Bilingual Sr. Coordinator, Patient Access (Case Manager)

Cardinal Health, Inc.; Northern (KY); Hybrid; USD 29,000 - 42,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Job summary

Cardinal Health, Inc. is seeking a remote Patient Care Specialist to manage the end-to-end care process from benefit verification to medication delivery, ensuring an exceptional patient experience.

You will conduct benefit verifications, coordinate with physicians, pharmacies, and insurers, assist with prior authorizations and appeals, and help patients understand coverage and out-of-pocket costs. The role requires bilingual English/Spanish, strong communication, and the ability to work

Qualifications

• 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred.
• Fluent in both Spanish and English required.
• Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage preferred.
• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
• Robust computer literacy skills including data entry and MS Office-based software programs.
• Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred.
• Excellent written and oral communication, mediation, and problem-solving skills.

Responsibilities

• Manage the entire care process with urgency from benefit verification to medication delivery, ensuring an exceptional patient experience.
• Conduct benefit verifications and collaborate with physicians, specialty pharmacies, and insurance companies for seamless care and timely access.
• Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes.
• Help patients understand their insurance plan coverage, including out-of-pocket costs, and guidance on appeals if needed.
• Resolve patient questions and any representative for the patient’s concerns regarding status of their request for assistance.
• Demonstrate expertise in payer landscapes and insurance processes including Medicare, Medicaid, Managed Care, and Commercial plans.
• Process enrollments via fax, phone, and electronically.
• Scrutinize forms and supporting documentation for missing or new information and input into the database.
• Receive inbound calls from patients, healthcare providers, SPs, and customers with a goal of one-call resolution.

Skills

Fluent in English and Spanish

Excellent written and oral коммуника?

Education

High School diploma or equivalent

Tools

MS Office

Job description

What Individualized Care contributes to Cardinal Health

Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

Together, we can get life-changing therapies to patients who need them—faster.

Responsibilities:

• Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience
• Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services
• Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes
• Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed
• Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
• Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products
• Process enrollments via fax, phone, and electronically as needed
• Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database
• Receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution

Qualifications:

• 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred
• Fluent in both Spanish and English required
• Previous Hub or Patient Support Service experience preferred
• High School diploma or equivalent preferred
• Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred
• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
• Robust computer literacy skills including data entry and MS Office-based software programs
• Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred
• Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers

What is expected of you and others at this level:

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
• In-depth knowledge in technical or specialty area
• Applies advanced skills to resolve complex problems independently
• May modify process to resolve situations
• Works independently within established procedures; may receive general guidance on new assignments
• May provide general guidance or technical assistance to less experienced team members

TRAINING AND WORK SCHEDULES:

Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 8:00pm CST.

REMOTE DETAILS:

You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable

• Download speed of 15Mbps (megabyte per second)
• Upload speed of 5Mbps (megabyte per second)
• Ping Rate Maximum of 30ms (milliseconds)
• Hardwired to the router
• Surge protector with Network Line Protection for CAH issued equipment

Anticipated hourly range:

$21.40 per hour - $30.60 per hour

Bonus eligible:

No

Benefits:

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.