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Senior Coordinator, Prior Authorization

Cardinal Health · US

Fully Remote: Monday - Friday 8:30am Eastern - 5:00pm Eastern Time What Customer Service Operations contributes to Cardinal Health Customer Service is respon...

Job description

Fully Remote: Monday - Friday 8:30am Eastern - 5:00pm Eastern Time What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. Job Summary: The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards. Respo...