Senior Coordinator, Individualized Care Specialist

2 days ago


Somerville, Tennessee, United States Cardinal Health Full time
Job Summary

Cardinal Health is seeking a highly skilled Sr. Coordinator, Individualized Care to join our team. As a key member of our organization, you will play a critical role in delivering exceptional patient care and support.

Responsibilities
  • Monitor system accounts for new patient cases and ensure timely resolution.
  • Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays, and verification of specialty pharmacy.
  • Contact insurance companies to obtain and enter accurate benefit information, minimizing rejections.
  • Mediate effective resolution for complex payer/pharmacy issues, ensuring a positive outcome.
  • Place outbound calls to patients to assess eligibility for co-pay and financial assistance.
  • Answer inbound calls from doctors and/or patients checking on status of case.
  • Maintain quality while providing an empathetic and supportive experience to patients, providers, and physician offices.
  • Resolve patient questions and concerns regarding status of their request for assistance.
  • Enter detailed information into company proprietary software while conversing via telephone.
  • Steward patient accounts from initial contact through final approval/denial.
  • Process all patient applications in accordance with set policy, procedures, and PHI compliance.
  • Communicate with manufacturer field team members on case updates via phone or email.
  • Collaborate with internal team members regarding patients' cases.
  • Identify, document, and submit Adverse Events during customer contact or via received documentation.
  • Conduct research associated with alternative funding or foundations to ensure patients have required information to receive product.
Qualifications
  • Minimum of HS diploma; additional education preferred.
  • Previous healthcare experience with insurance or in pharmaceutical industry, preferred.
  • Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid, and commercially insured payer common practices and policies, preferred.
  • Previous prior authorization and appeals experience highly desired.
  • Knowledge of ICD coding, preferred.
  • Intermediate Microsoft skills with specific experience with Excel.
  • Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency.
  • Exceptional communication skills both verbally and written.
  • Self-starter with demonstrated initiative, creativity, and a willingness to learn.
What We Offer
  • Competitive hourly rate: $21.50 - $30.65 per hour.
  • Bonus eligibility.
  • Comprehensive benefits package, including 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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