Cardinal Health is looking for a Reimbursement Coordinator to act as the first point of contact for inbound calls, handling patient needs and managing the enrollment process. You’ll play a crucial role in ensuring patients can access their prescribed therapy by navigating benefit investigations, prior authorizations, and appeals.

What You'll Do

Be the first point of contact on inbound calls, determine patient needs, and handle them accordingly.
Create and complete accurate applications for enrollment with a sense of urgency.
Scrutinize forms and supporting documentation thoroughly for any missing or new information.
Conduct outbound correspondence to support patient and/or program needs.
Resolve patient's questions and concerns regarding the status of their request for assistance.
Maintain accurate and detailed notations for every interaction using the appropriate database.
Make outbound calls to patient and/or provider to discuss missing information and/or benefit details.
Assess patient’s financial ability to afford therapy and provide guidance to appropriate financial assistance.
Provide detailed activity notes on needed actions for Benefit Investigation processing.
Work alongside teammates to support the needs of the patient population.
Follow through on all benefit investigation rejections, including Prior Authorizations and Appeals, exhausting all avenues to obtain coverage.
Track payer/plan issues and report changes, updates, or trends to management.
Search insurance options and explain various programs to help patients select the best coverage.
Handle all escalations based on region, ensuring proper communication of resolution within required timeframe.
Conduct research associated with issues regarding the payer, physician’s office, and pharmacy to resolve issues swiftly.

What We're Looking For

High School Diploma, GED, or equivalent work experience
Strong ability to problem solve

Nice to Have

3-6 years of relevant experience
Patient Support Service experience
Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage
Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices
Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices
1-2 years experience with Prior Authorization and Appeal submissions
Previous medical experience
Adaptable and Flexible
Self-Motivated and Dependable
Bilingual skills

Technical Stack

Microsoft Office (Word, Outlook, Excel)

Team & Environment

Works independently within established procedures; may receive general guidance on new assignments; may provide general guidance or technical assistance to less experienced team members.

Benefits & Compensation

Compensation: $21.40 per hour - $30.60 per hour
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs

Work Mode

This is a remote position.

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.