Remote Care Coordination & Reimbursement Specialist

Cardinal Health, Inc.; Pierre (SD); Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Cardinal Health Sonexus Access and Patient Support is hiring a Coordinator, Individualized Care to support patient access to therapy via Reimbursement Support Services. You will guide patients through intake, investigate insurance benefits, and coordinate with payers, specialty pharmacies, and physicians to facilitate coverage and timely dispensing.

The role requires handling complex payer/pharmacy issues, meeting KPIs, and maintaining patient confidentiality.

Qualifications

• 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

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.

Education

High School Diploma, GED or equivalent work experience

Job description

Cardinal Health Sonexus Access and Patient Support is hiring a Coordinator, Individualized Care to support patient access to therapy via Reimbursement Support Services. You will guide patients through intake, investigate insurance benefits, and coordinate with payers, specialty pharmacies, and physicians to facilitate coverage and timely dispensing.

The role requires handling complex payer/pharmacy issues, meeting KPIs, and maintaining patient confidentiality.