Coordinator, Individualized Care

222 Cardinal Health 110, LLC; United States; Remoto; USD 25.000 - 36.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Wages advance with myFlexPay

Flexible spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Descrizione del lavoro

Cardinal Health Sonexus™ Access and Patient Support seeks a Coordinator, Individualized Care to support patient access to therapies through Reimbursement Support Services. The role guides patients through intake, benefit investigations, and follow-ups with payers and pharmacies to ensure timely coverage and dispensing of products.

Responsibilities include handling complex payer issues, meeting KPIs, and providing customer service with technical expertise.

Competenze

• Customer service and communication skills used to answer inbound questions
• Ability to follow program rules and policies with basic problem resolution
• Comfort handling sensitive information and working with healthcare data

Mansioni

• Guide patients through intake and reimbursement processes
• Coordinate with insurance payers, pharmacies and providers to facilitate coverage
• Respond to inquiries and maintain service levels per KPIs
• Maintain knowledge of therapy, prior authorization and reimbursement details
• Handle sensitive data with discretion and escalate complex issues as needed

Conoscenze

Customer service

Communication

Problem solving

Formazione

High School Diploma or GED

Descrizione del lavoro

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.

Job Summary

The Coordinator, Individualized Care supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This role is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience. This role answers inbound questions and provides customer service and technical expertise to parties.

Responsibilities

• Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
• Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
• Meets key performance indicators including service levels, call volumes, adherence and quality standards.
• Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
• Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
• Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.

Qualifications

• 1-3 years of experience, preferred
• High School Diploma, GED or equivalent work experience, preferred
• What is expected of you and others at this level
• Applies acquired job skills and company policies and procedures to complete standard tasks
• Works on routine assignments that require basic problem resolution
• Refers to policies and past practices for guidance
• Receives general direction on standard work; receives detailed instruction on new assignments
• Consults with supervisor or senior peers on complex and unusual problems
  

What is expected of you and others at this level

• Applies acquired job skills and company policies and procedures to complete standard tasks
• Works on routine assignments that require basic problem resolution
• Refers to policies and past practices for guidance
• Receives general direction on standard work; receives detailed instruction on new assignments
• Consults with supervisor or senior peers on complex and unusual problems

TRAINING AND WORK SCHEDULES:

Your new hire training will take place 8:00am-5:00pm CST, mandatory on camera 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, 8:00am- 5:00pm 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:

• 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: $18.10 per hour - $25.80 per hour

Bonus eligible: No

Benefits:

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• 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
  

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 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.

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