Specialty Clearance Specialist — Prior Authorization, Chronic Infusion
Compensation
$23 – $27 /hr
Employment type
Full-time
Work setting
On-site
Location
Frisco, TX
Schedule
Day shift
Posted
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Job overview
The Specialty Clearance Specialist — Prior Authorization, Chronic Infusion role is fully remote in the United States. Compensation is $23–$27 per hour. The specialist supports Soleo Health’s Specialty Infusion Pharmacy and its work simplifying complex care. The role processes new patient referrals by verifying coverage, adjudicating test claims, calculating estimated patient costs, and securing payer authorizations. Clear communication with patients, referral sources, and internal teams helps move referrals toward the start of care and supports access to specialty infusion services.
What you'll do
- Verify benefits for patient insurance plans, including medication, supplies, and infusion services
- document coinsurance, copays, deductibles, and authorization requirements
- calculate estimated patient financial responsibility
- initiate and follow up on prior authorizations, predeterminations, and medical reviews
- obtain clinical documents for submissions
- communicate referral and coverage updates
- assist eligible patients with copay assistance or foundation enrollment
- generate start-of-care paperwork.
What we're looking for
- Skills & competencies
- specialty clearance specialistprior authorizationchronic infusionhome infusion pharmacybenefits verificationtest claimsremote usamonday–friday8:30 a.m.–5 p.m. centralsoleo health
- Work arrangement
- Weekend coverage required
Benefits & perks
- 401(k) match, referral bonus, paid time off, annual merit-based increases, no weekends or holidays, paid parental leave options, medical, dental and vision insurance, disability and life insurance, HSA and FSA options, and education assistance.
Why this role
Fully remote nationwide role; requires at least two years of home infusion specialty pharmacy experience, including prior authorizations, benefit verification, test claims, and HCPC calculations. Schedule is Monday–Friday, 8:30 a.m.–5 p.m. Central Time.
About the employer
Soleo Health Inc is hiring for this role. Industry: Home Health Care Services. Sector: 62.
Additional details
- Industry sector
- 62
- Industry
- Home Health Care Services
- Occupation code
- 43-6013.00
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Listing ID: 80aaa233-495f-4162-a468-9c58264725a8