What Individualized Care contributes to Cardinal Health
The Senior Coordinator, Individualized Care position is responsible for full benefit investigation including processing prior authorizations and working with physician offices to facilitate the appeal process. This position must ensure the insurance verification related to patient prescriptions are processed accurately, efficiently, and timely in complete accordance with all applicable laws, regulations and company policies. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy.
Hours: 8am-4:30pm Monday-Friday
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Demonstrate superior customer support talents
Prioritize multiple, concurrent assignments and work with a sense of urgency
Must communicate clearly and effectively in both a written and verbal format
Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers.
Previous customer service experience required
High School diploma or equivalent preferred
Bachelors degree preferred
Experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals is a must (1-2 years)
Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies is a must
Critical and creative thinking is a must
Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
Knowledge of Medical/Pharmacy billing and coding is preferred
Knowledge of 340B is preferred
Important to have a strong attention to detail
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities.We are a crucial link between the clinical and operational sides of healthcare, delivering end-to-end solutions and data-driving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care. With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges – now, and in the future.As a global, growing company, we’re able to offer rewarding careers that let you make a positive impact on our customers and communities.