Remote Patient Benefit Coordinator

Cardinal Health, Inc.; Field (KY); Remote; USD 42,000 - 54,000; Full time

Job summary

Cardinal Health Sonexus Access and Patient Support provides a remote, full-time role focused on helping patients access therapies by handling enrollments, benefit investigations, and payer communications. Training runs 8:00am-5:00pm CST with flexibility for weekly shifts during regular business hours.

The team supports patients nationwide from a remote setup. You will work with Medicare/Medicaid and commercial payer guidelines, assist with Prior Authorizations and Appeals, and coordinate with

Qualifications

• 3–6 years of experience in patient support services preferred.
• Medicare/Medicaid and commercial payer policies knowledge preferred.
• Experience with Prior Authorization and Appeals preferred.
• Strong problem solving and ability to work in high-volume settings preferred.
• Bilingual candidates preferred.

Responsibilities

• First point of contact on inbound calls and determines needs.
• Creates and completes enrollment applications with a sense of urgency.
• Scrutinizes forms and supporting documentation for missing information.
• Conducts outbound correspondence to support patient/program needs.
• Resolve patient's questions and any concerns regarding status of assistance.
• Maintain detailed notations for every interaction in the inquiry database.
• Discusses missing information and benefit-related details with patients/providers.
• Assess patient’s ability to afford therapy and provide guidance on financial assistance.
• Provide detailed activity notes for Benefit Investigation processing.
• Support the patient population with teammates as needed.
• Follow through on benefit investigation rejections and exhausted options.
• Track payer/plan issues and report changes or trends to management.
• Explain insurance options and help patients select best coverage.
• Handle escalations per region and communicate resolutions within SLAs.
• Research payer/physician/pharmacy issues to resolve cases swiftly.

Skills

Customer service

Prior Authorization

Medical insurance knowledge

MS Office

Bilingual

Education

High School Diploma or GED

Tools

Microsoft Office

Excel

Word

Outlook

Job description

Cardinal Health Sonexus Access and Patient Support provides a remote, full-time role focused on helping patients access therapies by handling enrollments, benefit investigations, and payer communications. Training runs 8:00am-5:00pm CST with flexibility for weekly shifts during regular business hours.

The team supports patients nationwide from a remote setup. You will work with Medicare/Medicaid and commercial payer guidelines, assist with Prior Authorizations and Appeals, and coordinate with