Bilingual Sr. Coordinator, Patient Access; Case Manager

Position: Bilingual Sr. Coordinator, Patient Access (Case Manager)
Location: Northern

*** What Individualized Care contributes to Cardinal Health
*** Cardinal Health SonexusTM 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.
** Together, we can get life-changing therapies to patients who need them—faster.
**** Responsibilities:
*** 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 patient's questions and any representative for the patient’s 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
* Receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution
*
* Qualifications:

*** 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred
* *** Fluent in both Spanish and English required
**** Previous Hub or Patient Support Service experience preferred
* High School diploma or equivalent preferred
* Knowledge of Medicare (A, B, C,

D), Medicaid & Commercial payers policies and guidelines for coverage, preferred
* Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
* Robust computer literacy skills including data entry and MS Office-based software programs
* Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred
* Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers
** 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.…