Talent.com
Clearance Team Lead-Remote
Clearance Team Lead-RemoteSoleo Health Inc • Frisco, TX, US
Clearance Team Lead-Remote

Clearance Team Lead-Remote

Soleo Health Inc • Frisco, TX, US
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
  • [filters.remote]
[job_card.job_description]

Job Description

Job Description

Description :

Soleo Health is seeking a Clearance Team Lead to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!

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 Clearance Team Lead provides daily support and guidance to the Patient Access team, assists with escalations, participates in complex therapy benefit verification and prior authorization submissions, and performs duties of both the Clearance Specialist and Prior Authorization Coordinator. They work closely with the Patient Access Supervisor to ensure the team meets or exceeds productivity and quality expectations while delivering exceptional patient care. Responsibilities include :

  • Acts as a resource for colleagues : Provide guidance to the team on referral processing standards, Soleo contracts, fee schedules, therapy guidelines, and supported therapies
  • Monitor and assign referral workload : Oversee the clearance team’s workload and direct the work of other staff members
  • Serve as a Subject Matter Expert : Works autonomously to handle more complex issues related to benefits and authorization within established procedures and practices
  • Handle escalations : Provide exceptional customer service to external and internal customers, resolving any customer requests in a timely and accurate manner
  • Assist in training new team members : Ensure new team members understand their roles and responsibilities and provide ongoing training to enhance their skills and knowledge
  • Support Patient Access team members : Provide necessary guidance, feedback and counseling and may contribute input for performance evaluations
  • Generate and update reports : Create, update and distribute patient access-related reports as needed
  • Perform duties of a Clearance Specialist and Prior Authorization Coordinator
  • Schedule :

  • Monday-Friday 8 : 30-5p
  • Must have experience with Specialty Infusion for Prior authorization / Benefits Verification
  • Prefer someone with training or lead experience
  • Requirements :

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

    Keywords :

    [job_alerts.create_a_job]

    Clearance • Frisco, TX, US

    [internal_linking.similar_jobs]
    Travel CT Tech - $1,933 per week in Houston, TX

    Travel CT Tech - $1,933 per week in Houston, TX

    AlliedTravelCareers • Dallas, Texas, US
    [job_card.full_time]
    Travel Radiology : CT Tech Houston, TX.Shift Details : 12H Days (6 : 30 AM-7 : 00 PM).Length : 13 WEEKS 13 weeks.Apply for specific facility details.[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Remote Customer Care Associate

    Remote Customer Care Associate

    TurboTax • McKinney, Texas
    [filters.remote]
    [job_card.full_time]
    Work from home with TurboTax Product Expert.Get a $405 Certification bonus³.Work from home & set your own flexible schedule between 8am EST and 12am midnight EST Monday to Sunday⁴.Earn an ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Client Relations Manager - Fully Remote Position

    Client Relations Manager - Fully Remote Position

    Globe Life : American Income Division • Dallas, TX, United States
    [filters.remote]
    [job_card.full_time]
    The Manager-in-Training (MIT) position is crafted for ambitious individuals who are motivated to take on leadership roles within the organization. This role is a key part of our leadership developme...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director - Remote Operations Center

    Director - Remote Operations Center

    Trunk Space Storage • Dallas, TX, US
    [filters.remote]
    [job_card.full_time]
    Dallas, TX (In-Office / Hybrid).VP of Operations (with regular access to the CEO).Sunday through Thursday (Friday & Saturday are the weekend for this role). Offshore Call Center Partner Relation...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Site Reliability Engineer, SplunkCloud Tech Ops FedRAMP-33504

    Site Reliability Engineer, SplunkCloud Tech Ops FedRAMP-33504

    Cisco Systems, Inc. • Dallas, TX, United States
    [job_card.full_time]
    Splunk, a Cisco company, is building a safer and more resilient digital world with an end-to-end full stack platform made for a hybrid, multi-cloud world. Leading enterprises use our unified securit...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Credit Onboarding

    Director, Credit Onboarding

    The Options Clearing Corporation • Dallas, TX, United States
    [job_card.full_time]
    THIS POSITION IS NOT ELIGIBLE FOR VISA SPONSORSHIP • • • • •.This role will be primarily responsible for safeguarding OCC by ensuring that Credit Risk Management (CRM) only recommends new clearing membe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Crypto Trader

    Remote Crypto Trader

    Maverick Currencies • McKinney, TX
    [filters.remote]
    [job_card.full_time] +1
    Top-ranked proprietary trading firm, Maverick Currencies, is searching for entrepreneurially-minded, profit-driven people to be trained in the art and science of proprietary trading in its online c...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Lead Site Reliability IP Engineer

    Lead Site Reliability IP Engineer

    Altice USA • Plano, TX, United States
    [job_card.full_time]
    Are you looking to Optimize your life? Start your exciting path to a rewarding career today!.We are Optimum, a leader in the fast-paced world of connectivity, and we're on the hunt for enthusiastic...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Work – Product Assessments - $25-$45 per hour (No Experience)

    Remote Work – Product Assessments - $25-$45 per hour (No Experience)

    Online Consumer Panels America • McKinney, Texas, US
    [filters.remote]
    [job_card.part_time] +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Tech Lead Guidewire Claim Center

    Tech Lead Guidewire Claim Center

    HCLTech • Plano, TX, US
    [job_card.full_time]
    We are HCLTech, one of the fastest-growing large tech companies in the world and home to 220,000 people across 60 countries, supercharging progress through industry-leading capabilities centered ar...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Team Leader

    Associate Team Leader

    H&R Block • Plano, TX, US
    [job_card.full_time] +1
    At H&R Block, we believe in the power of people helping people.Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere.We also believe ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Restaurant Delivery - Flexible Onboarding

    Restaurant Delivery - Flexible Onboarding

    DoorDash • Prosper, TX, United States
    [job_card.full_time] +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Cyber Defense Security Operations (Remote)

    Director of Cyber Defense Security Operations (Remote)

    Experian • Allen, TX, US
    [filters.remote]
    [job_card.full_time]
    Experian is a global data and technology company, powering opportunities for people and businesses around the world.We help to redefine lending practices, uncover and prevent fraud, simplify health...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Forex & Crypto Proprietary Trader | Dallas, TX

    Remote Forex & Crypto Proprietary Trader | Dallas, TX

    Maverick FX • Dallas, TX, USA
    [filters.remote]
    [job_card.full_time]
    Remote Forex & Crypto Proprietary Trader | Dallas, TX.Trade Forex & Crypto with a professional proprietary firm focused on long-term trader development. Before you continue, please watch t...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Certified Surgical Tech CST PRN

    Certified Surgical Tech CST PRN

    Baylor Scott & White Health • McKinney, TX, US
    [job_card.full_time]
    Requires a min of 2 yrs CST experience .Join Baylor Scott and White Medical Center - McKinney as a CST and be part of something better! . Our Operating unit is a fast-paced environme...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Content QA Reviewer

    Remote Content QA Reviewer

    Outlier • McKinney, TX, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    100% Remote TeleNeurology Opportunity - Flexible Scheduling Options

    100% Remote TeleNeurology Opportunity - Flexible Scheduling Options

    CompHealth • Dallas, US
    [filters.remote]
    [job_card.full_time] +1
    Dallas, TX, is an outstanding place for physicians to practice and live, offering a thriving healthcare industry, competitive salaries, and no state income tax. Home to world-class medical instituti...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Air Interdiction Agent

    Air Interdiction Agent

    US Customs and Border Protection • McKinney, TX, US
    [job_card.full_time]
    Air and Marine Operations (AMO), a component of U.Customs and Border Protection (CBP), offers skilled Pilots interested in law enforcement an opportunity to work with an elite team of highly traine...[show_more]
    [last_updated.last_updated_30] • [promoted]