Lead Coordinator, Benefits Eligibility and Prior Authorization

Cardinal Health; United States; On-site; USD 64,758,000 - 83,813,000; Full time

Benefits offered by this job

Medical insurance

Dental coverage

Vision coverage

Paid time off

Health savings account

401k savings plan

MyFlexPay access

FSAs

Disability coverage

Work-Life resources

Parental leave

Wellness programs

Job summary

Cardinal Health is seeking a Lead Coordinator for Benefits Eligibility and Authorization to manage the Eligibility and Authorization team across multiple sites. You will verify insurance coverage, obtain prior authorizations, and support oncology-related billing workflows with a hands-on leadership approach.

You'll train coordinators, monitor performance metrics, and collaborate with patients and internal teams to ensure accurate coverage decisions while maintaining HIPAA compliance and

Qualifications

• 4-5 years of experience in a medical business office.
• Knowledge of medical terminology.
• Familiar with Urology, Chemotherapy, PET, and Radiation Billing.
• Experience with computerized billing software and interpreting EOBs.
• Working knowledge of ICD-10, CPT, HCPCS, and CPT coding.
• Proficient with Microsoft Office Suite and computer/telephony support.

Responsibilities

• Provide daily workflow support and problem-solving assistance via SOPs and reference documents.
• Respond to questions regarding policies, procedures, and complex cases promptly.
• Train and onboard new Eligibility and Authorization coordinators.
• Monitor performance metrics, identify trends, and coach as needed.
• Escalate complex eligibility delays and coordinate with internal teams within 24 hours.

Skills

Medical terminology

Billing software

ICD-10/CPT coding

Customer service

Microsoft Office

Multitasking

Communication

Tools

Billing software

EOB interpretation

Telephony systems

Job description

Lead Coordinator, Benefits Eligibility and Authorization

About Navista

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 40 sites, Navista provides the support community practices need to fuel their growth-while maintaining their independence.

What Revenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of medical practices. The Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Job Purpose

The Team Lead for Benefits Eligibility and Authorization is responsible for overseeing the daily operations of the Eligibility and Authorization team while maintaining hands‑on involvement in verifying and maintaining insurance coverage and obtaining authorization across all patient accounts for all lines of business. This role combines individual contributor responsibilities with leadership duties, including problem‑solving, staff support, training, as well as presenting performance trends to the supervisor for performance management.

The Team Lead guides team members through complex eligibility scenarios and provides expert guidance on prior authorizations for Medical Oncology, Radiation, and other Imaging therapies. This position communicates with patients and other departments regarding patient coverage, eligibility, and authorizations.

Responsibilities

• Provide daily workflow support and problem‑solving assistance utilizing the SOP’s and reference documents for consistency and accuracy in response to Eligibility and Authorization coordinators through Teams chats, emails, and direct communication via teams calls.
• Respond to team member questions regarding policies, procedures, complex cases, and system‑related issues in a timely and thorough manner.
• Train and onboard new Eligibility and Authorization coordinators, ensuring they understand department processes, systems, and performance expectations.
• Monitor and review team performance and productivity metrics on a regular basis, identifying trends, opportunities for improvement, and coaching needs.
• Act as an escalation point for complex eligibility and authorization delays that require advanced problem‑solving, ensuring prompt resolution.
• Coordinate and communicate information required or requested by other internal teams or site stakeholders within 24 hours.
• Oversee and provide expert guidance on prior authorizations for Medical Oncology, Radiation, Imaging therapies, and other high‑risk denial medications, ensuring robust clinical documentation, payer‑criteria alignment, proactive appeals management, and minimized treatment delays for vulnerable patient populations.
• Maintain up‑to‑date knowledge of payer‑specific requirements, including Medicaid, Medicare Advantage plans and various commercial insurance plans as well as notify Benefits Eligibility and Authorization Management of any issues that have potential for a negative outcome for the organization.
• Demonstrates exceptional analytical and problem‑solving abilities with a strong focus on accuracy and precision.
• Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
• Maintain excellent customer service and kindness with all patients and staff.
• Maintain a high level of confidentiality for patients in accordance with HIPAA standards.
• Regular attendance and punctuality.
• Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
• Effectively completes other duties and projects assigned.

Qualifications

• 4-5 years of experience, preferred Minimum four years of experience in a medical business office.
• Knowledge of medical terminology.
• Familiar with Urology, Chemotherapy, PET, and Radiation Billing.
• Experience with computerized billing software and interpreting EOBs.
• Working knowledge of ICD-10, CPT, HCPCS, and CPT coding.
• Knowledge of computer/telephony support, preferably in a healthcare environment.
• Strong customer service background, preferably in a healthcare environment.
• Competence with computer processing functions and other standard office equipment.
• Prior experience in Microsoft Office Suite.
• Ability to manage and prioritize multiple tasks.
• Ability to calmly and professionally resolve customer issues with diplomacy and tact.
• Ability to work independently with minimal supervision.
• Strong organizational skills.

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.

Hourly Range

Anticipated hourly range: $22.60 - $29.25. 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

Application window anticipated to close: 11/16/2026

Equal Opportunity Statement

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.

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

To read and review this privacy notice.

Company Location & Overview

Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and operational sides of healthcare, delivering end‑to‑end solutions and data‑driving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care. With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges — now, and in the future.