Cardinal Health · 2 hours ago
Coordinator, Benefits Eligibility and Prior Authorization
United States
Full-time
Remote
Entry Level
$21/hr - $26.45/hr
2+ years expNavista is an oncology practice alliance that supports community practices in their growth. The Coordinator, Benefits Eligibility and Prior Authorization is responsible for verifying patient insurance benefits, obtaining authorizations for procedures, and ensuring accurate documentation is maintained throughout the revenue cycle process.
Health CareHospitalMedical
Responsibilities
Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered
Communicate with patients, front end staff, physicians & payors as needed to obtain updated insurance and/or clinical information
Submit authorizations for all internal and external orders including but not limited to radiation, chemotherapy, PET/CT, urology and scans
Follow up within 48 hours on any existing authorizations that are pending approval
Ensure proper documentation outlining all steps taken to ensure authorization have been submitted, followed up on and obtained
Upon approval, enter all authorization information into the billing system and attach confirmation into the EMR
Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen to not delay patient care
Complete any pre-service appeals to obtain paying approval based on medical necessity
Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received
Maintain a high level of confidentiality for patients in accordance with HIPAA standards
Utilize CPT coding, ICD-10 coding knowledge to accurately document procedures and diagnoses
Coordinate with clinical staff to ensure patients are contracted prior to appointments informing them of any treatment schedule changes
Effectively complete other duties and projects assigned
Stay up to date on insurance policies, managed care guidelines and relevant healthcare regulations affecting authorization processes
Regular attendance and punctuality
Execute all functions of the role with positivity and team effort
Qualification
Required
High School Diploma or equivalent preferred
2-3 years of prior authorization experience preferred
Experience with payor websites and authorization requirements
Strong customer service background, preferably in health care environment
Excellent verbal communication skills
Competence with computer processing functions and other standard office equipment
Ability to manage multiple priorities and prioritize multiple tasks in a fast-paced environment
Ability to work independently with minimal supervision
Strong organizational skills
Knowledge of medical terminology
Familiar with Urology, Chemotherapy and Radiation Billing
Experience with computerized billing software and interpreting EOBs
Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding
Experience with GE Centricity. Preferred experience in Oncology billing preferred
Knowledge of computer/telephony support, preferably in a healthcare environment
Strong customer service background, preferably in a healthcare environment
Excellent verbal communication skills
Competence with computer processing functions and other standard office equipment
Ability to manage and prioritize multiple tasks
Ability to calmly and professionally resolve customer issues with diplomacy and tact
Ability to work independently with minimal supervision
Strong organizational skills
Understanding of managed care contracts and fee schedules, including Medicare and Medicaid
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
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
Morningstar.com
2026-01-16
Company data provided by crunchbase