POSITION SUMMARY

The role is responsible for the initiation of the prior authorization process for medical procedures, medications, and other healthcare services. This entry-level role involves working closely with healthcare providers, insurance companies, and patients to ensure timely approval for treatments.
 

ESSENTIAL FUNCTIONS

• Reviews incoming authorization requests and verify patient eligibility and benefits.
• Initiates prior authorization requests via phone, fax, or online portals.
• Tracks and follows up on the status of submitted authorizations.
• Communicates approval or denial outcomes to healthcare providers and patients.
• Maintains accurate records and documentation of all authorization activities.
• Collaborates with the billing and clinical teams to ensure accuracy of information.
• Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information.
• Maintains accurate and detailed notes in the company system.
• Adapts quickly to frequent process changes and improvements.
• Is reliable, engaged, and provides feedback to improve processes and policies.
• Attends all department, team, and weekly company meetings as required.
• Appropriately routes incoming calls when necessary.
• Meets company quality standards.
• Embraces and exemplifies Cardinal Health Values:

  Invites Curiosity, Builds Partnerships, Inspires Commitment, Develops Self and Others

Qualifications

(1) At least 2 years of college coursework or experience

(2) Knowledge in Healthcare Operations specifically Prior Authorization is required

(3) Experience in using Contact Center phone system such as NICE and/or Genesys is an advantage

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.