Job Description Job Description 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 8:30a-5p Central.Soleo Health Perks:Competitive Wages401(k) with a MatchReferral BonusPaid Time OffGreat Company CultureAnnual Merit Based IncreasesNo Weekends or HolidaysPaid Parental Leave OptionsAffordable Medical, Dental, & Vision Insurance PlansCompany Paid Disability & Basic Life InsuranceHSA & FSA (including dependent care) OptionsEducation Assistance ProgramThe 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 benefitsVerify insurance benefit information monthly via multiple methods such as online tools, calling payors or processing test claimsGenerates a prior authorization expiration report weekly, bi-weekly, or monthlyReview clinical documents for prior authorization/pre-determination submission purposesSecures prior authorization, pre-determination, or medical reviewContact prescriber's office to obtain information that is required to complete ongoing re-authorization and verification of benefitsPlaces 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 authorizationDocument insurance coverage of medications, administration supplies, and related infusion services including prior authorization requirements and coordination of benefitsProvides exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate mannerEnsures the appropriate notification of patients in regards to their financial responsibility, benefit coverage, and payor authorization for services to be providedGenerates patient formsMaintains up to date prior authorization reportOther duties as assignedSchedule:Monday-Friday 8:30a-5pm Central TimeRequirements: High school diploma or equivalent requiredAt least 2 years of specialty infusion intake/admissions and/or reimbursement experiencePrevious medical and pharmacy benefit experience is requiredInitiating and securing prior authorizations, pre-determination, and appealsAbility to interpret payor contract fee schedules based on NDC and HCPCS unitsAbility to effectively handle multiple priorities within a changing environmentBasic level skill in Microsoft Excel and WordAbout 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 dayBe passionate in everything you doEncourage unlimited ideas and creative thinkingMake decisions as if you own the companyDo the right thingHave 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: