Soleo Health

Specialty pharmacy and home infusion services

Infusion Reimbursement Specialist

Accounts Payable/ReceivableConfirmed live in the last 24 hours

Full-timeRemote in USA

About the Job

Requirements

Two years of infusion reimbursement experience is required.
The ability to communicate with branch staff, management, patients, and insurance carriers.
The ability to perform account analysis when needed.
Ensure compliance with federal, state, and local governments, third-party contracts, and company policies.

Responsibilities

Research accounts receivable balances and take necessary collection actions to resolve them in a timely manner.
Research assigned correspondence and take necessary action to resolve requests.
Routinely review and work correspondence folder requests in a timely manner.
Make routine collection calls on outstanding claims.
Identify billing errors, short payments, unpaid claims, and cash application issues, and resolve them accordingly.
Identify potential risks and write-offs, document their status, and report and escalate them to management as identified.
Research payer refund requests and status refunds according to findings.
Document detailed notes clearly and concisely in the company software system.
Identify issues and trends and escalate them to the manager when assistance is needed.
Provide customer service to internal and external customers.
Answer phones and take patient calls regarding balance questions.
Use portals and other electronic tools.
Ensure claims are on file after initial submission.
Identify, escalate, and prepare potential payer projects for management and company liaisons.
Write detailed appeals with supporting documentation.
Keep abreast of payer follow-up and appeal deadlines.
Submit secondary claims.

Soleo Health is seeking an Infusion Reimbursement Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! 2 years of infusion reimbursement experience is 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, and Vision Insurance Plans
Company Paid Disability and Basic Life Insurance
HSA and FSA (including dependent care) Options
Education Assistance Program

The Position:

The Reimbursement Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of multiple site locations. The Reimbursement Specialist will proactively work assigned accounts to maximize accurate and timely payment. Responsibilities include:

Researches all balances on the A/R 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

Schedule:

Monday - Friday 8:30am - 5pm

About the Company

Soleo Health

Specialty pharmacy and home infusion services

Soleo Health provides specialty pharmacy and home infusion therapy, delivering complex medications to patients at home or in ambulatory infusion centers. It supports those with chronic and acute conditions through personalized care plans, patient education, and therapy adherence interventions. Its SoleMetrics outcomes program uses data to monitor quality and help reduce hospitalizations and readmissions. Revenue comes from partnerships with healthcare providers, payers, and direct patient services, backed by 21 licensed branch pharmacies serving all 50 states to enable nationwide access and improve patient outcomes.

Company size: 501-1,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Frisco, TX
Founded: 2014

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