Be an early applicantLess than 25 applicants

Company

Cardinal Health · 1 day ago

Reimbursement Solutions Analyst - Nationwide

Texas, United States

Full-time

Remote

New Grad, Entry Level

$27/hr - $27/hr

0+ years exp

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H1B Sponsor Likely

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Responsibilities

Evaluate data input schedules from facilities to load work items

Collaborate with facility EHR’s to gather data to support diagnosis and medical clearances

Identify advocacy opportunities as it pertains to patient specific situations and insurance status

Apply proper clearance criteria for medication regimens as insurance indicates

Discuss medication options with pharmacy/physician and patient based on accessibility and availability (outpatient environment)

Initiate and process applications for advocacy opportunities for qualifying patients

Extensive contact with insurance companies to include speaking to representatives for benefit investigation as well as clinical clearance for prior authorization and medical necessity

Extensive patient education/counseling to determine eligibility for Advocacy.

Identify and resolve rejected applications, including accessing comparable drug regimen

Refer patients that do not qualify for programs to other outside assistance. I.e. local charities

Manage the drug recovery application process

Assign appropriate billing level to each item processed in accordance with Reimbursement Solution guidelines

Communicate with team lead to meet the needs of the assigned facility

Maintain daily accounting activities and prior authorization documentation per the Reimbursement Solution procedures.

Maintain security and confidentiality of patient information at all times.

Demonstrates extensive knowledge and understanding of relevant clinical operations, products and services

Influences customer decision to purchase new products and services

Leads the post-sales assessment, design, implementation and monitoring of new products and services in multi-site and/or complex environments

Develops, plans and manages customer training programs in multi-site and/or complex environments

Serves as lead consultant and resource to internal and external customers in multi-site and/or complex environments

Mentors internal staff regarding best demonstrated practices

Significantly influences customer acceptance and utilization of new products and services in multi-site and/or complex environments

Initiates discussion to obtain in-depth customer feedback for product and service improvement opportunities

Qualification

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Microsoft Office

Required

0 - 2 years of experience in related field preferred (open to fresh graduates!)

High level of attention to detail and a willingness to learn

Must be self-motivated and have the ability to understand and follow instructions

Strong Microsoft Office skills (Excel, Word, Outlook)

Strong written and verbal communication

Able to work independently and solve problems on behalf of Cardinal and the customer

Must be able to prioritize work to maximize job effectiveness

Excellent interpersonal skills

Strong ability to work under pressure and meet deadlines

Strong telephone presence/etiquette

Preferred

Strong analytical skills preferred

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

Company

Cardinal Health

Glassdoor

3.7

Cardinal Health is a manufacturer and distributor of medical and laboratory products.

Founded in 1971

Dublin, Ohio, USA

10,001+ employees

https://www.cardinalhealth.com

H1B Sponsorship

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Distribution of Different Job Fields Receiving Sponsorship

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Trends of Total Sponsorships

2023 (112)

2022 (131)

2021 (144)

2020 (126)