Infusion Benefit Coordinator – Clearance Specialist

Soleo Health

Clearance Specialist responsible for patient referrals and benefit verifications for infusion services remotely. Joining Soleo Health to simplify complex care in infusion pharmacy.

Posted 7/31/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $23 - $27 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in infusion benefit verification and prior authorization processes, with a strong understanding of Medicare, Medicaid, and managed care reimbursement guidelines. Proficient in calculating patient financial responsibilities and managing multiple referrals in a fast-paced environment.

Highest-signal resume keywords

Infusion Benefit VerificationPrior Authorization ExperienceHCPC Code CalculationMedicare And Medicaid KnowledgeHIPAA Regulations Knowledge

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Benefit VerificationTest Claim AdjudicationPatient Financial Responsibility CalculationAuthorization Requirements DocumentationClinical Document Review

Soft Skills

Multi-TaskingCommunicationCustomer Service

Tools & Technologies

Microsoft ExcelMicrosoft WordCPR+

Industry Keywords

Patient EligibilityCoinsuranceCopayDeductiblesManaged Care Reimbursement

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
Other duties as assigned

Requirements

What you’ll need

Infusion benefit verification and prior authorization experience required
Experience running test claims and calculating HCPC codes required
High school diploma or equivalent
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