Remote Care Navigator - Patient Access & Reimbursement

Cardinal Health; Springfield (IL); Remote; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

401k savings plan

Health savings account

Disability coverage

Work-Life resources

Paid parental leave

Flexible spending accounts

Job summary

Cardinal Health seeks a Coordinator, Individualized Care to support patient access to therapy through Reimbursement Support Services. The role guides patients through intake, insurance benefit investigation, and coordination with payers, specialty pharmacies, and physicians to facilitate coverage and timely dispensing.

Responsibilities include handling complex payer issues, managing inquiries, and ensuring a positive patient experience while maintaining privacy and data security.

Qualifications

• 1-3 years of experience preferred.
• High School Diploma, GED or equivalent work experience preferred.
• Ability to work Monday-Friday between the hours of 7:00 AM-7:00 PM CST

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 within limits.
• 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.

Skills

Experience

High School Diploma or equivalent

Weekday CST hours

Education

High School Diploma

Job description

Cardinal Health seeks a Coordinator, Individualized Care to support patient access to therapy through Reimbursement Support Services. The role guides patients through intake, insurance benefit investigation, and coordination with payers, specialty pharmacies, and physicians to facilitate coverage and timely dispensing.

Responsibilities include handling complex payer issues, managing inquiries, and ensuring a positive patient experience while maintaining privacy and data security.