Remote Reimbursement & Benefits Specialist

Cardinal Health; Phoenix (AZ); Remoto; USD 32.000 - 41.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

MyFlexPay access

FSAs

Disability coverage

Work-Life resources

Paid parental leave

Descrizione del lavoro

Cardinal Health is hiring for a remote, full-time Customer Support/Patient Access role. You will be the first point of contact for enrollment, verify documents, resolve payer questions, and guide patients through benefit investigations and authorization processes.

The position emphasizes accuracy, patient empathy, and collaboration with teammates. The role requires familiarity with Medicare/Medicaid policies, strong Microsoft Office skills, and the ability to work in a fast-paced environment.

Competenze

• 3-6 years of experience, preferred
• High School Diploma, GED, or equivalent work experience, preferred
• Patient Support Service experience, preferred
• Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage, preferred
• Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred
• Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
• 1-2 years experience with Prior Authorization and Appeal submissions, preferred
• Ability to work with high volume production teams with an emphasis on quality
• Intermediate to advanced computer skills and proficiency in Microsoft Office including Word, Outlook, and Excel capabilities
• Previous medical experience is preferred
• Adaptable and Flexible, preferred
• Self-Motivated and Dependable, preferred
• Strong ability to problem solve, preferred
• Bilingual is preferred

Mansioni

• First point of contact on inbound calls and determines needs and handles accordingly.
• Creates and completes accurate applications for enrollment with a sense of urgency.
• Scrutinizes forms and supporting documentation for missing information.
• Conducts outbound correspondence to support patient and program needs.
• Resolve patient's questions and any representative concerns regarding status of their request for assistance.
• Maintain accurate and detailed notations for every interaction in the inquiry database.
• Make outbound calls to patient/provider to discuss missing information or benefit-related details.
• Assess patient’s financial ability to afford therapy and provide guidance to financial assistance.
• Provide detailed activity notes for Benefit Investigation processing.
• Work with teammates to support patient population needs.
• Follow through on benefit investigation rejections including Prior Authorizations, Appeals, etc.
• Track payer/plan issues and report changes to management.
• Search insurance options and explain programs to patients to select best coverage.
• Handle escalations with regional consideration and communicate resolutions within required timeframes.
• Conduct research on payer/provider/pharmacy issues to resolve swiftly

Conoscenze

Customer service

Medicare knowledge

Payer policies

Prior Authorization

Excel

Word & Outlook

High volume production

Problem solving

Bilingual

Formazione

High School Diploma or GED

Equivalent work experience

Strumenti

Microsoft Office

CRM software

Descrizione del lavoro

Cardinal Health is hiring for a remote, full-time Customer Support/Patient Access role. You will be the first point of contact for enrollment, verify documents, resolve payer questions, and guide patients through benefit investigations and authorization processes.

The position emphasizes accuracy, patient empathy, and collaboration with teammates. The role requires familiarity with Medicare/Medicaid policies, strong Microsoft Office skills, and the ability to work in a fast-paced environment.