Remote Reimbursement Coordinator — Patient Access

Cardinal Health; Trenton (NJ); 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

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Short- and long-term disability

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Descrizione del lavoro

Cardinal Health is seeking a remote-based Customer Support Associate to handle enrollment, benefit investigations and payer communications for individualized care programs.

You will first contact patients, collect documentation, assess affordability and guide them to financial assistance while maintaining accurate case notes across systems. This role requires strong problem solving and Medicare/Medicaid knowledge, with a focus on timely resolutions.

Competenze

• 3-6 years of experience preferred
• Medicare/Medicaid/Commercial payer policies knowledge preferred
• Prior Authorization and Appeals experience preferred
• Strong ability to problem solve

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 thoroughly for any missing information or new information to be added to the database.
• Conducts outbound correspondence when necessary to help support the needs of the patient and/or program.
• Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance.
• Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry.
• Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information.
• Assess patient’s financial ability to afford therapy and provide hand on guidance to appropriate financial assistance.
• Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing.
• Working alongside teammates to best support the needs of the patient population .
• Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted.
• Track any payer/plan issues and report any changes, updates, or trends to management
• Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
• Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client
• As needed conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues swiftly

Conoscenze

Customer service experience

Medicare knowledge

Prior Authorization

Problem solving

Bilingual

Microsoft Office proficiency

Formazione

High School Diploma or GED

Strumenti

Microsoft Office

Descrizione del lavoro

Cardinal Health is seeking a remote-based Customer Support Associate to handle enrollment, benefit investigations and payer communications for individualized care programs.

You will first contact patients, collect documentation, assess affordability and guide them to financial assistance while maintaining accurate case notes across systems. This role requires strong problem solving and Medicare/Medicaid knowledge, with a focus on timely resolutions.