Coordinator, Individualized Care
About The Position
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. What Individualized Care contributes to Cardinal Health Clinical Operations is responsible for providing clinical specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized Care provides care that is planned to meet the particular needs of an individual patient.
Requirements
- 1-3 years of experience preferred
- High School Diploma, GED or equivalent work experience preferred
- Ability to work Monday-Friday between the hours of 7:00 AM-7:00 PM CST
- Dedicated, quiet, private, distraction free environment with access to high-speed internet.
- 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
Responsibilities
- Supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules.
- Guides the patient through the various process steps of their patient journey to therapy, including 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.
- Mediates effective resolution for complex payer/pharmacy issues toward a positive outcome and provides a positive patient experience.
- Answers inbound questions and provides customer service and technical expertise to parties.
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
