Soleo Health Inc

Description Soleo Health is seeking a Billing Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Home infusion billing experience required. - 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, and Vision Insurance Plans - Company Paid Disability and Basic Life Insurance - HSA and FSA (including dependent care) Options - Education Assistance Program The Position: The Billing Specialist will primarily be responsible for insurance and self-pay billing, excluding Medicare. This role is also responsible for submitting electronic and paper claims. Follows up with clearing house vendors on accepted and working rejections. Responsibilities include: - Preparation of accurate medical claims based on contracted agreements for services to various payers (e.g. Commercial Payers, Government Payers, Employer/ Institutional Payers). - Reviewing and identifying claims pricing discrepancies based on updates/changes to fee schedules. - Creates and submits secondary electronic pharmacy and medical claims in a timely manner. - Billing of manufacturer copays, which includes entering the necessary information into portal or billing via paper at time of initial billing. - Monitors billing requirements pursuant to contracts with third party payers or government programs. - Answer insurance/billing questions from branch staff and help educate. - Review information from electronic medical records in patient account (IE: auth, benefit verification, orders, accounts receivable, etc.) to ensure preparation and submission of clean claims. - Perform routine revenue review of claims billed within the current month. - Answering incoming calls and triage if necessary. - Create claim batches and process them via electronic submission. - Manually process any claims that are not eligible for electronic billing. Identify any claims that need attention, make corrections, and resubmit. - Ensure coding to the highest level of specificity and for maximum reimbursement by third party payers. - Daily review and follow up of unbilled delivery tickets in billing review and ready to bill queues. - Accurately notate patient accounts to reflect all actions made including marginal, split claim notes, missing COGS, etc. - Coordinates with the pharmacy team daily to ensure any PBM issues are addressed and resolved, accepted into revenue and billed timely - Effectively utilize time and resources to meet performance goals. - Provides exceptional Customer service to internal and external customers. - Ensures compliance with federal, state, and local governments, third party contracts, and company policies. - Clearly communicate any billing related issues to all appropriate parties including: Intake, collections, RBL, and manager. - Monitoring the unbilled-pending invoices queues and communicate to the branch on missing or needed documents or information. - Maintain current knowledge of departmental and organizational policies. Schedule: - 8:30a-5p, Monday-Friday Requirements - 2 years or more of home infusion billing required - High School Diploma or equivalent - Knowledge of HCPC coding and medical terminology - Experience providing customer service to internal and external customers - Must be computer literate - Must be dependable. Excellent phone and email communication skills. - Working knowledge of ICD10, CPT, NCCI; must be familiar with modifier application and standard billing regulations About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords:billing representative, accounts receivable, collections, claims, medical coding and billing

Description Soleo Health is seeking a Credentialing Specialist to drive the end-to-end credentialing process, ensuring timely payor enrollment, includes support for Medicare enrollment and ongoing compliance to support high-quality patient care and organizational growth. Join us in simplifying complex care! Soleo Health Perks: - Competitive Wages - 401(k) with a Match - Referral Bonus - Paid Time Off - Great Company Culture - 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 The Position: The Credentialing Specialist plays a pivotal role in managing all aspects of Payor Credentialing and Medicare certifications for our organization. This position is crucial in ensuring that our services comply with the stringent standards set by CMS (Centers for Medicare Services) and Payor credentialing programs. As a central figure in the Credentialing team, the specialist not only leads the strategic planning and execution of certification applications and revalidations but also ensures continuous compliance and operational excellence within the department. Responsibilities include: - Spearhead the planning and execution of new Payor credentialing applications, managing timelines, resources, and documentation requirements efficiently to meet stringent deadlines. - Direct the entire lifecycle of Medicare certifications and revalidations. Ensure that all certifications are up-to-date and in alignment with federal regulations. - Continuously monitor changes in CMS PECOS and Payor credentialing requirements. Proactively communicate updates to relevant stakeholders and adjust processes accordingly to maintain compliance. - Maintain master payor lists, shared documentation folders and other pertinent tracking tools. - Oversee the administration of portal access for new users. - Lead and delegate the completion of payor applications, re-credentialing applications, adding new branches to existing agreements, and addendums, annual FWA training attestations, etc. including but not limited to private payors, preferred provider organizations, third–party administrators, pharmacy benefit managers, etc. - Work with Directors Payor Relations and others as applicable to follow up on outstanding credentialing applications and proposals. Provide expert advice and support for departmental and organizational projects that require credentialing insight. - Collaborate with the Credentialing team to set quality standards for services and products. Ensure that all credentialing activities contribute to the overarching goal of high-quality service delivery. - Contribute expertise to larger, cross-functional projects, offering support and guidance on issues related to credentialing. Participate in strategic meetings to represent the credentialing perspective and ensure alignment with organizational objectives. Schedule: Monday-Friday 8:30am-5:00pm Requirements - High School Diploma or equivalent required. - Prior Credentialing experience preferred. - Experience establishing and maintaining relationships with individuals at various levels of the organization, such as peers, internal/external stakeholders, business partners, senior level managers. - Demonstrated competencies in the use of information support systems (e.g. PECOS, Smartsheet, Microsoft Word, Excel, PowerPoint, and Outlook. - Experience applying and maintaining pharmacy or other Licenses. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now hiring, hiring now, immediately hiring, hiring immediately

Description Soleo Health is seeking a Collection Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Infusion collection experience required, and must work 8:30a-5p Pacific Time. Soleo Health Perks: - Competitive Wages - Flexible schedules - 401(k) with a match - Referral Bonus - Annual Merit Based Increases - No Weekends or Holidays! - Affordable Medical, Dental, and Vision Insurance Plans - Company Paid Disability and Basic Life Insurance - HSA and FSA (including dependent care) options - Paid Time Off! - Education Assistant Program The Position: The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Collections Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include: - Researches all balances on the accounts receivable and takes necessary collection actions to resolve in a timely manner - Researches assigned correspondence; takes necessary action to resolve requests - Routinely reviews and works correspondence folder requests in a timely manner - Makes routine collection calls on outstanding claims - Identifies billing errors, short payments, unpaid claims, cash application issues and resolves accordingly - Ability to identify potential risk, write offs and status appropriately and report and escalate to management on as identified - Researches refund requests received by payers and statuses refund according to findings - Documents detailed notes in a clear and concise fashion in Company software system - Identifies issues/trends and escalates to Manager when assistance is needed - Provides exceptional Customer Service to internal and external customers - Ensures compliance with federal, state, and local governments, third party contracts, and company policies - Must be able to communicate well with branch, management, patients and insurance carriers - Ability to perform account analysis when needed - Answering phones/taking patient calls regarding balance questions - Using portals and other electronic tools - Ensure claims are on file after initial submission - Identifies, escalates, and prepares potential payor projects to management and company Liaisons - Write detailed appeals with supporting documentation - Keep abreast of payor follow up/appeal deadlines - Submits secondary claims Requirements - High school diploma or equivalent; an associate degree in finance, accounting, or a related field is preferred - 1-3 years or more of strong infusion collections experience required - Knowledge of HCPC coding and medical terminology - CPR+ systems experience preferred - Excellent math and writing skills - Excellent interpersonal, communication and organizational skills - Ability to prioritize, problem solve and multitask - Word, Excel and Outlook experience - Must be able to work 8:30a-5p Pacific Time About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: AR, Accounts receivable, collector, reimbursement specialist, representative

Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Specialty home infusion experience required and must be able to work 8:30a-5p Pacific Time. Soleo Health 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 This Position: The Clearance Specialist is 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. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: - 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 Schedule: - Must be able to work Full time, 40 hours per week, Monday-Friday from 8:30a-5p Pacific Time - Must have experience with Specialty Infusion for Prior authorization/Benefits Verification Requirements - High school diploma or equivalent - At least 2 years of home infusion specialty pharmacy - 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 About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring

Description Soleo Health is seeking a Reimbursement Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Specialty infusion reimbursement experience required. Soleo Health 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 The Position: The Reimbursement Specialist will effectively perform the billing and collection activities necessary to facilitate the payment for the services provided. Responsibilities include: - Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical). - Creates and submits secondary medical claims in a timely manner; - Monitors billing requirements pursuant to contracts with third party payers or government programs. - Reviews payments/explanation of benefits (EOBs) applied to invoice to ensure that correct payment has been received; - Addresses payer and electronic transmission rejections; - Researches claim denials and follows-up with payer for resolution; - Monitors payer correspondence and provides requested information, as appropriate; - Makes routine collection calls on outstanding claims; - Researches refund requests received by payers and prepares refund according to findings; - Documents notes in a clear and concise fashion in Company software system; - Identifies issues/trends and escalates to Manager when assistance is needed; - Provides exceptional Customer service to internal and external customers; - Ensures compliance with federal, state, and local governments, third party contracts, and company policies. Schedule: - Typical Business Hours of Monday-Friday 8:30-5p Eastern Time - Remote Requirements - Knowledge of home infusion therapy billing practices required - Knowledge of HCPC coding and medical terminology - Excellent math and writing skills - Experience providing customer service to internal and external customers - CPR+ systems experience preferred - Excel and Outlook experience required - High School Diploma or GED required About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference!? Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Accounts receivable, medical billing, coding, HCPC, finance, billing, collections

Description Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Specialty infusion prior authorization experience required. Hours are Monday-Friday 930a-6p Central Time. Soleo Health 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 The Position: The Prior Authorization Coordinator ensures seamless patient care by maintaining prior authorizations, copay assistance, and verifying existing insurance coverage for ongoing services. Responsibilities include: - Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits - Verify insurance benefit information monthly via multiple methods such as online tools, calling payors or processing test claims - Generates a prior authorization expiration report weekly, bi-weekly, or monthly - Review clinical documents for prior authorization/pre-determination submission purposes - Secures prior authorization, pre-determination, or medical review - Contact prescriber’s office to obtain information that is required to complete ongoing re-authorization and verification of benefits - Places outbound calls to patients or prescriber’s offices to notify of any delays due to more information needed to process or due to a prior authorization - Document insurance coverage of medications, administration supplies, and related infusion services including prior authorization requirements and coordination of benefits - Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner - Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided - Generates patient forms - Maintains up to date prior authorization report - Other duties as assigned Schedule: - Monday-Friday 930a-6p Central Time. Requirements - High school diploma or equivalent required - At least 2 years of specialty infusion intake/admissions and/or reimbursement experience - Previous medical and pharmacy benefit experience is required - Initiating and securing prior authorizations, pre-determination, and appeals - Ability to interpret payor contract fee schedules based on NDC and HCPCS units - Ability to effectively handle multiple priorities within a changing environment - Basic level skill in Microsoft Excel and Word About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Description Soleo Health is seeking a Payroll Administrator to support our Specialty Infusion Pharmacy business needs and work Remotely (USA). Join us in Simplifying Complex Care! Soleo Health Perks: - Competitive Wages - 401(k) with a Match - Referral Bonus - Paid Time Off - Great Company Culture - Annual Merit Based Increases s - 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 The Position: The Payroll Administrator supports the accurate, timely, and compliant processing of multi-state payroll operations. This role plays a critical part in payroll execution, payroll tax compliance, system maintenance, and audit support while delivering a high level of service to employees and internal stakeholders. This role requires hands-on payroll experience, strong attention to detail, and working knowledge of payroll tax filings and HRIS systems, including Paylocity. The Payroll Administrator partners closely with the Payroll Manager, HR, and Finance to ensure payroll data integrity, compliance, and continuous process improvement. Responsibilities Include: - Support the preparation, processing, and review of biweekly, multi-state payroll - Enter, review, and validate payroll data including new hires, terminations, pay changes, deductions, and adjustments - Review and ensure accuracy of time and labor data prior to payroll processing - Assist with off-cycle payrolls, bonuses, and special payroll runs as needed - Respond to employee payroll inquiries with accuracy, professionalism, and discretion - Assist with payroll tax filings, including quarterly and annual returns - Support preparation and reconciliation of Form 941, state withholding filings, and related tax reports - Assist with payroll tax reconciliations and coordinate with payroll vendors and taxing agencies - Support resolution of payroll tax notices and inquiries - Maintain compliance with federal, state, and local payroll laws and regulations - Maintain payroll and employee data within the HRIS system (Paylocity) - Support payroll system updates, enhancements, testing, and upgrades - Assist with troubleshooting payroll and HRIS system issues - Ensure data accuracy and consistency across payroll, timekeeping, benefits, and HRIS modules - Help maintain system documentation, workflows, and process guides - Assist with payroll audits, including internal, external, and tax audits - Support periodic audits of payroll taxes, deductions, overtime, and paid time off balances - Prepare payroll reports and reconciliations for HR, Finance, and Accounting - Assist with year-end processes, including W-2 preparation and reconciliation - Identify opportunities to improve payroll processes, accuracy, and efficiency - Collaborate with HR and Finance to ensure proper flow of employee and payroll data - Support documentation of payroll procedures and internal controls Schedule: - Standard business hours Monday-Friday 8:30am-5pm, 40 hours per week Requirements - Associate’s degree in accounting, Finance, Business, or related field preferred (or equivalent experience) - 2–5 years of hands-on payroll experience in a multi-state environment - Experience with payroll tax filings, including Form 941 - Experience supporting payroll audits and tax reconciliations - Prior experience with Paylocity is strongly preferred - Working knowledge of federal, state, and local payroll regulations - Experience with HRIS and payroll systems, including time and attendance - Strong attention to detail and commitment to accuracy - Proficiency in Microsoft Excel and payroll reporting - Ability to maintain confidentiality and handle sensitive information - Strong organizational and time management skills - Effective written and verbal communication skills - Ability to manage multiple priorities and meet deadlines - Collaborative mindset with strong customer service orientation About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now Hiring, Hiring Now, Immediately Hiring, Hiring Immediately

Description Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Specialty infusion prior authorization experience required. Hours are Monday-Friday 9:00am - 5:30pm Eastern Standard time. Soleo Health 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 The Position: The Prior Authorization Coordinator ensures seamless patient care by maintaining prior authorizations, copay assistance, and verifying existing insurance coverage for ongoing services. Responsibilities include: - Must have a solid working knowledge of insurance plans and benefit structures in order to obtain detailed benefit information and maximize plan benefits - Verify insurance benefit information monthly via multiple methods such as online tools, calling payors or processing test claims - Generates a prior authorization expiration report weekly, bi-weekly, or monthly - Review clinical documents for prior authorization/pre-determination submission purposes - Secures prior authorization, pre-determination, or medical review - Contact prescriber’s office to obtain information that is required to complete ongoing re-authorization and verification of benefits - Places outbound calls to patients or prescriber’s offices to notify of any delays due to more information needed to process or due to a prior authorization - Document insurance coverage of medications, administration supplies, and related infusion services including prior authorization requirements and coordination of benefits - Provides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner - Ensures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be provided - Generates patient forms - Maintains up to date prior authorization report Schedule: - Monday-Friday 9:00am-5:30pm Eastern Standard Time Requirements - High school diploma or equivalent required. - At least 2 years of healthcare intake/admissions and/or reimbursement experience - Previous medical and pharmacy benefit experience is required - Initiating and securing prior authorizations, pre-determination, and appeals - Ability to interpret payor contract fee schedules based on NDC and HCPCS units - Ability to effectively handle multiple priorities within a changing environment - Basic level skill in Microsoft Excel - Basic level skill in Microsoft Word About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor.

Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required. Must be able to work 9am-5:30pm Central or Eastern Time and on-call once every 4 weeks. Soleo Health 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 This Position: The Clearance Specialist is 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. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: - 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 Schedule: - Must be able to work Full time, 40 hours per week, Monday-Friday - 9a-5:30p Central or Eastern Time (with a 30 min lunch) - Weekend on-call once every 4 weeks - Must have experience with Acute Infusion for Prior authorization/Benefits Verification Requirements - 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 About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring

Description Soleo Health is seeking a Technology Training Manager to design and deliver training programs that equip pharmacy and operational teams with the knowledge and skills needed to effectively use critical technology platforms supporting our specialty pharmacy operations. Join us in Simplifying Complex Care! Soleo Health Perks: - Competitive Wages - 401(k) with a Match - Referral Bonus - Paid Time Off - Great Company Culture - Annual Merit Based Increases - 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 The Position: The Technology Training Manager is responsible for designing, implementing, and maintaining comprehensive training programs that enable pharmacy staff, clinicians, and support teams to effectively use technology platforms critical to specialty pharmacy operations. The Technology Training Manager leads the design, development, and delivery of a comprehensive technology training program. This role establishes training standards, develops documentation and competency tools, and supports large-scale operational and technology initiatives, including implementation of a new EMR, inventory barcoding system, and other workflow-enhancing platforms. The individual must become highly knowledgeable in these technologies and possess exceptional communication skills to explain complex concepts clearly and engagingly. The Training Manager ensures pharmacists, technicians, patient care coordinators, and support teams have the knowledge and skills to operate confidently, compliantly, and efficiently within a specialized, highly regulated environment. Responsibilities Include: Technology & Implementation Support - Partner with Operations, Finance, IT, and vendor teams to create training strategies for large-scale technology deployments. - Develop end-user materials such as e-learning modules, job aids, video walkthroughs, and workflow maps. - Support user acceptance testing (UAT) and document system workflows. - Lead training during implementation and go-live, including super-user programs and post-implementation support. Operations & Compliance Alignment - Collaborate with cross-functional teams to conduct competency checks and re-training for high-risk or compliance-sensitive tasks following major implementations. Training Delivery & Facilitation - Develop new hire on boarding learning materials, Collaborate with IT and HR staff to publish and track usage and compliance. - Facilitate in-person and virtual training sessions for Soleo staff, individually or in groups. - Conduct role-specific training on tools and programs used by individual teams. - Develop blended learning approaches and refine training effectiveness through metrics. - Track completion and identify performance or knowledge gaps. Documentation & Content Development - Produce SOPs, workflows, job aids, and training decks. - Develop playbooks to guide common (routine) initiatives. - Document current and future state workflows. - Support change management initiatives. Cross-Functional Collaboration - Act as a training subject matter expert during continuous improvement efforts. - Partner with HR Talent Development to align and socialize training materials. - Perform other duties as assigned. Schedule: - Monday-Friday 8:30am-5pm, standard business hours - Remote Requirements · Bachelor’s degree in Instructional Design, Education, Healthcare Administration, Business, Information Systems, or a related field preferred; equivalent combination of education and relevant experience may be considered. · Required: 3–5+ years’ experience in training and instructional administration with expertise in adult learning principles. · Preferred: Certifications in instructional design or related fields. · Experience creating training for EMRs, pharmacy systems, or other healthcare technologies. · Exceptional documentation and workflow mapping skills. · Strong facilitation and presentation skills. · Ability to manage multiple projects and adapt to evolving technology. · Preferred: Experience with Lean, Six Sigma, Agile, or Organizational/Technology Change Management (OCM/TCM). · Familiarity with Learning Management Systems (LMS). Key Competencies - Process-Driven Thinker - Documentation Expert - Change-Ready Leader - Communicator & Influencer Technical Skills - Proficiency with Microsoft Excel, Word, and Outlook at a basic to intermediate level. - Proficiency with diagramming and vector graphics applications (e.g., Visio) at a basic to intermediate level. - Experience with content creation tools for training development, including: - Document authoring tools (e.g., Microsoft Word, PowerPoint). - Video creation and editing tools (e.g., Camtasia, Adobe Premiere, or similar). - E-learning development platforms (e.g., Articulate, Captivate). - Familiarity with Learning Management Systems (LMS) for hosting self-service training content and tracking usage. About Us: Soleo Health is an innovative national provider of complex specialty pharmacy and infusion services, administered in the home or at alternate sites of care. Our goal is to attract and retain the best and brightest as our employees are our greatest asset. Experience the Soleo Health Difference! Soleo’s Core Values: - Improve patients’ lives every day - Be passionate in everything you do - Encourage unlimited ideas and creative thinking - Make decisions as if you own the company - Do the right thing - Have fun! Soleo Health is committed to diversity, equity, and inclusion. We recognize that establishing and maintaining a diverse, equitable, and inclusive workplace is the foundation of business success and innovation. We are dedicated to hiring diverse talent and to ensuring that everyone is treated with respect and provided an equal opportunity to thrive. Our commitment to these values is evidenced by our diverse executive team, policies, and workplace culture. Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring