Remote Reimbursement & Benefits Specialist

Cardinal Health, Inc.; Richmond (VA); Remote; USD 32,000 - 41,000; Full time

Benefits offered by this job

Health coverage

Paid time off

Health savings account

401k

Wages advance access

FSAs

Disability insurance

Work-life resources

Paid parental leave

Wellness programs

Job summary

Cardinal Health is seeking a remote Customer Service professional for the Individualized Care team. You will handle enrollment, eligibility, and benefit investigations while assisting patients with financial options and payer communications.

The role requires 3–6 years of experience in patient support, Medicare/Medicaid knowledge, and strong MS Office skills. It is a full-time remote position with flexible hours and mandatory CST training.

Qualifications

• 3-6 years of experience, preferred
• High School Diploma, GED, or equivalent work experience, preferred
• Patient Support Service experience, preferred
• Clear knowledge of Medicare, Medicaid & Commercial payer policies, preferred
• Strong computer skills with MS Office, especially Word/Outlook; Excel preferred
• 1-2 years experience with Prior Authorization and Appeal submissions, preferred
• Adaptable and flexible, preferred

Responsibilities

• 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 needs.
• Resolve patient's questions and any representative concerns regarding status of assistance.
• Maintain accurate and detailed notations for every interaction in the database.
• Make outbound calls to patient/provider to discuss missing information or benefits.
• Assess patient’s financial ability to afford therapy and provide guidance to financial assistance.
• Provides detailed activity notes for Benefit Investigation processing.
• Working alongside teammates to support patient population needs.
• Follow through on benefit investigation rejections, including Prior Authorizations, Appeals.
• Track payer/plan issues and report changes to management.
• Explain insurance options and help patients select best coverage.
• Handle escalations with proper communication within required timeframes.
• Conduct research regarding payer, physician’s office, and pharmacy issues to resolve swiftly.

Skills

Customer service

Communication

Problem solving

Microsoft Office

Education

High School Diploma / GED

Tools

Word

Outlook

Excel

Job description

Cardinal Health is seeking a remote Customer Service professional for the Individualized Care team. You will handle enrollment, eligibility, and benefit investigations while assisting patients with financial options and payer communications.

The role requires 3–6 years of experience in patient support, Medicare/Medicaid knowledge, and strong MS Office skills. It is a full-time remote position with flexible hours and mandatory CST training.