Senior Coordinator, Case Manager

🕒 il y a 13 jours

🤠 Texas – Distant

🤠 Texas – Remote

💵 $21 - $30 / heure

⏰ Temps Plein

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Configurer une alerte email pour les nouveaux emplois

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

Cardinal Health

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1971

📦 Logistique

🏭 Fabrication

🏥 Santé

💰 €78 000 000 Post-IPO Debt en 2006-08

Logistics • Manufacturing • Healthcare

Cardinal Health est une entreprise mondiale de services et de produits de santé. Elle propose une gamme complète de services de santé, y compris la distribution de fournitures médicales, la distribution pharmaceutique et des solutions logistiques à diverses installations de santé telles que les hôpitaux, les centres de santé communautaires et les centres de chirurgie ambulatoire. De plus, Cardinal Health offre une variété de produits médicaux et de services pharmaceutiques. L'entreprise se concentre également sur des solutions innovantes pour améliorer la prestation des soins de santé, à travers des services tels que le soutien aux patients, la gestion des pharmacies et des solutions de thérapie avancée. Cardinal Health s'engage à soutenir les prestataires de soins de santé dans la fourniture de soins de qualité aux patients tout en optimisant l'efficacité opérationnelle.

Description

• Serve as the first point of contact for inbound calls, determine needs, and handle inquiries • Create and complete accurate enrollment applications urgently • Review forms and supporting documentation for missing or new information • Conduct outbound correspondence and calls to patients and providers • Resolve patient and representative questions regarding assistance request status • Update internal treatment plan and external pharmacy treatment statuses • Maintain accurate interaction notes in the appropriate database • Self-audit intake activities for accuracy and efficiency • Notify patients, physicians, practitioners, and clinics of applicable financial responsibility • Assess patients’ ability to afford therapy and guide them toward financial assistance • Follow through on benefit investigation rejections, including prior authorizations and appeals • Track payer and plan issues and report changes, updates, and trends to management • Research insurance options and explain programs to help patients select coverage • Handle regional escalations and communicate resolutions within required timeframes • Serve as liaison between the client sales force and applicable parties • Mediate disagreements and facilitate positive outcomes • Manage multiple outstanding issues and resolve them promptly • Report regional payer issues to the appropriate team • Research payer, physician office, and pharmacy issues to resolve them swiftly • Apply advanced specialty knowledge to resolve complex problems independently • Modify processes when needed and provide guidance or technical assistance to less experienced team members

🎯 Exigences

• Previous customer service experience • Patient Support Service experience preferred • Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage preferred • Knowledge of DME, MAC practices preferred • Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices preferred • 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience • 1-2 years experience with Prior Authorization and Appeal submissions • Ability to work with high volume production teams with an emphasis on quality • Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook and preferred Excel capabilities • Previous medical experience preferred • Bilingual preferred • Mandatory attendance at new hire training from 8:00am-5:00pm CST • Flexibility to work any shift during Monday-Friday, 7:00am-7:00pm CST • Dedicated, quiet, private, distraction-free remote work environment • High-speed broadband internet connection meeting specified requirements: 15Mbps download, 5Mbps upload, maximum 30ms ping rate, hardwired to the router • Surge protector with Network Line Protection for company-issued equipment

🏖️ Avantages

• Medical, dental and vision coverage • Paid time off plan • Health savings account (HSA) • 401k savings plan • Access to wages before pay day with myFlexPay • Flexible spending accounts (FSAs) • Short- and long-term disability coverage • Work-Life resources • Paid parental leave • Healthy lifestyle programs • Company-provided computer, technology and equipment needed to perform the job • Bonus eligible: No