Reimbursement Coordinator at Cardinal Health in Boise, Idaho, United States Job Description What Individualized Care contributes to Cardinal Health The Sr.
Coord, Individualized Care (Reimbursement Coordinator) supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules.
This position is responsible for guiding the patient through the various process steps of their patient journey to therapy.
These steps include patient referral intake, investigating all patient health insurance benefits, and proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient / physician to facilitate coverage and dispense of product in a timely manner.
Qualifications - Previous customer service experience is preferred - High School diploma or equivalent preferred - Patient Support Service experience, preferred - Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred - Knowledge of DME, MAC practices, preferred - Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred - 1-2 years of Pharmacy and / or Medical Claims billing and Coding work experience - 1-2 years' experience with Prior Authorization and Appeal submissions - Ability to work with high volume production teams with an emphasis on quality - Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities - Previous medical experience, preferred - Bilingual is preferred What is expected of you and others at this leve l - Experience in supporting time sensitive requests and prioritization of assignments and working with a sense of urgency - Investigate and resolve patient / physician inquiries and concerns in a timely manner - Mediate effective resolution for complex payer / pharmacy issues toward a positive outcome to de-escalate - Must be able to manage multiple concurrent assignments.
- Must communicate clearly and effectively in both a written and verbal format - Proactive follow-up with various contacts to ensure patient access to therapy - Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments - In-depth knowledge in technical or specialty area - To view full details and how to apply, please login or create a Job Seeker account
Reimbursement Coordinator
Coord, Individualized Care (Reimbursement Coordinator) supports patient access to therapy through Reimbursement Support Services in accordance with the program business rules. Reimbursement Coordinator at Cardinal Health in Boise, Idaho, United States Job Description What Individualized Care contrib...
Registered Nurse (RN) - Home Health Case Manager, Acute Care Case Management - $35-55 per hour
Luke's Health System is seeking a Registered Nurse (RN) Home Health Case Manager, Acute Care Case Management for a nursing job in Meridian, Idaho. Posted job title: home health rn case manager. The Home Care Coordinator works with physicians and multidisciplinary team members to develop and manage a...
Project Coordinator
Responsible for clear and efficient project communication with the customer and project stakeholders. Work closely with Project Managers to ensure thorough and accurate project documentation from beginning to end. Daily project(s) oversight to include monitoring status, audit, and work-in-progress. ...
Project Coordinator
Project Coordinator will assist Sales and Production in various administrative tasks. Send out surveys to subs and clients at the completion of the project. ...
Pharmacy Compliance & Compounding Coordinator
The Pharmacy Compliance & Compounding Coordinator will maintain day-to-day operations of the main pharmacy in adherence with regulatory and legal requirements including USP 795, 797, and 800. Mountain Care Pharmacy is an equal opportunity employer, we celebrate diversity and are committed to creatin...
Administrative Assistant
Job Title: Administrative Assistant 3. Performs a broad range of administrative/clerical duties including: preparing reports and agendas that may require compilation, layout and formatting of various data, composing replies to correspondence, and composing letters, memoranda, or reports in final for...
Senior Project Manager
Senior Project Manager for our Boise location. A minimum of 15 years’ experience in the electrical Industry and ten years of Project Manager experience required. Perform project setup duties, conduct project kickoff meetings. Oversee the proactive coordination of project scope with Project Team, Ope...
Project Director/ Development Manager
Are you a talented and ambitious construction project manager looking to make a significant impact on community-changing projects? Our team at Axiom is opening the door for a Senior Project Manager eager to work on transformative projects. JOIN OUR TEAM AS PROJECT DEVELOPMENT SERIVCES AS OWNER’s REP...
Home Care Service Coordinator
Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index. Responsible for scheduling and supervising in-home care workers and clients in a geographic area. If you seek a challengin...
Metabolic And Bariatric Surgery Care Coordinator Full-time Days
Saint Alphonsus Health System is hiring a Metabolic and Bariatric Surgery Care Coordinator to coordinate bariatric patient care with providers, triage bariatric patients (telephonically/in-person), conduct pre-visit chart reviews to assess and anticipate bariatric patient care needs, develop and pro...