Senior Coordinator, Individualized Care
C
Cardinal HealthSpecialty Pharmaceutical
United States, Monday-Friday, 7:00am- 7:00pm CSTFull-TimeSenior
Salary21.4 - 30.6 USD per hour
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Job Details
- Experience
- 1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience; 1-2 years experience with Prior Authorization and Appeal submissions
- Required Skills
- Microsoft ExcelCustomer service
Requirements
- 1-2 years of Pharmacy and/or Medical Claims billing and coding work experience.
- 1-2 years of experience with Prior Authorization and Appeal submissions.
- Intermediate to advanced computer skills, including proficiency in Microsoft Office (Word, Outlook, and Excel).
- Ability to work with high-volume production teams with an emphasis on quality.
- High school diploma or equivalent preferred.
- Previous customer service and patient support service experience preferred.
- Clear knowledge of Medicare (A, B, C, D), Medicaid, and commercial payer policies and guidelines.
- Understanding of Medical, Supplemental, and pharmacy insurance benefit practices.
- Ability to maintain a dedicated, quiet, private, distraction-free remote environment.
- Must meet internet speed requirements: 15Mbps download, 5Mbps upload, max 30ms ping, hardwired connection.
Responsibilities
- Serve as the first point of contact on inbound calls to determine needs and handle inquiries accordingly.
- Create and complete accurate enrollment applications with a sense of urgency.
- Conduct outbound correspondence to support patient and program needs.
- Resolve patient questions regarding the status of their assistance requests.
- Update internal and external pharmacy treatment plan statuses.
- Maintain accurate and detailed notations for every interaction.
- Assess patient financial ability to afford therapy and provide guidance to appropriate financial assistance programs.
- Follow through on all benefit investigation rejections, including Prior Authorizations and Appeals.
- Handle all escalations based on region and ensure proper communication of resolution.
- Search insurance options and explain various programs to help patients select the best coverage.
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