Rep II, Customer Service Operations
Cardinal Health
**_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 Insurance Verification Specialist plays a vital role in the healthcare organization by verifying patient insurance coverage, obtaining authorizations for medical services, and ensuring accurate billing information. They work under the supervision of the Insurance Verification Supervisor, contributing to the efficient operation of the insurance verification process.
**_Responsibilities_**
· Verifies patient insurance coverage by reviewing insurance information and contacting insurance providers as needed.
· Confirms eligibility and benefits for medical services according to payer requirements.
· Documents insurance verification details accurately in the electronic health record (EHR) system.
· Assists in obtaining pre-authorizations for medical procedures and services as required by insurance companies.
· Communicates with healthcare providers and insurance carriers to facilitate authorization processes.
· Tracks and updates authorization status in the EHR system.
· Verifies accuracy of patient billing information, including insurance coverage and demographic details.
· Collaborates with billing and coding teams to resolve insurance-related billing issues and discrepancies.
· Ensures timely and accurate submission of insurance claims.
· Provides assistance and information to patients regarding their insurance coverage and benefits.
· Addresses patient inquiries and concerns related to insurance verification and authorization processes.
· Maintain professionalism and empathy while interacting with patients and insurance representatives
· Embraces and exemplifies Cardinal Health values: Invites Curiosity, Builds Partnerships, Inspires Commitment, and Develops self and others
**_Qualifications_**
- At least 2 years of college or SHS graduate
- Experience in US Healthcare operations
- With at least 6 months of experience in doing Insurance Verification or Prior Authorization
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
_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 (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal-health-online-application-privacy-policy.pdf)
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