Prior Authorization Coordinator

What Revenue Cycle Management (RCM) contributes to Cardinal Health

Practice Operations Management oversees the business and administrative operations of a medical practice.

Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.

Authorization Coordinator

This position is responsible for reviewing the physician’s daily schedule and obtaining verification of patients’ insurance benefits for their scheduled visits.  They will also obtain authorization for all requested procedures, tests, drugs, etc. The Authorization Coordinator may be asked to perform other duties if necessary & must be knowledgeable of a variety of Insurance Plans and Policies.

Responsibilities/Essential Functions (other duties as assigned):

• Receives chemotherapy orders and reviews for compendia compliance, submits for authorization.
• Ensures compendia compliance and obtains all required authorization and referral information for patients’ treatments.
• Receives authorization for in-house and outpatient procedures and documenting it in the patient medical record.  
• Communicates effectively with the Billing and Office Managers as well as billing and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
• Maintains detailed notes in patients’ electronic records.                               
• Reviews schedules daily and ensures appropriate insurance and authorization has been obtained and documented.
• Maintain a high level of confidentiality for patients in accordance to HIPAA standards.
• Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and when appropriate.
• Become familiar with up to date NCCN guidelines.                              
• Effectively completes other duties and projects as assigned.

Experience, Qualifications/Education:

• High School Diploma or equivalent required
• 2-3 years’ experience
• Clinical business training preferred
• Knowledge of computer/telephony support, preferably in a health care environment
• Strong customer service background, preferably in health care environment
• Excellent verbal communication skills
• Competence with computer processing functions and other standard office equipment
• Ability to manage and prioritize multiple tasks
• Ability to calmly and professionally resolve customer issues with diplomacy and tact
• Ability to work independently with minimal supervision
• Strong organizational skills

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

Anticipated salary range: $16.80-27.95 per hour USD

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: 06/11/2025 *if interested in opportunity, please submit application as soon as possible.

The salary 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.

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.

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