Senior Representative, Payer Process

What Customer Operations Support contributes to Cardinal Health

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.

Project Representatives are responsible for financial related activities such as completing projects of differing complexity levels to ensure achievement of performance standards, financial goals and objectives. 

• Demonstrates knowledge of financial processes, systems, controls and work streams.
• Demonstrates experience working collaboratively in a finance environment coupled with strong internal controls.
• Possesses understanding of service level goals and objectives when providing customer support.
• Demonstrates ability to respond to non-standard requests from vendors and customers.
• Possesses strong organizational skills and prioritizes getting the right things done.
• Comply with laws and regulations as they pertain to services provided by the Company. This includes supporting and demonstrating compliance with the Company’s Compliance and HIPAA Plans.
• Promptly report any information regarding a known or suspected violation of any applicable laws, regulations, standards or company policy.
• Represent the culture and values of the Company to other groups, agencies and the general public, and ensure accuracy of public information materials.
• As applicable, attend in-service, continuing education or seminar programs to stay current with industry and community trends.
• Attend all required Compliance, HIPAA and other scheduled training.
• Support and demonstrate the Company’s values.

Responsibilities

• Verifying/updating customer ID numbers
• Rebill claims to Insurance Companies
• Submit corrected claims and appeals to Insurance Companies
• Enter adjustments to receivables
• Address issues and provide resolution
• Work claims rejections when needed
• Assist with special projects

The duties listed above are intended to outline the main responsibilities of this position. The duties are not intended to be all-inclusive or to limit the discretionary authority of managers to assign other tasks of a similar nature or level of responsibility.

Qualifications

• 1-3 years of experience, preferred
• High School Diploma, GED or equivalent work experience, preferred
• Prior Customer Service, Order Processing and/or Revenue Cycle Management experience, preferred
• PC literacy in MS Office applications preferred

What is expected of you and others at this level

• Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
• In-depth knowledge in technical or specialty area
• Applies advanced skills to resolve complex problems independently
• May modify process to resolve situations
• Works independently within established procedures; may receive general guidance on new assignments
• May provide general guidance or technical assistance to less experienced team members

REMOTE DETAILS: You will work from home, full-time.

As a work from home employee, the expectation is that you have your camera on when participating in your onboarding/training activities.  Please note that work from home is not a substitute for childcare or eldercare, arrangements must be made ahead of your start date.  You will be required to have a dedicated, quiet, private, distraction free environment with access to high-speed internet.

Internet requirements include the following:

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, WIFI extenders, Cellular/Hot Spot connections are NOT acceptable.

• If having connectivity issues and our IT dept. suspects connectivity issues are due to your ISP or your current set up, we will request that you change providers or rework your set up to not disrupt your daily productivity. 

Download speed of (25Mbps – Minimum) but (50Mbps – Recommended) if nobody else at home streaming.
Upload speed of (10Mbps – Recommended)
Ping Rate Maximum of 30ms (milliseconds)
Hardwired to the router
Surge protector with Network Line Protection for CAH issued equipment

WHO WE ARE: Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With 50 years of experience, approximately 48,000 employees and operations in more than 40 countries, Cardinal Health seizes the opportunity to address healthcare’s most complicated challenges — now, and in the future.

All internal applicants must meet the following criteria:

Rating of “Meets Expectations” or higher during last performance review

Have been in their current position for at least a year

Informed their current supervisor/manager prior to applying

No written disciplinary action in the last year

Anticipated hourly range: $16.75/hr. - $21.75/hr.

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: 03/26/2025 *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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