Talent.com
Reimbursement Specialist

Reimbursement Specialist

Cardinal HealthRochester, NY, US
1 day ago
Job type
  • Full-time
Job description

Cardinal Health Sonexus Access and Patient Support

Cardinal Health Sonexus 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 solutionsdriving 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 themfaster.

Responsibilities

  • Responsible for handling inbound and outbound calls, with ability to determine needs and provide one call resolution.
  • Responsible for reporting adverse events within the required timeframe.
  • Create and complete accurate referrals and applications and keep updated on policy or procedural changes.
  • Investigate and resolve patient / physician inquiries and concerns in a timely manner.
  • Enter detailed information into company proprietary software while conversing via telephone.
  • Place outbound phone calls for patient follow ups or confirmations.
  • Demonstrate superior customer support talents.
  • Interact with the patient referral sources to process new applicants.
  • Steward patient accounts from initial contact through final approval / denial.
  • Prioritize multiple, concurrent assignments and work with a sense of urgency.
  • Maintaining quality and providing an empathetic and supportive experience to the patient by controlling the patient conversation, educating the caller as they provide effective and efficient strategies and processes.

Qualifications

  • High School Diploma, GED or equivalent work experience.
  • 1-3 years in related field preferred.
  • Previous customer service experience, preferred.
  • Knowledge of practices and procedures commonly used in a call center or customer service environment, preferred.
  • Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred.
  • Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred.
  • Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred.
  • Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers.
  • Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.
  • Robust computer literacy skills including data entry and MS Office-based software programs.
  • 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 on camera attendance is required.

    This position is full-time (40 hours / week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7 : 00 AM to 8 : 00 PM CST.

    Remote Details : You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following :

    Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber). Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.

  • Download speed of 15Mbps (megabyte per second)
  • Upload speed of 5Mbps (megabyte per second)
  • Ping Rate Maximum of 30ms (milliseconds)
  • Hardwired to the router
  • Surge protector with Network Line Protection for CAH issued equipment
  • Anticipated hourly range : $21.40 per hour - $30.60 per hour

    Bonus eligible : No

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

  • 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 / 19 / 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.

    Create a job alert for this search

    Reimbursement Specialist • Rochester, NY, US

    Related jobs
    • Promoted
    Travel Endoscopy RN in Rochester, New York

    Travel Endoscopy RN in Rochester, New York

    Gifted HealthcareBrockport, NY, US
    Full-time
    Endoscopy Nurse (Endo RN) assists doctors with endoscopic procedures.The Endoscopy RN primary responsibilities include answering patient questions, addressing their concerns, observing patient vita...Show moreLast updated: 16 days ago
    • Promoted
    Travel Emergency Room RN in Rochester, New York

    Travel Emergency Room RN in Rochester, New York

    Gifted HealthcareKendall, NY, US
    Full-time
    Emergency Room RNs (ER RNs) record present symptomology, as well as collect a thorough patient history.The ER RN assesses, plans, implements, and evaluates patient care plans in coordination with o...Show moreLast updated: 3 days ago
    • Promoted
    Certified Nursing Assistant

    Certified Nursing Assistant

    Rochester Regional HealthHemlock, NY, US
    Full-time
    Certified Nursing Assistant .As a Certified Nursing Assistant, you will provide high quality, individualized patient care in collaboration with the nursing team.Your ability to take init...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Psych RN in Rochester, New York

    Travel Psych RN in Rochester, New York

    Gifted HealthcareBrockport, NY, US
    Full-time
    Psychiatric RNs provide direct care to patients and work within a multidisciplinary team to provide outcome-based treatment for patients. The Psych RN responds to distressed patients and educates pa...Show moreLast updated: 16 days ago
    • Promoted
    Refund Specialist

    Refund Specialist

    US Acute Care Solutions (USACS)Rochester, NY, US
    Full-time
    Your career is more than just a job, it's part of your life.Whether you're a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office s...Show moreLast updated: 2 days ago
    • Promoted
    Access & Reimbursement Manager

    Access & Reimbursement Manager

    Syneos Health / inVentiv Health Commercial LLCRochester, NY, United States
    Full-time
    The Access & Reimbursement Manager (ARM) will operate as the subject-matter expert on reimbursement, access, and coverage issues affecting the client's products. The ARM role is a remote / field-based...Show moreLast updated: 5 days ago
    • Promoted
    Travel CT Tech - $1,663 to $1,859 per week in Gainesville, CT

    Travel CT Tech - $1,663 to $1,859 per week in Gainesville, CT

    AlliedTravelCareersGainesville, CT, US
    Full-time
    AlliedTravelCareers is working with Prime Time Healthcare to find a qualified CT Tech in Gainesville, Connecticut!.Now Hiring : Allied Healthcare CT - Gainesville, Florida.Contact us for Pay Informa...Show moreLast updated: 29 days ago
    • Promoted
    RN - Telemetry in Hilton, NY - $2,046 / week

    RN - Telemetry in Hilton, NY - $2,046 / week

    Vetted HealthHilton, NY, US
    Full-time
    Vetted is seeking a RN - Telemetry for a travel job in Rochester, New York.The job was posted 14 days ago.The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3 days a week.You mu...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $1618 / Week

    Travel MRI Tech - $1618 / Week

    Cynet HealthRochester, NY, US
    Full-time
    Cynet Health is seeking an experienced MRI Tech for an exciting Travel Allied job in Rochester, NY.Shift : 2x12 hr days Start Date : 11 / 17 / 2025 Duration : 13 weeks Pay : $1618 / Week.Ranked #5 Best Tra...Show moreLast updated: 10 days ago
    • Promoted
    RN - Med Surg in Hilton, NY - $2,046 / week

    RN - Med Surg in Hilton, NY - $2,046 / week

    Vetted HealthHilton, NY, US
    Full-time
    Vetted is seeking a RN - Med Surg for a travel job in Rochester, New York.The job was posted about 1 month ago.The assignment starts on ASAP and is 13 weeks long with 13 hour shifts 3 days a week.Y...Show moreLast updated: 30+ days ago
    • Promoted
    Travel MRI Tech - $2,665 to $2,955 per week in Rochester, NY

    Travel MRI Tech - $2,665 to $2,955 per week in Rochester, NY

    AlliedTravelCareersRochester, NY, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Rochester, New York, 14642!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packa...Show moreLast updated: 4 days ago
    • Promoted
    Travel MRI Tech - $2,382 to $2,641 per week in Rochester, NY

    Travel MRI Tech - $2,382 to $2,641 per week in Rochester, NY

    AlliedTravelCareersRochester, New York, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Rochester, New York, 14642!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packa...Show moreLast updated: 4 days ago
    • Promoted
    Travel Operating Room RN in Rochester, New York

    Travel Operating Room RN in Rochester, New York

    Gifted HealthcareWebster, NY, US
    Full-time
    Operating Room Nurses (OR RNs) care for patients before, during, and after surgery and assist the surgeon in procedures.The OR RN provides direct and individualized care to patients.OR RN job respo...Show moreLast updated: 3 days ago
    • Promoted
    Registered Nurse (R.N.) - Inpatient Mental Health

    Registered Nurse (R.N.) - Inpatient Mental Health

    Rochester Regional HealthNaples, NY, US
    Full-time
    As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health.You make a positive difference every single day in the lives of our patients, their family m...Show moreLast updated: 4 days ago
    • Promoted
    Travel MedSurg RN in Rochester, New York

    Travel MedSurg RN in Rochester, New York

    Gifted HealthcareMumford, NY, US
    Full-time
    MedSurg RNs provide bedside care for a variety of patients and execute individualized patient assessments to create an individualized plan of care. MedSurg RNs prepare equipment and assist physician...Show moreLast updated: 2 days ago
    • Promoted
    RN - Med Surg in Rushville, NY - $2,139 / week

    RN - Med Surg in Rushville, NY - $2,139 / week

    Vetted HealthRushville, NY, US
    Full-time
    Vetted is seeking a RN - Med Surg for a travel job in Geneva, New York.The assignment starts on Sep 8 and is 25 weeks long with 8 hour shifts 5 days a week. You must live 60 miles away from the faci...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Medical Reimbursement Representative

    Medical Reimbursement Representative

    CVS HealthRochester, NY, US
    Full-time
    Medical Reimbursement Representative.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ...Show moreLast updated: 9 hours ago
    • Promoted
    • New!
    Travel Medical-Surgical Registered Nurse - $2,376 per week

    Travel Medical-Surgical Registered Nurse - $2,376 per week

    Medical SolutionsDansville, NY, US
    Full-time
    Medical Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Dansville, New York.Job Description & Requirements. We’re seeking talented healthcare professionals whose adventur...Show moreLast updated: 1 hour ago