Soleo Health

Client Services Representative

• Maintain relationships with assigned payer organization personnel in a customer service capacity
• Support Soleo Health’s contracted clients as assigned
• Communicate effectively with payers via email, phone, letter, or portal
• Collaborate with the assigned Payor Director or Senior Director
• Serve as Manager between payers and Soleo departments
• Manage daily communications with designated health plans
• Handle direct referral processes and respond to case managers within required timeframes
• Follow up on payer initiatives and program requirements
• Use Soleo software to review account notes and pricing
• Send updated logs as required by payers
• Act as primary contact for assigned payer initiatives
• Support contract implementation and ensure compliance
• Prepare and submit client reports by due dates
• Complete ad hoc reports and projects as requested
• Assist with reimbursement projects and address client billing inquiries
• Adhere to Soleo Health policies, procedures, and standards of conduct
• Attend mandatory annual training courses
• Report known or suspected violations of policies or standards
• Perform other related duties as assigned

Client Support Manager

Manager

• Generates billing statements for patients with balances remaining after all third party payments are received
• Works in tandem with the branches to identify exceptions or special circumstances related to the patient’s outstanding balance
• Communicates with patients regarding overdue balances, payment arrangements, and other billing concerns or inquiries
• Establishes and documents payment arrangements for patients with outstanding balances and monitors adherence to agreed upon collection schedules
• Manages the Patient Accounts Receivable including balances for copay/deductibles, Soleo Financial Assistance, and self-pay patients
• Performs necessary adjustments to invoice balances after all collection efforts have been exhausted
• Prepares patient refunds, as necessary
• Identifies and transfers delinquent patient accounts to the Company’s collection agency
• Creates and develops procedures for the efficient management of the Patient Accounts Receivable
• Develops strategies and new techniques to reduce bad debt losses, including recommended changes to billing and collection practices
• Manage the Mfg Co Pay A/R for prompt collections
• Manage the Soleo Financial Assistance Program, review incoming applications for final approval or denial and maintain the SAP Master Log
• Work with the Procurement Department to identify lost/missing DME and track the products though the collections process
• Ensures compliance with federal, state, and local governments, third party contracts, company policy, and general accounting practices
• Completes all necessary managerial tasks for direct reports including hiring, training, addressing performance issues, developing team goals and objectives, performance reviews, conflict resolution, and strategic planning
• Other duties as requested

Client Support Manager

Patient Accounts Manager