Remote Patient Access and Reimbursement Coordinator

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

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Disability coverage

Job summary

Cardinal Health, Inc. is seeking a Coordinator, Individualized Care to support patient access through Reimbursement Support Services.

The role guides patients through the journey to therapy, handling referrals, benefits investigations, and proactive follow-ups with payers, pharmacies, support groups, and physicians to facilitate coverage and dispensing in a timely manner. Responsibilities include handling complex payer/pharmacy issues, meeting KPIs, and maintaining patient data 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 within authority.
• 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 Individualized Care leadership.

Education

High School Diploma, GED or equivalent work experience

Job description

Cardinal Health, Inc. is seeking a Coordinator, Individualized Care to support patient access through Reimbursement Support Services.

The role guides patients through the journey to therapy, handling referrals, benefits investigations, and proactive follow-ups with payers, pharmacies, support groups, and physicians to facilitate coverage and dispensing in a timely manner. Responsibilities include handling complex payer/pharmacy issues, meeting KPIs, and maintaining patient data confidentiality