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Soleo Health Inc
Overview
The Clearance Specialist is responsible for processing new referrals, which includes verifying patient eligibility, adjudicating test claims, coordinating benefits, and determining estimated patient out-of-pocket costs. They must also prepare, submit, and follow up on payer authorization requests.
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Compensation
$23 - $27 / HOUR
Posted
28 days ago
Onco360
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, and run test claims to obtain valid insurance responses for patient medications. Responsibilities also include facilitating the process for requesting medical authorizations and ensuring accurate benefit documentation for all prescription orders.
$25 / HOUR
2 months ago
The specialist will investigate, review, and load accurate patient insurance information, including running test claims and identifying authorization requirements for medication coverage. Key duties involve practicing first call resolution, providing timely benefit information responses, and ensuring complete and accurate patient setup in the CPR+ system.
$24 / HOUR
The specialist will investigate, review, and load accurate patient insurance coverage, assign coordination of benefits, run test claims to confirm coverage, and identify necessary authorizations for medications. They will also practice first call resolution for healthcare providers and patients regarding pharmacy needs and ensure complete and accurate patient setup in the CPR+ system.
The specialist will investigate, review, and load accurate patient insurance information, including running test claims and identifying authorization requirements for medication coverage. They will also practice first call resolution to assist providers and patients with pharmacy needs and ensure accurate benefit documentation for all prescription orders.
$22 / HOUR
3 months ago
The specialist ensures patients receive necessary medications by managing prior authorization requests and appeals with insurance carriers, addressing rejected claims, and conducting necessary third-party authorization requests. This involves collaborating with physicians and pharmacists while maintaining strict HIPAA compliance and accurate documentation.
$23 / HOUR
The specialist will investigate, review, and load accurate patient insurance information, including running test claims and identifying authorization requirements for medication coverage. Key duties involve practicing first call resolution for providers and patients, ensuring complete patient setup in the CPR+ system, and facilitating the process for requesting medical authorizations.
The specialist will investigate, review, and load accurate patient insurance information, including running test claims to confirm coverage and identifying necessary authorizations for medications. Key duties involve practicing first call resolution for providers and patients, ensuring complete patient setup in the CPR+ system, and facilitating the process for requesting medical authorizations.
TruHealth
The technician will manage daily pharmacy claims activities, including reviewing point-of-service claims, resolving rejections and payment discrepancies, and ensuring accurate claim adjudication through collaboration with external teams. Key duties also involve facilitating the prior authorization process and serving as the primary billing contact for network pharmacies.
Salary not listed
Physicians Dialysis
The Case Manager coordinates patient affairs, monitors daily activities, and ensures compliance with facility policies and government regulations. They facilitate clinical documentation, discharge planning, and connect patients with essential community resources.
$22 - $29 / HOUR
