Remote Benefit & Reimbursement Specialist

Cardinal Health, Inc.

Dover (DE)

Remote

USD 32,000 - 41,000

Full time

40 hours ago
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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off
401k plan
MyFlexPay access
FSAs

Job summary

Cardinal Health, Inc. is seeking a Remote Customer Support Associate to handle inbound calls, enrollment applications, and payer communications.

You will assess financial assistance options and provide guidance to patients, while maintaining thorough case notes in the system. The role requires 3–6 years of customer service or patient support experience, familiarity with Medicare and payer policies, and strong computer skills.

Qualifications

  • 3-6 years of experience preferred in patient support or similar roles.
  • High School Diploma, GED, or equivalent preferred.
  • Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies preferred.
  • Understanding of Medical, Supplemental, and pharmacy insurance benefit practices preferred.
  • 1-2 years experience with Prior Authorization and Appeal submissions preferred.
  • Proficient in Microsoft Office (Word/Outlook; Excel preferred).
  • Bilingual is preferred.

Responsibilities

  • First point of contact on inbound calls and determine needs.
  • Create and complete accurate applications for enrollment with urgency.
  • Scrutinize forms and documentation for any missing information.
  • Conduct outbound correspondence to support patient/program needs.
  • Resolve patient questions and concerns regarding status of requests for assistance.
  • Maintain accurate and detailed notations for every interaction in the database.
  • Make outbound calls to discuss missing information and benefit details.
  • Assess patient’s financial ability to afford therapy and guide to financial assistance.
  • Provide detailed activity notes for Benefit Investigation processing.
  • Work with teammates to support patient population needs.
  • Follow through on benefit investigation rejections including Prior Authorizations and Appeals.
  • Track payer/plan issues and report trends to management.
  • Explain insurance options and help patients select best coverage.
  • Handle escalations per region and communicate resolutions timely.
  • Research payer/provider/pharmacy issues to resolve quickly.

Skills

Customer service
Problem solving
Medicare knowledge
Payer policies

Education

High School Diploma, GED, or equivalent

Tools

Microsoft Word
Outlook
Excel
CRM software

Job description

Cardinal Health, Inc. is seeking a Remote Customer Support Associate to handle inbound calls, enrollment applications, and payer communications.

You will assess financial assistance options and provide guidance to patients, while maintaining thorough case notes in the system. The role requires 3–6 years of customer service or patient support experience, familiarity with Medicare and payer policies, and strong computer skills.

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