Patient Care Coordinator

6 days ago

Harrisburg, Pennsylvania, United States Cardinal Health Full time
Job Summary

We are seeking a highly skilled Patient Navigator to join our team at Cardinal Health. As a Patient Navigator, you will play a critical role in supporting patients and healthcare providers through the therapy access process.

Key Responsibilities
  • Deliver virtual or telephonic educational support to patients, caregivers, and healthcare professionals to meet all relevant standards.
  • Act as a champion for each patient and consented care partner(s), understanding their support needs and interaction preferences to deliver a seamless, tailored patient experience.
  • Provide support and guidance to help ensure patients have access to the patient support program resources by compliantly navigating reimbursement and mitigating any patient out-of-pocket barriers.
  • Investigate and resolve patient/healthcare provider inquiries and concerns in a timely manner, working closely with patients, patient caregivers, healthcare providers, and the Sonexus Health reimbursement team.
  • Support healthcare providers with Prior Authorization and Appeals submission to Insurance carriers.
  • Exhibit effective communication and tele-management skills, proactive follow-up with various contacts to ensure patient access to therapy, and converse with callers in an empathetic manner and build rapport.
Requirements
  • 0-2 years of experience, preferred
  • BA, BS or equivalent experience in a related field, preferred
  • Previous social work experience is preferred
  • LVN is preferred
  • 2-4 years of Case Management experience is preferred
  • Demonstrate effective, empathetic, and professional communication
  • Clear knowledge of Medicare (A, B, C, D)
  • 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience is preferred
  • 1-2 years of experience with Prior Authorization and Appeal submissions
  • Must be able to manage multiple concurrent assignments
  • Must communicate clearly and effectively in both a written and verbal format
  • Ability to work with high volume production teams with an emphasis on quality
  • Able to thrive in a competitive and dynamic environment
  • Intermediate to advanced computer skills and proficiency in Microsoft Office, including Word, Outlook, and preferred Excel capabilities
  • Previous medical experience is preferred
What We Offer
  • 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

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