Senior Coordinator, Benefits Eligibility & Authorization

Cardinal Health

3d•$17 - $22•Remote

About The Position

Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health by verifying patient-specific health benefits. This department provides services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research, and problem/dispute resolution.

Requirements

HS Diploma, GED, or technical certification in related field or equivalent experience preferred.
3+ years experience in related field preferred.
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

Responsibilities

Achieve and Exceed Daily Productivity Goals
Communication with Customers, Physician Offices and Insurance Companies
Navigate Internal and External Systems and Websites
Ability to work in a Fast-Paced, Performance-Based Environment
Analyze customer accounts. Including but not limited to: Quotes of Coverage, Prescription and Insurance limits, Prior Authorizations and Contracted Pricing
Reviewing accounts receivables: Denials, Patient balances, Limits, Insurance payments and Customer Payment Responsibilities
Submitting and following up for Prior Authorizations based on insurance plan guidelines
Delegating and distributing workflow to corresponding teams when needed
High attention to detail