[Hiring] Senior Coordinator, Patient Access (Case Manager) @Cardinal Health

Role 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.

• 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 prescribed products.
• Process enrollments via fax, phone, and electronically as needed.
• Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database.

Qualifications

• 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred.
• Previous Hub or Patient Support Service experience preferred.
• High School diploma or equivalent preferred.
• Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred.
• Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
• Robust computer literacy skills including data entry and MS Office-based software programs.
• Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred.
• Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.

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

• 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.