Sr. Coordinator, Patient Access (Case Manager)

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
• 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

Requirements

• 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
• What is expected of you and others at this level:
• 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
• Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable .
• Download speed of 15Mbps (megabyte per second)
• Upload speed of 5Mbps (megabyte per second)
• Ping Rate Maximum of 30ms (milliseconds)
• Hardwired to the router
• Surge protector with Network Line Protection for CAH issued equipment
• Anticipated hourly range: $21.40 per hour - $30.60 per hour
• Bonus eligible: No
• Benefits: Cardinal Health offers a 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 pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disab

Benefits

Additional Information

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.

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