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Patient Support Specialist

2 months ago

Carson City, Nevada, United States Cardinal Health Full time

Role Overview:

The Healthcare Access Coordinator is tasked with managing patient cases to ensure seamless access to therapeutic solutions in line with established program guidelines. This role involves assisting both patients and healthcare providers throughout the various stages of the patient journey.

Key Contributions:

The Clinical Operations team provides specialized clinical support and expertise in consulting, research, and patient care to both internal and external stakeholders. Our focus is on delivering individualized care tailored to meet the unique needs of each patient.

Qualifications:

  • 0-2 years of relevant experience preferred.
  • Bachelor's degree or equivalent experience in a related field is preferred.
  • Experience in social work is advantageous.
  • Licensed Vocational Nurse (LVN) certification is preferred.
  • 2-4 years of experience in Case Management is preferred.
  • Strong communication skills that are effective, empathetic, and professional.
  • Solid understanding of Medicare programs (A, B, C, D).
  • 1-2 years of experience in Pharmacy and/or Medical Claims billing and coding is preferred.
  • Experience with Prior Authorization and Appeals submissions is beneficial.
  • Ability to manage multiple tasks concurrently.
  • Proficient in both written and verbal communication.
  • Capability to work effectively in high-volume production teams with a focus on quality.
  • Intermediate to advanced computer skills, particularly in Microsoft Office applications.
  • Prior medical experience is preferred.

Responsibilities:

  • Provide virtual or telephonic educational support to patients, caregivers, and healthcare professionals, adhering to client standards.
  • Act as an advocate for each patient and their designated care partners.
  • Respond to incoming inquiries from patients, caregivers, and healthcare providers.
  • Serve as the primary contact for patients and healthcare professionals.
  • Understand and address patient support needs to deliver a customized experience that facilitates their treatment journey.
  • Build and maintain ongoing relationships with assigned patients, guiding them from onboarding through treatment and beyond.
  • Assist patients in navigating reimbursement processes and overcoming any financial barriers to access.
  • Handle time-sensitive requests with urgency and prioritize assignments effectively.
  • Investigate and resolve inquiries and concerns from patients and healthcare providers promptly.
  • Collaborate with various stakeholders to identify issues and provide solutions.
  • Educate newly identified patients and their caregivers about the treatment process and available resources.
  • Coordinate with Case Managers to enhance care and educational opportunities for patients and their support networks.
  • Support healthcare providers with Prior Authorization and Appeals submissions.
  • Exhibit strong communication and tele-management skills.
  • Follow up proactively to ensure patient access to therapies.
  • Engage with callers empathetically to build rapport.
  • Serve as the single point of contact for all patient and healthcare provider inquiries.
  • Demonstrate effective organizational skills while managing multiple cases.
  • Document and submit all Adverse Event Reports related to the manufacturer's product.
  • Address Medical Information inquiries from various stakeholders.
  • Adhere to HIPAA guidelines and maintain confidentiality of sensitive information.

Work Environment:

This position is fully remote, requiring a dedicated workspace free from distractions and access to high-speed internet. The company will provide necessary technology and equipment.

Compensation and Benefits:

Cardinal Health offers a comprehensive benefits package, including medical, dental, and vision coverage, paid time off, health savings accounts, and retirement savings plans.

Inclusivity Statement:

Cardinal Health values diversity and encourages individuals from all backgrounds to apply, ensuring an inclusive workplace where everyone can thrive.