Team Lead, Benefits Eligibility & Authorization

Cardinal Health; Denver (CO); On-site; USD 64,813,000 - 83,813,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off plan

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Job summary

Navista seeks a Lead Coordinator for Benefits Eligibility and Authorization to oversee daily operations of the Eligibility and Authorization team. This role combines leadership with hands-on verification of insurance coverage and prior authorizations across all patient accounts.

The position requires strong analytical skills, knowledge of payer requirements, and the ability to communicate across departments to minimize treatment delays and ensure compliant documentation.

Qualifications

• 4-5 years of experience in a medical business office.
• Knowledge of medical terminology.
• Familiar with Urology, Chemotherapy, PET, and Radiation Billing.
• Experience with computerized billing software and interpreting EOBs.
• Working knowledge of ICD-10, CPT, HCPCS, and CPT coding.
• Strong customer service background, preferably in a healthcare environment.

Responsibilities

• Provide daily workflow support and problem-solving assistance using SOPs.
• Respond to questions regarding policies, procedures, complex cases, and system issues.
• Train and onboard new Eligibility and Authorization coordinators.
• Monitor and review team performance and productivity metrics.
• Act as escalation point for complex eligibility and authorization delays.
• Coordinate information requested by other internal teams within 24 hours.
• Oversee prior authorizations for Medical Oncology, Radiation, and Imaging therapies.

Skills

Medical terminology

Customer service

Problem solving

Team coordination

Multitasking

Tools

Billing software

EOB interpretation

Job description

Navista seeks a Lead Coordinator for Benefits Eligibility and Authorization to oversee daily operations of the Eligibility and Authorization team. This role combines leadership with hands-on verification of insurance coverage and prior authorizations across all patient accounts.

The position requires strong analytical skills, knowledge of payer requirements, and the ability to communicate across departments to minimize treatment delays and ensure compliant documentation.