Senior Coordinator, Case Manager

Cardinal Health

. Serve as the first point of contact for inbound calls, determine needs, and handle inquiries .

Posted 10/12/2026full-timeRemote • Texas • United StatesSenior💰 $21 - $31 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient support services, including knowledge of Medicare, Medicaid, and commercial payer policies. Proficient in managing complex patient inquiries and financial assistance processes while maintaining high-quality standards in a fast-paced environment.

Highest-signal resume keywords

Patient Support Service ExperienceKnowledge of Medicare and Medicaid PoliciesPharmacy and Medical Claims Billing ExperiencePrior Authorization and Appeal SubmissionsIntermediate to Advanced Microsoft Office Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Claims BillingCoding Work ExperiencePrior Authorization SubmissionsAppeal SubmissionsInsurance Benefit PracticesDME KnowledgeMAC PracticesFinancial Assistance GuidanceHigh Volume Production ManagementSelf-Auditing Intake Activities

Soft Skills

Customer Service ExperienceEffective CommunicationProblem SolvingConflict MediationTeam Collaboration

Tools & Technologies

Microsoft WordMicrosoft OutlookMicrosoft ExcelDatabase ManagementHigh-Speed Broadband Internet

Industry Keywords

Patient InteractionInsurance Coverage OptionsFinancial Responsibility NotificationPayer Issues TrackingRegional Escalations

About the role

Key responsibilities & impact

Serve as the first point of contact for inbound calls, determine needs, and handle inquiries
Create and complete accurate enrollment applications urgently
Review forms and supporting documentation for missing or new information
Conduct outbound correspondence and calls to patients and providers
Resolve patient and representative questions regarding assistance request status
Update internal treatment plan and external pharmacy treatment statuses
Maintain accurate interaction notes in the appropriate database
Self-audit intake activities for accuracy and efficiency
Notify patients, physicians, practitioners, and clinics of applicable financial responsibility
Assess patients’ ability to afford therapy and guide them toward financial assistance
Follow through on benefit investigation rejections, including prior authorizations and appeals
Track payer and plan issues and report changes, updates, and trends to management
Research insurance options and explain programs to help patients select coverage
Handle regional escalations and communicate resolutions within required timeframes
Serve as liaison between the client sales force and applicable parties
Mediate disagreements and facilitate positive outcomes
Manage multiple outstanding issues and resolve them promptly
Report regional payer issues to the appropriate team
Research payer, physician office, and pharmacy issues to resolve them swiftly
Apply advanced specialty knowledge to resolve complex problems independently
Modify processes when needed and provide guidance or technical assistance to less experienced team members

Requirements

What you’ll need

Previous customer service experience
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 preferred
Mandatory attendance at new hire training from 8:00am-5:00pm CST
Flexibility to work any shift during Monday-Friday, 7:00am-7:00pm CST
Dedicated, quiet, private, distraction-free remote work environment
High-speed broadband internet connection meeting specified requirements: 15Mbps download, 5Mbps upload, maximum 30ms ping rate, hardwired to the router
Surge protector with Network Line Protection for company-issued equipment

Benefits

Comp & perks

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
Company-provided computer, technology and equipment needed to perform the job
Bonus eligible: No