Remote Case Manager: Patient Access & Reimbursement

Cardinal Health; United States; Remote; USD 29,000 - 43,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

HSA

401k

myFlexPay

FSAs

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

The Case Manager at Cardinal Health supports patient access to therapy through Reimbursement Support Services, guiding healthcare providers through referral intake, benefits investigations, prior authorizations, and appeals to facilitate coverage and timely delivery.

You will work remotely, with shift coverage during standard hours, and must maintain HIPAA compliance, strong organization, and proactive communication with payers, pharmacies, and support organizations to ensure patient access.

Qualifications

• Must demonstrate efficiency and strong organizational skill.
• Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate.
• Proactive follow-up with various contacts to ensure patient access to therapy.
• Call interactions are inbound & outbound: Must demonstrate superior customer support talents that remain in compliance with standard call quality expectations.
• Must communicate clearly and effectively in both a written and verbal format.
• Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program.

Responsibilities

• The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations.
• This position is responsible for guiding the healthcare providers through the various process steps in support of their patient’s journey to therapy.
• These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product in a timely manner.

Skills

Efficient organization

Issue resolution

Follow-up

Customer support

Communication

Attention to detail

Education

High School Diploma or GED

Job description

The Case Manager at Cardinal Health supports patient access to therapy through Reimbursement Support Services, guiding healthcare providers through referral intake, benefits investigations, prior authorizations, and appeals to facilitate coverage and timely delivery.

You will work remotely, with shift coverage during standard hours, and must maintain HIPAA compliance, strong organization, and proactive communication with payers, pharmacies, and support organizations to ensure patient access.