Remote Reimbursement & Patient Benefits Specialist

Cardinal Health, Inc.; San Juan (PR); Remote; USD 32,000 - 41,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

HSA

401k savings plan

Flexible spending accounts

Job summary

Cardinal Health Sonexus Access and Patient Support is hiring for a full-time, remote role focused on helping patients enroll, manage eligibility, and navigate payer requirements to access therapy. You will handle enrollment applications and inbound support calls.

The ideal candidate has 3–6 years in patient support, knowledge of Medicare/Medicaid and commercial payer policies, and strong problem-solving skills.

Qualifications

• 3-6 years of experience in patient support services or call-center environments.
• Knowledge of Medicare/Medicaid and payer policies preferred.
• Strong communication and problem-solving skills.
• Ability to work in a high-volume environment with accuracy.
• Familiarity with prior authorizations and appeals preferred.

Responsibilities

• First point of contact on inbound calls and assess needs.
• Creates and completes accurate applications for enrollment with 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

Skills

Customer service

Problem solving

Self-motivated

Attention to detail

Multitasking

Education

High School Diploma or GED

Tools

Microsoft Office

Excel capabilities

Job description

Cardinal Health Sonexus Access and Patient Support is hiring for a full-time, remote role focused on helping patients enroll, manage eligibility, and navigate payer requirements to access therapy. You will handle enrollment applications and inbound support calls.

The ideal candidate has 3–6 years in patient support, knowledge of Medicare/Medicaid and commercial payer policies, and strong problem-solving skills.