Remote Bilingual Senior Patient Access Coordinator

Cardinal Health; United States; On-site; USD 25,000 - 41,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

FSAs

Disability coverage

Work-Life resources

Paid parental leave

Job summary

Cardinal Health is seeking an experienced remote Patient Support Specialist focused on benefit investigations, prior authorizations, and patient onboarding. You will collaborate with physicians, insurance providers, and specialty pharmacies to ensure timely access to therapies and a seamless patient experience.

You'll guide patients through coverage options, explain costs, and help navigate appeals, while maintaining up-to-date knowledge of Medicare, Medicaid, and commercial payer policies.

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.
• Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred.

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

Skills

Bilingual Spanish-English

Patient support experience

Medicare/Medicaid knowledge

Data entry / MS Office

Education

High School diploma

Job description

Cardinal Health is seeking an experienced remote Patient Support Specialist focused on benefit investigations, prior authorizations, and patient onboarding. You will collaborate with physicians, insurance providers, and specialty pharmacies to ensure timely access to therapies and a seamless patient experience.

You'll guide patients through coverage options, explain costs, and help navigate appeals, while maintaining up-to-date knowledge of Medicare, Medicaid, and commercial payer policies.