Job Details

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.ResponsibilitiesFirst point of contact on inbound calls and determines needs and handles accordinglyCreates and completes accurate applications for enrollment with a sense of urgencyScrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the databaseConducts outbound correspondence when necessary to help support the needs of the patient and/or programResolves patient questions and any representative for the patient's concerns regarding status of their request for assistanceUpdates internal treatment plan statuses and external pharmacy treatment statusesMaintains accurate and detailed notations for every interaction using the appropriate database for the inquirySelf‑audit intake activities to ensure accuracy and efficiency for the programMakes all outbound calls to patient and/or provider to discuss any missing information and/or benefit related informationNotifies patients, physicians, practitioners, and/or clinics of any financial responsibility of services provided as applicableAssesses patient's financial ability to afford therapy and provides hand‑on guidance to appropriate financial assistanceFollows through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhaustedTracks any payer/plan issues and reports any changes, updates, or trends to managementSearches insurance options and explains various programs to the patient while helping them to select the best coverage option for their situationHandles all escalations based upon region and ensures proper communication of the resolution within required time frame agreed upon by the clientServes as a liaison between client sales force and applicable partyMediate situations in which parties are in disagreement and facilitates a positive outcomeConcurrently handles multiple outstanding issues and ensures all items are resolved in a timely manner to the satisfaction of all partiesIs responsible for reporting any payer issues by region with the appropriate teamAs needed conducts research associated with issues regarding the payer, physician's office, and pharmacy to resolve issues swiftlyQualificationsPrevious customer service experience is preferredHigh School diploma or equivalent preferredPatient Support Service experience, preferredClear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferredKnowledge of DME, MAC practices if preferredClear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred1‑2 years of Pharmacy and/or Medical Claims billing and Coding work experience1‑2 years experience with Prior Authorization and Appeal submissionsAbility to work with high volume production teams with an emphasis on qualityIntermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook and preferred Excel capabilitiesPrevious medical experience is preferredAdaptable and Flexible, preferredSelf‑Motivated and Dependable, preferredStrong ability to problem solve, preferredBilingual is preferredWhat is expected of you and others at this levelEffectively applies knowledge of job and company policies and procedures to complete a variety of assignmentsIn‑depth knowledge in technical or specialty areaApplies advanced skills to resolve complex problems independentlyMay modify process to resolve situationsWorks independently within established procedures; may receive general guidance on new assignmentsMay provide general guidance or technical assistance to less experienced team membersTraining and Work Schedules: Your new hire training will take place 8:00am‑5:00pm CST, mandatory 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, 8:00am‑5:00pm 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; Ping Rate Maximum of 30ms; Hardwired to the router; Surge protector with Network Line Protection for CAH issued equipment.Anticipated hourly range: $21.40 per hour – $30.60 per hourBenefitsMedical, dental and vision coveragePaid time off planHealth savings account (HSA)401(k) savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSA)Short‑ and long‑term disability coverageWork‑Life resourcesPaid parental leaveHealthy lifestyle programsCardinal 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.#J-18808-Ljbffr