Soleo Health · 4 hours ago
Reimbursement Specialist
Chesterfield, MO
Full-time
Onsite
New Grad, Entry LevelSoleo Health is an innovative national provider of complex specialty pharmacy and infusion services. The Reimbursement Specialist will perform billing and collection activities to facilitate payment for services provided, ensuring compliance with various payer requirements.
BiotechnologyHealth CareService Industry
Responsibilities
Responsible for the preparation of accurate medical and pharmacy claims for home infusion therapy services to various payers (e.g. commercial Rx Card Payers, Government Payers, Employer/ Institutional Payers, and Medical)
Creates and submits secondary medical claims in a timely manner
Monitors billing requirements pursuant to contracts with third party payers or government programs
Reviews payments/explanation of benefits (EOBs) applied to invoice to ensure that correct payment has been received
Addresses payer and electronic transmission rejections
Researches claim denials and follows-up with payer for resolution
Monitors payer correspondence and provides requested information, as appropriate
Makes routine collection calls on outstanding claims
Researches refund requests received by payers and prepares refund according to findings
Documents notes in a clear and concise fashion in Company software system
Identifies issues/trends and escalates to Manager when assistance is needed
Provides exceptional Customer service to internal and external customers
Ensures compliance with federal, state, and local governments, third party contracts, and company policies
Qualification
Required
Required to work onsite Tues, Wed and Thurs of each week
Knowledge of HCPC coding and medical terminology
Excellent math and writing skills
Experience providing customer service to internal and external customers
Excel and Outlook experience required
High School Diploma or GED required
Preferred
Knowledge of home infusion therapy billing practices
CPR+ systems experience
Benefits
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
Company
Soleo Health
Soleo Health is a pharmacy provider of intravenous and injectable medications for patients with chronic disorders.
Founded in 2007
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-02-03Private Equity
2025-02-03Acquired
Leadership Team
Benjamin Bier
Chief Financial Officer
Holly Flax
Chief Operating Officer
Recent News
Soleo Health Holdings, Inc.
2025-10-14
Soleo Health Holdings, Inc.
2025-10-06
Company data provided by crunchbase