Reimbursement Coordinator (Patient Assistance and ...

_Cardinal Health Sonexusu2122 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 solutionsu2014driving brand and patient markers of success. Weu2019re continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Together, we can get life-changing therapies to patients who need themu2014faster. _Location_ - Fully remote, open to candidates in various time zones across the country (with expectation that individual can work within our standard business hours, 8:00am Central - 5:00pm Central) _Responsibilities_ u2022 First point of contact on inbound calls and determines needs and handles accordingly u2022 Creates and completes accurate applications for enrollment with a sense of urgency u2022 Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database u2022 Conducts outbound correspondence when necessary to help support the needs of the patient and/or program u2022 Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing u2022 Working alongside teammates to best support the needs of the patient population o Will transfer caller to appropriate team member (when applicable) u2022 Resolve patient's questions and any representative for the patientu2019s concerns regarding status of their request for assistance u2022 Update internal treatment plan statuses and external pharmacy treatment statuses u2022 Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry u2022 Self-audit intake activities to ensure accuracy and efficiency for the program u2022 Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information u2022 Notify patients, physicians, practitioners, and or clinics of any financial responsibility of services provided as applicable u2022 Assess patientu2019s financial ability to afford therapy and provide hand on guidance to appropriate financial assistance u2022 Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted u2022 Track any payer/plan issues and report any changes, updates, or trends to management u2022 Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation u2022 Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client u2022 Serve as a liaison between client sales force and applicable party u2022 Mediate situations in which parties disagree and facilitate a positive outcome u2022 Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties u2022 Responsible for reporting any payer issues by region with the appropriate team u2022 Log and maintain a reconciliation report for all Field requests to send to client at their designated preferred date range u2022 Support team with call overflow and intake when needed u2022 As needed conduct research associated with issues regarding the payer, physicianu2019s office, and pharmacy to resolve issues swiftly _Qualifications_ u2022 Ideally targeting individuals with a background in healthcare (such as medical assistant, working in medical claims/billing, pharmacy technician, clinician in a doctor's office, etc) or with insurance verification - highly preferred u2022 Ideally targeting individuals with a high level of attention to detail, eagerness to learn, willingness to collaborate and communicate effectively u2022 Ability to work in an environment that involves a high volume of varying tasks (must be willing to be flexible and wear a lot of different hats, without getting overwhelmed), required u2022 Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred u2022 Knowledge of DME, MAC practices, preferred u2022 Prior understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred u2022 Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities u2022 Bilingual, preferred _What is expected of you and others at this level_ u2022 Investigate and resolve patient/physician inquiries and concerns in a timely manner u2022 Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate u2022 Must be able to manage multiple concurrent assignments. u2022 Must communicate clearly and effectively in both a written and verbal format u2022 Proactive follow-up with various contacts to ensure patient access to therapy u2022 Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments u2022 In-depth knowledge in technical or specialty area u2022 Applies advanced skills to resolve complex problems independently u2022 May modify process to resolve situations u2022 Works independently within established procedures; may receive general guidance on new assignments u2022 May provide general guidance or technical assistance to less experienced team members u2022 Adaptable and Flexible u2022 Self-Motivated and Dependable u2022 Problem Solving u2022 Strong customer support skills and professional experience working with medical providers u2022 Team Spirited u2022 Punctual and Efficient u2022 Great work attitude Anticipated hourly range: $21.50 per hour - $27.70 per hour Bonus eligible: No Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + 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 Application window anticipated to close: 7/4/2026 if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidateu2019s geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. 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._ _To read and review this privacy notice click_ here (

Created: 2026-05-08