Lead Eligibility & Authorization Architect

Cardinal Health; Northern (KY); Hybrid; USD 31,000 - 40,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Wages advance with myFlexPay

Job summary

Cardinal Health is seeking a Lead Coordinator for Benefits Eligibility and Authorization within its Revenue Cycle Management team. You will oversee daily operations of the Eligibility and Authorization group, with hands-on verification of insurance coverage and prior authorizations across oncology, imaging, and other lines of business.

You will mentor staff, analyze performance trends, and coordinate with clinical and billing teams to minimize delays while maintaining HIPAA compliance and

Qualifications

• 4-5 years of experience in medical business office preferred.
• Strong knowledge of medical terminology.
• Familiar with oncology, chemotherapy, PET, and radiation billing.
• Experience with computerized billing software and interpreting EOBs.
• Working knowledge of ICD-10, CPT, HCPCS codes.
• Proficient with computer/telephony systems in a healthcare setting.
• Excellent customer service in a healthcare environment.
• Proficient in Microsoft Office Suite.

Responsibilities

• Provide daily workflow support and problem-solving using SOPs for consistency and accuracy via Teams, email, and calls.
• Answer questions on policies, complex cases, and system issues.
• Train and onboard new Eligibility and Authorization coordinators.
• Monitor team performance and identify trends and coaching needs.
• Escalate complex delays for timely resolution.
• Coordinate with internal teams within 24 hours on required information.
• Guide approvals for Medical Oncology, Radiation, and Imaging payers to minimize delays.

Skills

Medical terminology

Experience with eligibility and prior-

Billing software

Interpreting EOBs

ICD-10/CPT coding

Computer/telephony support

Customer service

Microsoft Office Suite

multitasking

Tools

Billing software

Microsoft Office

Job description

Cardinal Health is seeking a Lead Coordinator for Benefits Eligibility and Authorization within its Revenue Cycle Management team. You will oversee daily operations of the Eligibility and Authorization group, with hands-on verification of insurance coverage and prior authorizations across oncology, imaging, and other lines of business.

You will mentor staff, analyze performance trends, and coordinate with clinical and billing teams to minimize delays while maintaining HIPAA compliance and