Description Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! At least 2 years of home infusion pharmacy experi…
Skills: Prior authorizations, Benefit verification, Home infusion pharmacy, Test claim adjudication, Coordination of benefits
Administrative Assistant Department: Office staff Employment Type: Full Time Location: DFW North Reporting To: Josh Hehmke Compensation: $17.00 - $20.00 / hour Description At In Charge Electric, we’re more than just a wo…
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The Goddard School of Frisco Legacy, TX
Assistant Director
Frisco, Texas, United States · On-site
Mid level
Benefits: Benefits vary by location Bonus opportunities State-of-the-Art facilities Community outreach opportunities Affiliation with leaders in the early childhood education industry 401(k) Paid time off Training & deve…
Skills: Staff management, Curriculum development, Early childhood education, Child development, Team leadership
Company Description We’re a leading Investor Services group offering end-to-end services in administration, accounting, reporting, regulatory and compliance needs of the investment sector worldwide. We employ a global wo…
Skills: Private equity accounting, Fund administration, Financial reporting, Waterfall models, Capital account statements
WHY JOIN ALO? Mindful movement. It’s at the core of why we do what we do at ALO—it’s our calling. Because mindful movement in the studio leads to better living. It changes who yogis are off the mat, making their lives an…
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EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to en…
Job Title: Front Office Specialist Company: Clarkson Eyecare Texas Location: Frisco, TX Training Provided – No medical/eyecare experience required! Perks: Full Benefits Package - Medical, Vision, Dental and Life Insuranc…
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About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to l…
Skills: Patient registration, Insurance verification, Data entry, Customer service, Communication skills
CHILDREN'S HEALTH SYSTEM OF TEXAS
Medical Assistant - School Wellness
Frisco, Texas, United States · On-site
Entry level
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At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in mental healthc…
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Special Education Aide - Active Learning Classroom (ALC)
Frisco, Texas, United States · On-site
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Reports ToCampus Principal Work Year Days186 Primary Purpose Assist special education teacher in providing for the physical and instructional needs of students with disabilities in a special education setting. PROGRAM DE…
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Job DetailsJob Location: Skilled Nursing at Prairie Estates - Frisco, TX 75033Position Type: Full TimeJob Category: Leadership & Support ServicesDiversity, Equity, and Inclusion are at the heart of Cantex. We are committ…
Skills: Medical billing, Bookkeeping, Accounting principles, Microsoft Excel, Payroll
Job DetailsJob Location: Skilled Nursing at Prairie Estates - Frisco, TX 75033Position Type: Full TimeJob Category: Housekeeping & MaintenanceDiversity, Equity, and Inclusion are at the heart of Cantex. We are committed …
For more than 45 years, Careington International has been a leader in the health and wellness benefits space. Since its founding in 1979, Careington has been delivering dental discount solutions as its core competency. T…
* Under direct supervision, provide exceptional customer service, involving receipt and payment of cash, while working in a high volume, sales environment. * Evaluate new and existing customer relationships and recommend…
District Services Administrator/Contract Specialist
Frisco, Texas, United States · On-site
Senior$14M raised
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Skills: Contract administration, Construction management, Budget tracking, Project documentation, Procurement
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$23/hr–$27/hr
Full-time
high school
401(k) with a match, Referral bonus, Paid time off, Paid parental leave, Medical insurance, Dental insurance
Posted 18h ago
~40 hrs/week
Remote in United States
Responsibilities
The Clearance Specialist processes new patient referrals by verifying insurance eligibility, coordinating benefits, and calculating estimated out-of-pocket costs. They are also responsible for submitting and following up on prior authorization requests while maintaining accurate documentation of coverage and financial responsibility.
Requirements
Candidates must have at least 2 years of home infusion specialty pharmacy medical intake or reimbursement experience. A high school diploma or equivalent is required, along with working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines.
Full job description
Description
Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!
At least 2 years of home infusion pharmacy experience required, including prior authorizations, benefit verifications, running test claims, and HCPC calculations. The hours 8:30am - 5:00pm Central and on-call once every 4 weeks.
The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include:
Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services
Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc
Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing
Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including
Reviewing and obtaining clinical documents for submission purposes
Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed
Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations
Generate new patient start of care paperwork
Schedule:
Must be able to work Full time, 40 hours per week, Monday-Friday
M-F 8:30am - 5:00pm Central
Weekend on-call once every 4 weeks
Must have experience with Acute Infusion for Prior authorization/Benefits Verification
Requirements
High school diploma or equivalent
At least 2 years of home infusion specialty pharmacy medical intake/reimbursement experience required
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
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: Prior Auth, Insurance, Referrals, Home Infusion Prior Authorization, Home Infusion Benefits verification, Insurance Verification Specialist, Specialty Infusion Benefits Verification, Now Hiring, Hiring Now, Hiring Immediately, Immediately Hiring, clearance
Simplifying Complex Care
Frisco, Texas-based Soleo Health is a leading, independent national provider of complex specialty pharmacy services and infusion therapy administered in the home or at alternate sites of care. Soleo Health’s interdisciplinary team comprises highly experienced clinical pharmacists, registered nurses, reimbursement specialists and patient care ambassadors collaborating with its referring partners.
The Company optimizes patient care solutions and delivers comprehensive services, leading to quantifiable clinical and economic value, resulting in positive patient experiences. Soleo Health has 28 pharmacy locations with national nursing coverage and pharmacy licensure in 50 states and is accredited by URAC, ACHC with Distinction in Rare Disease and Orphan Drugs, and the National Association of Boards of Pharmacy. Additionally, the Company operates more than 30 infusion suites and centers throughout the U.S.
Offices: 2801 Network Blvd., Suite 505, Frisco, Texas 75034, US · Atlanta, Georgia 30033, US · Houston, Texas 77054, US · Fort Worth, Texas 76107, US · Boise, Idaho 83704, US
How many Administrative jobs are open in Frisco, TX right now?
There are currently 351 open administrative positions in Frisco, TX listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Frisco, TX?
Companies currently hiring include Omni Hotels & Resorts, Careington International Corporation, Keurig Dr Pepper Inc., Frisco ISD, NCR Atleos, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Frisco, TX?
Yes — 70 of the 351 open administrative positions offer remote or hybrid work (13 remote, 57 hybrid).
How do I apply for Administrative jobs in Frisco, TX?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.