Representative II, Customer Service - Insurance Verification

Remote Full-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 Responsibilities Conducts outbound calls to insurance companies and determines if patient will be serviced thru DME or pharmacy. Ensures patient primary insurance is accurate and entered in the appropriate system. Verifies insurance. Handles all inbound calls from patients and insurance companies regarding any payments made from the insurance company. Resolves all denials and processes appeals for all private insurances and some Medicare patients. Submits all required documentation to appropriate insurance providers. Bills orders corresponding to a denial or change to a patients’ accounts. Contacts patients if additional insurance information is needed. Achieves maximum reimbursement for services provided. Rebills claims to insurance companies via paper or electronically. Contacts insurance companies to obtain claim status. 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 as to improve processes and policies. Attends all department, team, and company meetings as required. Appropriately routes incoming calls when necessary. Meets patient service quality standards Service-orientation and aptitude to resolve insurance and/or patient matters Qualifications 1-3 years of experience, preferred High 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 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 Effective interpersonal skills Clear diction and knowledge of the English language, both written and verbal Self-directed accountability and reliability Cultural competence Anticipated hourly range: $15.75 per hour - $18.50 per hour Bonus eligible: No 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: 04/30/2026 *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. To read and review this privacy notice click here
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