Coordinator, Individualized Care

Cardinal Health

88d • $18 - $25

About The Position

The Coordinator, Individualized Care supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. This role is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and dispense of product in a timely manner. The Coordinator, Individualized mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience. This role answers inbound questions and provides customer service and technical expertise to parties.

Requirements

• 1-3 years of experience, preferred.
• High School Diploma, GED or equivalent work experience, preferred.

Responsibilities

• Maintains a current and in-depth understanding of patient therapy’s, prior approval and reimbursement processes and details of health care plans.
• Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
• Meets key performance indicators including service levels, call volumes, adherence and quality standards.
• Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
• Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
• Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.

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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees