Cardinal Health

Healthcare

Sr.Coordinator,PatientAccess(CaseManager)

$0–0k United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“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.

Healthcare
Problems you'll solve

Problem-solving

Eligibility Requirements

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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