Manager, Benefits Eligibility & Authorizations

What Benefits Eligibility and Authorizations Manager contributes to Cardinal Health

The Benefits Eligibility and Authorizations Manager oversees the insurance verification process within the organization, ensuring accuracy, efficiency, and compliance with industry standards and regulations. They manage a team responsible for verifying patient insurance coverage, obtaining authorizations for services, and resolving insurance-related issues.

Responsibilities

• Supervises and leads a team of insurance verification and authorization verification specialists.
• Provides training, guidance, and performance evaluations to team members.
• Fosters a positive and collaborative work environment to maximize team productivity and morale.
• Develops and implement standardized procedures for insurance verification.
• Oversees the verification of patient insurance coverage for medical services.
• Ensures timely verification of insurance benefits and eligibility.
• Coordinates the authorization process for medical procedures and services requiring pre-authorization.
• Communicates with insurance companies to obtain necessary authorizations and resolve authorization-related issues.
• Monitors authorization status to ensure compliance with payer requirements and minimize denials.
• Collaborates with billing and coding teams to resolve insurance-related claim rejections and denials.
• Investigates and address discrepancies in insurance coverage and billing information.
• Implements strategies to minimize claim denials and optimize reimbursement.
• Stays updated on changes in insurance regulations, policies, and procedures.
• Ensures compliance with HIPAA regulations and other relevant healthcare laws.
• Conducts regular audits to assess the accuracy and completeness of insurance verification processes.
• Establishes key performance indicators (KPIs) for insurance verification processes.
• Monitors performance metrics and analyze trends to identify areas for improvement.
• Generates reports and provide insights to management regarding insurance verification efficiency and effectiveness.
• May perform any additional responsibilities or special projects as required.
• May provide cross-functional support as business needs demand.
• Duties and responsibilities may be subject to change based upon the needs of the department.

Qualifications

What is expected of you and others at this level

Anticipated salary range : $87,700 - $125,000 per year

Bonus eligible : Yes

Benefits : Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Application window anticipated to close : 10 / 25 / 2025

The salary 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.