Cardinal Health · 21 hours ago
Senior Coordinator, Prior Authorization
United States
Full-time
Remote
Mid, Senior Level
$16.75/hr - $21.75/hr
3+ years expCardinal Health is a healthcare services and products company, and they are seeking a Senior Coordinator, Prior Authorization. This role is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment orders, ensuring timely approvals and compliance with quality and HIPAA standards.
Health CareHospitalMedical
Responsibilities
Review assigned accounts to determine prior authorization requirements by payer and product category
Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation)
Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers
Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria
Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments
Prioritize work to give orders a “leg up” based on aging, SLA, and payer requirements
Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes
Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy
Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings
Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone)
Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching
Share payer/process knowledge with teammates and support a strong team culture
Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards
Perform additional responsibilities or special projects as assigned
Qualification
Required
High School diploma, GED or equivalent work experience
3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims
Proven ability to meet daily productivity targets and quality standards in a queue-based environment
Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work
High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes)
Self-motivated with strong time management; able to pace independently without inbound-call cadence
Customer-centric mindset with a sense of urgency; capable of multitasking (working web/portal tasks while on calls)
Working knowledge of HIPAA and secure handling of PHI
Preferred
Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories
Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards
Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools
Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology
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
Cardinal Health is a manufacturer and distributor of medical and laboratory products.
10001+ employees
H1B Sponsorship
Cardinal Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (128)
2024 (116)
2023 (140)
2022 (158)
2021 (106)
2020 (142)
Funding
Current Stage
Public CompanyTotal Funding
$1.08B2025-08-28Post Ipo Debt· $1B
2006-08-16Post Ipo Debt· $78M
1983-08-12IPO
Leadership Team
Aaron Alt
Chief Financial Officer
T
Tony Caprio
Executive Vice President
Recent News
Fortune
2025-12-19
GlobeNewswire
2025-12-18
vcnewsdaily.com
2025-12-17
Company data provided by crunchbase