Insurance Verification Specialist-Remote

We need to output HTML fragment with sections: About the role? Actually the job description includes "Job Description" repeated, then "Soleo Health is seeking a Clearance Specialist...". We need to create sections: About the role (maybe description), Responsibilities, Requirements, Benefits, Pay, Schedule, Skills? The instructions: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Include a section only when posting has real, specific content. Do not repeat job title as heading. Do not put Job ID etc. Remove boilerplate. We need to preserve all substantive info. Let's extract content: - Intro: "Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO. This position supports our Specialty Infusion Pharmacy by processing incoming referrals, calling insurance to verify benefits and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in Simplifying Complex Care! Must work onsite hybrid in Chesterfield, MO, and have specialty pharmacy and Provider Buy & Bill experience." - Then "Soleo Health Perks" list: 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. - Then "This Position" description: "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." - Then "Responsibilities include:" bullet list (but it's actually a paragraph with colon then list? Actually after colon they list items separated by line breaks? The text: "Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion servicesResponsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etcCalculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricingInitiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposesCommunicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as neededRefer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundationsGenerate new patient start of care paperworkOther duties as assigned". This is a run-on list; we need to split into

items. - Then "Schedule Monday-Friday, Full-Time M-F 8:00 am to 4:30 pm Central with overtime as needed" - Then "Requirements" list: At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience; Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units; High school diploma or equivalent; 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. - Then "About Us:" description: "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." - Then "Keywords: Prior Auth, Insurance, Referrals, Now hiring, hiring now, immediately hiring, hiring immediately" (should be removed as boilerplate? It's not EEO but maybe considered metadata; but it's not required; we can drop it as it's not substantive? It's basically keywords for SEO; we can drop.) We need sections: About the role (intro), Responsibilities, Requirements, Benefits (perks), Schedule. Possibly Skills? The "Basic level skill in Microsoft Excel & Word; Knowledge of CPR+ preferred" could be under Skills or Requirements. But we already have Requirements; we could keep them there. The instructions say we can use Skills heading if we have specific content. But we can just include under Requirements. Pay: Not mentioned (no salary). So we should not create Pay section. Benefits: we have list of perks; we can create Benefits section. Schedule: we have schedule. About the role: we have intro paragraph. Responsibilities: we have bullet list. Requirements: we have list. We need to output only HTML fragment, no /. Use

for headings,

• for lists,

  for prose. We must not repeat job title as heading. So no heading "Clearance Specialist". Use About the role heading. We need to preserve all substantive info; do not invent or summarize away detail. Let's craft:

  About the role

  Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO. This position supports our Specialty Infusion Pharmacy by processing incoming referrals, calling insurance to verify benefits and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in Simplifying Complex Care! Must work onsite hybrid in Chesterfield, MO, and have specialty pharmacy and Provider Buy & Bill experience.

  Responsibilities

  • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
  • 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

  Requirements

  • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience
  • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units
  • High school diploma or equivalent
  • 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

  Benefits

  • 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

  Schedule

  Monday‑Friday, Full‑Time M‑F 8:00 am to 4:30 pm Central with overtime as needed

  We might also include "This Position" description as part of About the role? Actually we have a separate paragraph "This Position The Clearance Specialist is responsible for processing new referrals...". That is substantive and not covered elsewhere. Could be included under About the role or a separate section like "Position Overview". But we already have About the role covering intro; we could add that paragraph after intro. Let's incorporate it into About the role paragraph or as a separate

  under About the role. Better: Keep About the role as intro, then add a

  for "This Position..." description. Thus:

  About the role

  Soleo Health is seeking a Clearance Specialist to work hybrid in Chesterfield, MO. This position supports our Specialty Infusion Pharmacy by processing incoming referrals, calling insurance to verify benefits and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in Simplifying Complex Care! Must work onsite hybrid in Chesterfield, MO, and have specialty pharmacy and Provider Buy & Bill experience.

  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.

  That covers all. Check for any other substantive info: "Soleo Health Perks" we turned into Benefits. Good. Check for any duplicated lines: we removed. Check for boilerplate: removed EEO etc. Check for "About Us" description: we haven't included that. It's substantive: description of company, core values, DEI statement. Should we include? The instructions: preserve ALL substantive information; do not invent or summarize away detail. The "About Us" section is substantive. Should we include it? Possibly under a heading "About the company" or "About Soleo Health". But the allowed headings list includes About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Not About the company. However we could include it under About the role? But that might be mixing. The instruction: "use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It says e.g., meaning those are examples, not exclusive? It says use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but suggests those are typical. However later: "IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text