Remote Care Coordinator - Patient Access & Payer Support

Cardinal Health; United States; Remote; USD 29,000 - 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

Access to wages before pay day with my

FlexPay

Flexible spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Cardinal Health’s Sonexus Access and Patient Support seeks a Case Manager to guide patients through insurance benefit investigations, prior authorizations, and reimbursement steps to ensure timely access to therapy. The role emphasizes collaboration with providers, payers, and pharmacies across a fully remote, full-time schedule.

Responsibilities include coordinating patient referrals, investigating benefits, and following up to secure coverage while adhering to HIPAA and program rules; strong

Qualifications

• High School Diploma, GED, or equivalent work experience
• 3-6 years experience in related field preferred
• 1-2 years experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred
• Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
• Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
• Knowledge of Medical/Pharmacy billing and coding is preferred
• Important to have a strong attention to detail

Responsibilities

• The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations.
• Guiding healthcare providers through patient referral intake, benefits investigations, prior authorizations, and appeals.
• Proactive follow-up with insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product.

Job description

Cardinal Health’s Sonexus Access and Patient Support seeks a Case Manager to guide patients through insurance benefit investigations, prior authorizations, and reimbursement steps to ensure timely access to therapy. The role emphasizes collaboration with providers, payers, and pharmacies across a fully remote, full-time schedule.

Responsibilities include coordinating patient referrals, investigating benefits, and following up to secure coverage while adhering to HIPAA and program rules; strong