[Hiring] Senior Coordinator, Benefits Eligibility and Authorization @Cardinal Health

Role Description

What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health:

• Verify patient specific health benefits.
• Provide services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research, and problem/dispute resolution.

Responsibilities:

• Achieve and exceed daily productivity goals.
• Communicate with customers, physician offices, and insurance companies.
• Navigate internal and external systems and websites.
• Work in a fast-paced, performance-based environment.
• Analyze customer accounts, including but not limited to:
  • Quotes of coverage
  • Prescription and insurance limits
  • Prior authorizations
  • Contracted pricing
• Review accounts receivables, including:
  • Denials
  • Patient balances
  • Limits
  • Insurance payments
  • Customer payment responsibilities
• Submit and follow up for prior authorizations based on insurance plan guidelines.
• Delegate and distribute workflow to corresponding teams when needed.
• Maintain high attention to detail.

Qualifications

• HS Diploma, GED, or technical certification in related field or equivalent experience preferred.
• 3+ years experience in related field preferred.

Requirements

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments.
• In-depth knowledge in technical or specialty area.
• Applies advanced skills to resolve complex problems independently.
• May modify process to resolve situations.
• Works independently within established procedures; may receive general guidance on new assignments.
• May provide general guidance or technical assistance to less experienced team members.

Benefits

• Wide variety of benefits and programs to support health and well-being.
• Medical, dental, and vision coverage.
• Paid time off plan.
• Health savings account (HSA).
• 401k savings plan.
• Access to wages before payday with myFlexPay.
• Flexible spending accounts (FSAs).
• Short- and long-term disability coverage.
• Work-life resources.
• Paid parental leave.
• Healthy lifestyle programs.