出海雷达

双语高级协调员,患者准入(病例经理)

Bilingual Sr. Coordinator, Patient Access (Case Manager)

其他限定地区(需当地身份)
公司Cardinal Health
薪资$21.4 - $30.6
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间22 天前
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

Cardinal Health Sonexus™ Access and Patient Support 为 Cardinal Health 做出的贡献
Cardinal Health Sonexus™ Access and Patient Support 帮助特种药品制造商消除治疗障碍,使患者能够获得、负担得起并持续接受他们所需的治疗,从而提高生活质量。我们在制药、支付方和中心服务方面的多样化专业知识,使我们能够提供行业领先的解决方案——推动品牌和患者的成功指标。我们不断整合先进的新兴技术,以简化患者入组、资格审核和依从性流程。我们的非商业特种药房位于德克萨斯州达拉斯郊外的定制设施中,使制造商能够重新思考其产品的覆盖范围和影响力。
我们共同努力,更快地将改变生命的疗法带给需要的患者。
职责:
· 以紧迫感管理整个护理流程,从保险调查/验证到药物配送,确保卓越的患者体验
· 进行保险验证,并与各种医疗保健提供者合作,包括医生、特种药房和保险公司,确保患者护理的无缝协调和及时获取必要服务
· 协助获取保险、事先授权和申诉要求及结果
· 协助患者了解其保险计划的覆盖范围,包括自付费用,并在需要时提供申诉流程的指导
· 解决患者的问题,并代表患者处理其援助请求状态的相关问题
· 展示对支付方环境和保险流程的专业知识。保持对报销环境的长期和短期变化的了解,包括医保、医疗补助、管理式医疗、商业医疗和药品计划,同时为可能影响处方产品的各种情景做好规划
· 根据需要通过传真、电话和电子方式处理注册
· 仔细审查表格和支持文件,检查是否有缺失信息或需添加的新信息
· 接收来自患者、医疗保健提供者办公室、SPs 和客户的来电,力求一次解决
资格:
· 2-4 年行业经验,有面向患者或高接触客户互动经验者优先
· 需要精通西班牙语和英语
· 有中心或患者支持服务经验者优先
· 高中毕业或同等学历

查看英文原文

What Individualized Care contributes to Cardinal Health
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 solutions—driving 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 them—faster.
Responsibilities:
· Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience
· Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services
· Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes
· Help patients understand their insurance plan coverage, including out-of-pocket costs, and provide guidance on the appeals process if needed
· Resolve patient's questions and any representative for the patient’s concerns regarding status of their request for assistance
· Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care, and Commercial medical and pharmacy plans while planning for various scenarios that may impact prescribed products
· Process enrollments via fax, phone, and electronically as needed
· Scrutinize forms and supporting documentation thoroughly for any missing information or new information to be added to the database 
· Receive inbound calls from patients, healthcare provider offices, SPs, and customers, striving for one-call resolution
Qualifications:
· 2-4 years of industry experience with patient-facing or high touch customer interaction experience preferred
· Fluent in both Spanish and English required
· Previous Hub or Patient Support Service experience preferred
· High School diploma or equivalent preferred
· Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred
· Strong people skills that demonstrate flexibility, persistence, creativity, empathy, and trust.   
· Robust computer literacy skills including data entry and MS Office-based software programs 
· Strong understanding of pharmaceutical therapies, disease states, and medication adherence challenges preferred
· Excellent written and oral communication, mediation, and problem-solving skills, including the ability to connect with patients, caregivers, and providers
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 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, 7:00am- 8:00pm 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) at the remote location. 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:  10/09/2026 *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.
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 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.

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Originally posted on Himalayas

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其他限定地区(需当地身份)

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