Cardinal Health
Benefits and Authorization Coordinator
Cardinal Health - Nashville, Tennessee, United States, 37247
Work at Cardinal Health
Overview
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Overview
What Revenue Cycle Management (RCM) contributes to Cardinal Health
Practice Operations Management oversees the business and administrative operations of a medical practice.
Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
Benefits and Authorization Coordinator
This position is responsible for reviewing the physician’s daily schedule and obtaining verification of patients’ insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform other duties if necessary & must be knowledgeable of a variety of Insurance Plans and Policies.
Responsibilities/Essential Functions (other duties as assigned):
Receives PET/CT orders and reviews for compendia compliance, submits for authorization.
Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.
Utilize online insurance portals, phone communication and other eligibility tools in order to obtain accurate verifications and submit authorization requests based on verified authorization requirements
Ensures compendia compliance and obtains all required authorization and referral information for patients’ treatments.
Receives authorization for in-house procedures and document in the patient medical record.
Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
Maintains detailed notes in patients’ electronic records.
Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
Become familiar with up-to-date National Comprehensive Cancer Network (NCCN) guidelines.
Effectively completes other duties and projects as assigned.
Experience, Qualifications/Education:
High School Diploma or equivalent required
2-3 years’ experience
Clinical business training preferred
Knowledge of computer/telephony support, preferably in a health care environment
Strong customer service background, preferably in health care environment
Excellent written and verbal communication skills when interacting with clients, providers and insurance companies
Competence with computer processing functions and other standard office equipment
Ability to manage and prioritize multiple tasks
Ability to calmly and professionally resolve customer issues with diplomacy and tact
Ability to work independently with minimal supervision
Strong organizational skills
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
Consults with supervisor or senior peers on complex and unusual problems
Anticipated salary range: $16.80-27.95 per hour USD
Benefits:
Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Bonus eligible: No
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
Application window anticipated to close:
06/30/2025 *if interested in opportunity, please submit application as soon as possible.
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.
To read and review this privacy notice click
here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)
Practice Operations Management oversees the business and administrative operations of a medical practice.
Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
Benefits and Authorization Coordinator
This position is responsible for reviewing the physician’s daily schedule and obtaining verification of patients’ insurance benefits for their scheduled visits. They will also obtain authorization for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform other duties if necessary & must be knowledgeable of a variety of Insurance Plans and Policies.
Responsibilities/Essential Functions (other duties as assigned):
Receives PET/CT orders and reviews for compendia compliance, submits for authorization.
Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.
Utilize online insurance portals, phone communication and other eligibility tools in order to obtain accurate verifications and submit authorization requests based on verified authorization requirements
Ensures compendia compliance and obtains all required authorization and referral information for patients’ treatments.
Receives authorization for in-house procedures and document in the patient medical record.
Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
Maintains detailed notes in patients’ electronic records.
Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
Become familiar with up-to-date National Comprehensive Cancer Network (NCCN) guidelines.
Effectively completes other duties and projects as assigned.
Experience, Qualifications/Education:
High School Diploma or equivalent required
2-3 years’ experience
Clinical business training preferred
Knowledge of computer/telephony support, preferably in a health care environment
Strong customer service background, preferably in health care environment
Excellent written and verbal communication skills when interacting with clients, providers and insurance companies
Competence with computer processing functions and other standard office equipment
Ability to manage and prioritize multiple tasks
Ability to calmly and professionally resolve customer issues with diplomacy and tact
Ability to work independently with minimal supervision
Strong organizational skills
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
Consults with supervisor or senior peers on complex and unusual problems
Anticipated salary range: $16.80-27.95 per hour USD
Benefits:
Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Bonus eligible: No
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
Application window anticipated to close:
06/30/2025 *if interested in opportunity, please submit application as soon as possible.
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.
To read and review this privacy notice click
here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)