Senior Coordinator, Individualized Care Specialist
2 days ago
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.
- 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.
- 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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