Coordinator, Benefits Eligibility and Authorization

What Benefits Eligibility And Authorization (Rcm) Contributes To Cardinal Health

Practice Operations Management oversees the business and administrative operations of a medical practice. 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 Senior Coordinator, Benefits Eligibility And Authorization may be asked to perform other duties if necessary and must be knowledgeable of a variety of insurance plans and policies.

Responsibilities

Submit authorizations for all internal and external orders including but not limited to radiation, chemotherapy, PET / CT, urology and scans

Follow up within 48 hours on any existing authorizations that are pending approval

Ensure proper documentation outlining all steps taken to ensure authorizations have been submitted, followed up on and obtained

Upon approval, enter all authorization information into the billing system and attach confirmation into the patients account in registration overlay

Take any action necessary for any denials received by the payor to inform the clinician of changes that may need to happen in order to not delay patient care

Complete any pre-service appeals to obtain paying approval based on medical necessity

Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received

Maintain a high level of confidentiality for patients in accordance to HIPAA standards

Coordinate with clinical staff to ensure patients are contacted prior to appointments informing them of any treatment schedule changes if necessary

Effectively complete other duties and projects as assigned

Regular attendance and punctuality

Execute all functions of the role with positivity and team effort by accomplishing related results as needed

Qualifications

High School Diploma or equivalent preferred

3-4 years' experience preferred

Strong customer service background, preferably in health care environment

Excellent verbal communication skills

Competence with computer processing functions and other standard office equipment

Ability to manage and prioritize multiple tasks

Ability to work independently with minimal supervision

Strong organizational skills

Anticipated hourly range : $21.00 - $26.45 USD Hourly

Benefits

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 : 11 / 05 / 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.