret payor contract fee schedules based on NDC and HCPCS units
Ability to effectively handle multiple priorities within a changing environment
Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems
Experience collaborating with internal resources to develop strategies that meet department goals within budget and established timelines
Intermediate level skills in Microsoft Excel

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