Reimbursement Specialist

Job Description

Cardinal Health Sonexus 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 solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

Together, we can get life-changing therapies to patients who need them-faster.

Responsibilities :

Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution

Responsible for reporting adverse events within the required timeframe

Create and complete accurate referrals and applications and keep updated on policy or procedural changes

Investigate and resolve patient / physician inquiries and concerns in a timely manner

Enter detailed information into company proprietary software while conversing via telephone

Place outbound phone calls for patient follow ups or confirmations

Demonstrate superior customer support talents

Interact with the patient referral sources to process new applicants

Steward patient accounts from initial contact through final approval / denial

Prioritize multiple, concurrent assignments and work with a sense of urgency

Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes

Qualifications :

High School Diploma, GED or equivalent work experience

1-3 years in related field preferred

Previous customer service experience, preferred

Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred

Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred

Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred

Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred

Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers

Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust

Robust computer literacy skills including data entry and MS Office-based software programs

What is expected of you and others at this level :

Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments

In-depth knowledge in technical or specialty area

Applies advanced skills to resolve complex problems independently

May modify process to resolve situations

Works independently within established procedures; may receive general guidance on new assignments

May provide general guidance or technical assistance to less experienced team members

TRAINING AND WORK SCHEDULES : Your new hire training will take place 8 : 00am-5 : 00pm CST, mandatory on camera attendance is required.

This position is full-time (40 hours / week).  Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7 : 00 AM to 8 : 00 PM CST.

REMOTE DETAILS : You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following :

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.

Download speed of 15Mbps (megabyte per second)

Upload speed of 5Mbps (megabyte per second)

Ping Rate Maximum of 30ms (milliseconds)

Hardwired to the router

Surge protector with Network Line Protection for CAH issued equipment

Anticipated hourly range :  $21.40 per hour - $30.60 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 :  11 / 19 / 2025

• 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 candidate's 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.

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