Senior Coordinator, Case Manager

🔥 1 minute ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $21 - $30 / hour

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Cardinal Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1971

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

💰 $78M Post-IPO Debt on 2006-08

Logistics • Manufacturing • Healthcare

Cardinal Health is a global healthcare services and products company. It provides a comprehensive range of healthcare services, including medical supply distribution, pharmaceutical distribution, and logistics solutions to various healthcare facilities such as hospitals, community health centers, and ambulatory surgery centers. Additionally, Cardinal Health offers a variety of medical products and pharmaceutical services. The company also focuses on innovative solutions to enhance healthcare delivery, through services like patient support, pharmacy management, and advanced therapy solutions. Cardinal Health is committed to supporting healthcare providers in delivering quality patient care while optimizing operational efficiency.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

• 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