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.

Job Title Home Health Scheduling Specialist - Part-Time - Weekend Coverage - HCHB Experience Required Location Remote/Nationwide, USA Additional Location(s) GHG Lisle IL Employee Type Employee Working Hours Per Week 36 Job Description Homecare Homebase (HCHB) experience is required for this position. Must be willing to attend training Monday - Friday for the first 3 weeks. After training, this position will move to every Saturday & Sunday. Graham Healthcare Group is hiring a Patient Services Coordinator to join our dynamic team! The Patient Services Coordinator is responsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. In addition, the patient services coordinator will accumulate admissions/intake information and communicate with CFSS for possible staffing needs and concerns. This position can work remotely depending on location. Compensation: $20.00 - $24.00 The base compensation range for this role is fixed, with a maximum cap of $24.00. We want to be transparent about this as we continue discussions. Hours: Every Saturday & Sunday, this position does have the ability to pick up extra hours. Medical Benefits: Health, Vision, & Dental Retirement: 401K & Pension w/ 4% Company Match PTO: 15 Days Patient Services Coordinator Responsibilities: - Works within the HCHB workflow structure as directed - Compile the daily schedules of clinical staff. - With the direction of the Assistant Clinical Manager, assigns POD clinicians to patients. - Assists POD personnel in care coordination of patient/client services. Serves as a liaison between the field staff, patients/clients, and POD personnel. - Communicates with CFSS when order approval is holding scheduling - Completes all tasks/workflow daily, communicates with ACM regarding any workflow unable to be processed prior to the end of the shift. - Process appropriately all visits that have been sent back from clinicians. - Weekend rotation as needed Patient Services Coordinator Qualification Requirements: - Associate’s degree Preferred. - At least one (1) year of experience in home health preferred. - At least one (1) year of experience in a customer service capacity. - Proficient in Microsoft Office suite. - Minimum of two years general office experience, with one (1) of those years having been in data entry or word processing functions. - Previous Home Health experience preferred About Graham Healthcare Group: As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum. Join the Graham Healthcare Group and enjoy the following benefits: - Competitive Pay: With opportunity for advancement - Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from. - Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered. - Generous PTO Packages. - Retirement: Save for your future with our company offered 401k plan and pension. - Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan. Benefits may vary based on your employment status. NOTICE: - Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. - By supplying your phone number, you agree to receive communication via phone or text. - By submitting your application, you are confirming that you are legally authorized to work in the United States. Graham Healthcare Group is an Equal Opportunity Employer

Job Title Home Health Scheduling Specialist - Full-Time - Weekend Coverage - HCHB Experience Required Location Remote/Nationwide, USA Additional Location(s) GHG Lisle IL Employee Type Employee Working Hours Per Week 40 Job Description Homecare Homebase (HCHB) experience is required for this position. Must be willing to attend training Monday - Friday for the first 3 weeks. Compensation: $20.00 - $24.00 The base compensation range for this role is fixed, with a maximum cap of $24.00. We want to be transparent about this as we continue discussions. Monday-Friday, 8AM-5PM, fully remote Medical Benefits: Health, Vision, & Dental Retirement: 401K & Pension w/ 4% employer contribution PTO: 15 Days Graham Healthcare Group is hiring a Patient Services Coordinator to join our dynamic team! The Patient Services Coordinator is responsible for scheduling the home visits for the field staff and assisting with the coordination of patient care. In addition, the patient services coordinator will accumulate admissions/intake information and communicate with CFSS for possible staffing needs and concerns. This position can work remotely depending on location. Patient Services Coordinator Responsibilities: - Works within the HCHB workflow structure as directed - Compile the daily schedules of clinical staff. - With the direction of the Assistant Clinical Manager, assigns POD clinicians to patients. - Assists POD personnel in care coordination of patient/client services. Serves as a liaison between the field staff, patients/clients, and POD personnel. - Communicates with CFSS when order approval is holding scheduling - Completes all tasks/workflow daily, communicates with ACM regarding any workflow unable to be processed prior to the end of the shift. - Process appropriately all visits that have been sent back from clinicians. - Weekend rotation as needed Patient Services Coordinator Qualification Requirements: - Associate’s degree Preferred. - At least one (1) year of experience in home health preferred. - At least one (1) year of experience in a customer service capacity. - Proficient in Microsoft Office suite. - Minimum of two years general office experience, with one (1) of those years having been in data entry or word processing functions. - Previous Home Health experience preferred About Graham Healthcare Group: As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum. Join the Graham Healthcare Group and enjoy the following benefits: - Competitive Pay: With opportunity for advancement - Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from. - Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered. - Generous PTO Packages. - Retirement: Save for your future with our company offered 401k plan and pension. - Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan. Benefits may vary based on your employment status. NOTICE: - Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. - By supplying your phone number, you agree to receive communication via phone or text. - By submitting your application, you are confirming that you are legally authorized to work in the United States. Graham Healthcare Group is an Equal Opportunity Employer

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Hello! Please note that unless you can accommodate some unusual hours (with a cheery demeanor), this role is best-suited for those living in the Eastern Standard Timezone. 100% Remote. Must be performed in the States. Sadly, we cannot facilitate VISAs. Cover letters are welcomed, appreciated, and reviewed (by a human)! This role supports provider offices, internal operations, and clinical teams by driving the execution layer of prior authorization and referral workflows. The focus is purely operational: documentation requirements, follow-up, routing, and closing loops so work progresses without delay. This role is for someone who can ramp into complex workflows, manage multiple active workstreams, and deliver consistent outcomes with minimal oversight. Qualifications - 5+ years of hands-on prior authorization experience — beyond general call center or data entry work - Direct experience in either a hospital/clinic central authorization function OR pharmacy technician role with dedicated PA and insurance specialization - Demonstrated understanding of both medical and pharmacy benefit PA workflows at the documentation and execution level - Experience navigating PBM requirements including coverage criteria, benefit verification, and authorization documentation standards - Proven ability to communicate with provider offices via phone and email — navigating gatekeepers, call trees, and office workflows to move documentation forward - Strong documentation discipline: accurate, timely case tracking with notes, outcomes, timestamps, and next steps - HIPAA compliance knowledge and scope discipline - Eastern Time Zone — non-negotiable Requirements - Execute PA and referral workflows end-to-end: documentation follow-up, routing, and loop closure with provider offices - Drive work forward by identifying next steps, obtaining missing information, and preventing case stalls - Communicate clearly and professionally with provider office staff via phone and email - Support clinical teams by reducing administrative burden — gather missing documentation, route questions appropriately - Maintain accurate, timely documentation in HubSpot and operational tracking tools - Identify recurring friction points and contribute actionable feedback to strengthen SOPs - Operate strictly within scope — workflow, documentation, process, and follow-up only Benefits - Salary ranges from $70-85k based on experience and location - 401(k) w/matching - All kinds of insurance (including matching HSA and pets!) - Open PTO (which leaders use!) - Remote stipend - Yearly education budget - Working with some of the smartest yet humblest and respectful people in the business Education - High school diploma or GED required - PTCB/CPhT strongly preferred