Sr. Coordinator, Individualized Care

Cardinal Health

7d•$21 - $31•Remote

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 Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.

Requirements

High School Diploma, GED, or equivalent work experience
Must demonstrate efficiency and strong organizational skill
Must communicate clearly and effectively in both a written and verbal format
Strong attention to detail

Nice To Haves

3-6 years experience in related field preferred
1-2 years experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred
Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
Critical and creative thinking, preferred
Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
Knowledge of Medical/Pharmacy billing and coding is preferred

Responsibilities

Supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations.
Guides healthcare providers through the various process steps in support of their patient’s journey to therapy.
Investigates all patient health insurance benefits.
Initiates prior authorization and step therapy reviews.
Proactively follows up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
Mediates effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate.
Proactive follow-up with various contacts to ensure patient access to therapy.
Handles inbound & outbound call interactions, demonstrating superior customer support talents that remain in compliance with standard call quality expectations.
Communicates clearly and effectively in both a written and verbal format.
Meets the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program.