[Remote] Reimbursement Specialist

Note: The job is a remote job and is open to candidates in USA. Cardinal Health is a company that helps specialty pharmaceutical manufacturers remove barriers to care for patients. The Reimbursement Specialist will handle inbound and outbound calls, resolve patient inquiries, and ensure accurate referrals and applications are created and maintained.

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

Skills

• High School Diploma, GED or equivalent work experience
• 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
• 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

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 Overview

Company H1B Sponsorship