Pharmacy Care Coordinator LOCAL REMOTE ID-3823

January 14, 2025

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.

Responsibilities

Monitor system accounts for new Patient cases
Conduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacy that will dispensing their medication
Contact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejections
Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
Place outbound calls to patients to assess for eligibility for co-pay and financial assistance
Answer minimal inbound calls from doctors and/or patients checking on status of case
Maintain quality while providing an empathetic and supportive experience to the patients, providers, and physician offices
Resolve patient's questions and concerns regarding status of their request for assistance
Enter detailed information into company proprietary software while conversing via telephone
Steward patient accounts from initial contact through final approval/denial
Process all patient applications in accordance to set policy, procedures and PHI compliance
Speak with manufacturer field team members on case updates via phone or by email
Works internally with team members regarding patients’ cases
Ability to identify, document and submit Adverse Events during customer contact or via received documentation
Conduct research associated with alternative funding or foundations to ensure patient has required information to receive product

Qualifications

Minimum of HS diploma; additional education preferred
Previous healthcare experience with insurance or in pharmaceutical industry, preferred
Pharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred
Previous prior authorization and appeals experience highly desired
Knowledge of ICD coding, preferred
Intermediate Microsoft skills with specific experience with Excel
Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgency
Exceptional communication skills both verbally and written
Self-starter with demonstrated initiative, creativity and a willingness to learn
Must be willing to work 10a-7p CST

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 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, 7:00am- 7:00pm 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 (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: $21.50 per hour - $30.65 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

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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