Cardinal Health

Pharma

Sr.Coordinator,PatientAccess(CaseManager)

$0–0k United States FULL TIME Remote Friendly
The Brief

“Sr. Coordinator, Patient Access (Case Manager) at Cardinal Health. Skills: Patient access, Patient support, Case management, Benefit verification, Prior authorization. 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.

Pharma
Problems you'll solve

Problem-solving skills

Eligibility Requirements

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., 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

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

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.

Team & Collaboration

Collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies

Communication Scope

Excellent written and oral communication; mediation

Free ATS check

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