Infusion Clinical Review Coordinator - Remote

Job description

Description Soleo Health is seeking a Clinical Review Coordinator to support our Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex Care! Must be able to work 8:30am-5pm Eastern Time, Monday-Friday. Specialty Infusion Pharmacy experience is required. Soleo Health Perks: - Competitive Wages - Flexible schedules - 401(k) with a match - Referral Bonus - Paid Time Off - Annual Merit Based Increases - No Weekends or Holidays - Affordable Medical, Dental, and Vision Insurance Plans - Company Paid Disability and Basic Life Insurance - HSA and FSA (including dependent care) options - Education Assistant Program The Position: The Clinical Review Coordinator works closely with all departments to research and provide accurate and timely clinical review on complex, patient cases to ensure that approval is secured and to mitigate risk of technical and clinical denials. The Clinical Review Coordinator attempts to resolve denials by utilizing nationally recognized criteria for appeal submission. Responsibilities include: Schedule: - Completes prior authorization reviews in a timely manner through their clinical expertise evaluating patient clinicals and payer cli...