What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health
Practice Operations Management oversees the business and administrative operations of a medical practice.
​Benefits Eligibility and Authorization verify patient specific health benefits.

The Benefits Verification Specialist will contact insurance companies, on behalf of the physician’s office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient’s benefits and complete data entry and/or appropriate forms to document patient’s benefits coverage. Cross trains in other front end insurance verification process.

Responsibilities/Essential Functions (other duties as assigned):

Verify all new, returning, and annual patient eligibility to confirm insurance status and benefits including patient responsibility such as deductible, out of pocket, copay and coinsurance prior to services rendered.Verify if any prior authorizations are required pre-treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once receivedUtilize online insurance portals, phone communication and other eligibility tools in order to obtain accurate verifications and submit authorization requests based on verified authorization requirementsCoordinate with Financial Counselor, Patient Navigator and front office staff to ensure smooth collection process.Maintains appropriate documentation in clinic systems and EMR.Communicate with patients, front end staff, physicians & payors as needed in order to obtain updated insurance and/or clinical informationOperate compliantly at all times by keeping patient data secure and confidential and adhering to all company policies and proceduresMaintain excellent customer service and kindness with all patients and staffRegular attendance and punctuality.Execute all functions of the role with positivity and team effort by ensuring that all processing and reporting deadlines are consistently achieved.Perform any other functions as required by management

Education:

High school diploma or GED minimally required. Two (2) + years directly related and progressively responsible experience and/or college degree.Specific experience in medical office administration, benefit verification, coding, claims processing or customer service at an insurance company a plusBroader experience/training may be considered in fields such as case management, social services and pharmacy technician.Familiarity with verification of insurance benefits a plus.Fundamental understanding of key payers including Medicaid, Medicare and private payersStrong customer service experience

Qualifications

1-3 years of experience, preferredHigh School Diploma, GED or equivalent work experience, preferred

What is expected of you and others at this level

Applies acquired job skills and company policies and procedures to complete standard tasksWorks on routine assignments that require basic problem resolutionRefers to policies and past practices for guidanceReceives general direction on standard work; receives detailed instruction on new assignmentsConsults with supervisor or senior peers on complex and unusual problems

Anticipated hourly range: $16.80 - $31.30 USD Hourly

Bonus eligible: Yes/No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

Medical, dental and vision coveragePaid time off planHealth savings account (HSA)401k savings planAccess to wages before pay day with myFlexPayFlexible spending accounts (FSAs)Short- and long-term disability coverageWork-Life resourcesPaid parental leaveHealthy lifestyle programs

Application window anticipated to close: 05/05/2025 *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.

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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