Cardinal Health
Pharmaceutical
Sr.Coordinator,PatientAccess(CaseManager)
“Sr. Coordinator, Patient Access (Case Manager) at Cardinal Health. Skills: patient access, case management, benefit investigation, prior authorization, insurance verification. Receive inbound and outbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution. Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience”
What You'll Achieve.
striving for one-call resolution; ensuring an exceptional patient experience; ensuring seamless coordination of patient care and timely access to necessary services
Industry & Context.
problem-solving skills
Requires a dedicated, quiet, private, distraction free environment with access to high-speed internet., Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable., Download speed of 15Mbps (megabyte per second), Upload speed of 5Mbps (megabyte per second), Ping Rate Maximum of 30ms (milliseconds), Hardwired to the router, Surge protector with Network Line Protection for CAH issued equipment
What They're Looking For.
Must Have
Robust computer literacy skills including data entry and MS Office-based software programs, Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers, Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments, In-depth knowledge in technical or specialty area, Applies advanced skills to resolve complex problems independently, May modify process to resolve situations, Works independently within established may receive general guidance on new assignments, May provide general guidance or technical assistance to less experienced team members
Nice to Have
2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred, Previous Hub or Patient Support Service experience preferred, High School diploma or equivalent preferred, Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred, understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred
What You'll Do.
Receive inbound and outbound calls from patients
healthcare provider offices
striving for one-call resolution
Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery
ensuring an exceptional patient experience
Conduct benefit verifications and collaborate with various healthcare providers
and insurance companies
to ensure seamless coordination of patient care and timely access to necessary services
Assist in obtaining insurance
and appeal requirements and outcomes
Help patients understand their insurance plan coverage
including out-of-pocket costs
and provide guidance on the appeals process if needed
Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare
and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products
Process enrollments via fax
and electronically as needed
Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database
How You'll Work.
Communication Scope
Excellent written and oral communication; mediation
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