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Senior Coordinator, Individualized Care (Case Manager)

Company: Cardinal Health
Location: lewisville
Posted on: May 3, 2021

Job Description:

Job Description: Case Manager What Individualized Care contributes to Cardinal HealthDelivering 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.AccountabilitiesMonitor system accounts for new Patient casesConduct outbound calls to patients to confirm approval/denials of coverage, co-pays and verification of specialty pharmacy that will dispensing their medicationContact insurance companies as required to obtain and enter accurate benefit information to positively impact insurance processing and minimize rejectionsMediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalatePlace outbound calls to patients to assess for eligibility for co-pay and financial assistanceAnswer minimal inbound calls from doctors and/or patients checking on status of caseMaintain quality while providing an empathetic and supportive experience to the patients, providers, and physician officesResolve patient's questions and concerns regarding status of their request for assistanceEnter detailed information into company proprietary software while conversing via telephoneSteward patient accounts from initial contact through final approval/denialProcess all patient applications in accordance to set policy, procedures and PHI complianceSpeak with manufacturer field team members on case updates via phone or by emailWorks internally with team members regarding patients' casesAbility to identify, document and submit Adverse Events during customer contact or via received documentationConduct research associated with alternative funding or foundations to ensure patient has required information to receive productQualificationsMinimum of HS diploma; additional education preferredPrevious healthcare experience with insurance or in pharmaceutical industry, preferredPharmacy benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferredPrevious prior authorization and appeals experience highly desiredKnowledge of ICD coding, preferredIntermediate Microsoft skills with specific experience with Excel Organized with the ability to prioritize multiple, concurrent assignments and work with a sense of urgencyExceptional communication skills both verbally and writtenSelf-starter with demonstrated initiative, creativity and a willingness to learnDesired Attributes:Willingness to learnSelf-starterQualityAttention to detailAdaptableFocusOrganizedAnticipating any issuesDetailedAttentivenessCompassionateEmpathyWhat 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 membersCardinal 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.To read and review this privacy notice click here

Keywords: Cardinal Health, Lewisville , Senior Coordinator, Individualized Care (Case Manager), Other , lewisville, Texas

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