Sr. Coordinator, Patient Access (Case Manager)

at Cardinal Health in Boise, Idaho, United States

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. Were 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:

+ Receive inbound and outbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution

+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience

+ Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services

+ Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes

+ Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed

+ Resolve patients questions and any representative for the patients concerns regarding status of their request for assistance

+ Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products

+ Process enrollments via fax, phone, and electronically as needed

+ Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database

Qualifications:

+ 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred

+ Previous Hub or Patient Support Service experience preferred

+ High School diploma or equivalent preferred

+ Knowledge of Medicare (A, B,