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 physicians 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 & must be knowledgeable of a variety of Insurance Plans and Policie 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 completes 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. Effectively completes other duties and projects as assigned Qualifications: High School Diploma or equivalent preferred 3-4years 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: $ 15.70- $ 28.13 USD Hourly 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: 11/05/2025 *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 candidates 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 Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. We are a crucial link between the clinical and operational sides of healthcare, delivering endtoend solutions and datadriving insights that advance healthcare and improve lives every day. With deep partnerships, diverse perspectives and innovative digital solutions, we build connections across the continuum of care. With more than 50 years of experience, we seize the opportunity to address healthcare's most complicated challenges now, and in the future. View Cardinal Health on YouTube
