Soleo Health Inc

The specialist processes new referrals by verifying patient insurance eligibility, calculating out-of-pocket costs, and coordinating benefits. They are also responsible for the submission and follow-up of payer authorization requests and preparing start-of-care paperwork.

Responsible for processing new referrals by verifying patient insurance eligibility and calculating estimated out-of-pocket costs. Manages the preparation, submission, and follow-up of payer authorization requests and clinical documentation.

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.