Cardinal Health
Healthcare
Sr.Coordinator,PatientAccess(CaseManager)
Neural analysis suggests this role is
optimal for Senior candidates.
“Sr. Coordinator, Patient Access (Case Manager) at Cardinal Health. Skills: Patient Access, Case Management, Customer Support. Receive inbound and outbound calls. Manage the entire care process”
Industry & Context.
Problem-solving
High-speed internet required, Hardwired to router, Dedicated quiet environment
What They're Looking For.
Must Have
2-4 years of industry experience, Robust computer literacy skills, data entry skills, MS Office-based software programs
Nice to Have
patient-facing or high touch customer interaction experience, Previous Hub or Patient Support Service experience, High School diploma or equivalent, Knowledge of Medicare policies, Knowledge of Medicaid policies, Knowledge of Commercial payers policies, understanding of pharmaceutical therapies, understanding of disease states, understanding medication adherence challenges
What You'll Do.
Receive inbound and outbound calls
Manage the entire care process
Conduct benefit verifications
Collaborate with healthcare providers
Assist in obtaining insurance requirements
Assist in obtaining prior authorization requirements
Assist in obtaining appeal requirements
Help patients understand insurance plan coverage
Provide guidance on appeals process
Resolve patient's questions
Resolve representative concerns
Demonstrate expertise in payer landscapes
Remain knowledgeable about reimbursement changes
Plan for reimbursement scenarios
Process enrollments via fax
Process enrollments via phone
Process enrollments electronically
Scrutinize forms and documentation
How You'll Work.
Team & Collaboration
Healthcare providers; Physicians; Specialty pharmacies; Insurance companies
Communication Scope
Written communication; Oral communication
Full Job Description
Cardinal Health Sonexus™ Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions—driving brand and patient markers of success. We’re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them—faster.** _**Responsibilities:**_ * 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 * Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services * Assist in obtaining insurance, prior authorization, 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 * Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribe
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