Sr. Coordinator, Individualized Care (Case Manager)

What Individualized Care contributes to Cardinal Health Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.    What is expected of you and others at this level   Applies acquired job skills and company policies and procedures to complete standard tasks  Works on routine assignments that require basic problem resolution  Refers to policies and past practices for guidance  Receives general direction on standard work; receives detailed instruction on new assignments  Refers to policies and past practices for guidance  Receives general direction on standard work; receives detailed instruction on new assignments  Consults with supervisor or senior peers on complex and unusual problems  Accountabilities   The Case Manager supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient’s journey to therapy. These steps include patient referral intake, investigating all patient health insurance benefits, identifying & initiating prior authorization and step therapy reviews, proactively following up with various partners including the insurance payers, specialty pharmacies, and support organizations to facilitate coverage and delivery of product in a timely manner.  Must demonstrate efficiency and strong organizational skill  Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate  Proactive follow-up with various contacts to ensure patient access to therapy  Call interactions are inbound & outbound: Must demonstrate superior customer support talents that remain in compliance with standard call quality expectations.  Must communicate clearly and effectively in both a written and verbal format  Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program.

High School Diploma, GED, or equivalent work experience  3-6 years experience in related field preferred  1-2 years experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred   Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred  Critical and creative thinking, preferred  Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred  Knowledge of Medical/Pharmacy billing and coding is preferred  Important to have a strong attention to detail  TRAINING AND WORK SCHEDULES:  Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.  This position is full-time (40 hours/week).  Employees are required to have flexibility to work shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. 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