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.

Responsibilities:

Responsible for benefit investigations including processing prior authorizations if necessary and working with physician offices to facilitate the appeal process. This position may ensure the insurance verification related to patient prescriptions are processed accurately, efficiently, and timely in complete accordance with all applicable laws, regulations and company policies. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy including copay and free goods and consignment support.

• Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections

• Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate

• Demonstrate superior customer support talents

• Prioritize multiple, concurrent assignments and work with a sense of urgency

• Must communicate clearly and effectively in both a written and verbal format

Qualifications

• 3-6 years of experience

• High School Diploma, GED preferred

• Strong communication/customer service skills

• Ability to be an independent worker and self-directed

• Ability to sit for long periods of time in a cubicle setting

• Demonstrate superior customer support talents

• Ability to prioritize multiple, concurrent assignments and work with a sense of urgency

• Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred

What is expected of you and others at this level

• 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

TRAINING AND WORK SCHEDULES: Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.

This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.

REMOTE DETAILS: You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:

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

Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.