Soleo Health Inc

The coordinator manages prior authorizations, copay assistance, and insurance verification to ensure seamless patient care for specialty infusion services. Key tasks include reviewing clinical documents, contacting prescribers, and maintaining up-to-date authorization reports.

Oversee the accounts receivable collections process to ensure timely reimbursement and reduce outstanding balances. Supervise and develop a team of collection specialists while collaborating with billing and operational teams to optimize revenue cycle performance.

The Clinical Review Coordinator is responsible for conducting prior authorization reviews and resolving denials by utilizing clinical expertise and payer criteria. They also assist in creating clinical support packets and maintaining a library of resources for appeals.

The Prior Authorization Coordinator manages insurance authorizations, verifies benefit coverage, and coordinates with prescribers to ensure seamless patient care. They are responsible for documenting insurance details, resolving coverage delays, and maintaining accurate authorization reports.

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.

The Commercial Sales Data Analyst will analyze sales, revenue, and market data to support data-driven decisions within the commercial department, collaborating with sales, marketing, and leadership to identify growth opportunities and optimize revenue streams. Responsibilities include evaluating commercial performance, tracking key metrics in the customer acquisition funnel, analyzing margin performance, and developing sales funnel analytics for forecasting.

The Clearance Specialist processes new referrals by verifying patient eligibility, coordinating benefits, and preparing payer authorization requests. They communicate with patients and referral sources regarding the status of referrals and assist with financial assistance programs as needed.