Cardinal Health · 22 hours ago
Reimbursement Solutions Analyst - Nationwide
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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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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
Cardinal Health is a manufacturer and distributor of medical and laboratory products.
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
2023 (112)
2022 (131)
2021 (144)
2020 (126)
Funding
Current Stage
Public CompanyTotal Funding
$78M2006-08-16Post Ipo Debt· $78M
1983-08-12IPO· undefined
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