Coordinator, Benefits Eligibility and Prior Authorization at Cardinal Health

About Cardinal Health

Cardinal Health is a global, integrated healthcare services and products company that touches the lives of millions every day. With a mission to improve patient outcomes and reduce healthcare costs, we deliver innovative solutions across the entire healthcare continuum. Through our Navista oncology practice alliance, we empower over 100 providers across 50 sites to thrive while maintaining independence. Our Revenue Cycle Management (RCM) team plays a pivotal role in ensuring seamless financial operations for community oncology practices, from patient scheduling to final payment collection.

At Cardinal Health, we're committed to fostering a collaborative, high-performance culture where employees drive real impact in healthcare. Join us to contribute to community oncology's growth and patient care excellence.

Role Overview

The Coordinator, Benefits Eligibility and Prior Authorization is a critical role within Cardinal Health's Revenue Cycle Management team. This position ensures that patients receive timely oncology treatments by verifying insurance benefits and securing necessary prior authorizations. Working remotely nationwide, you'll review physician schedules, communicate with payors, patients, and clinical staff, and maintain meticulous documentation to support accurate billing and reimbursement.

This fast-paced role demands precision, strong organizational skills, and a deep understanding of insurance processes in oncology settings, including chemotherapy, radiation, and diagnostic scans. Ideal for detail-oriented professionals passionate about healthcare administration and patient access to care.

Key Responsibilities

As a Coordinator, Benefits Eligibility and Prior Authorization, your day-to-day impact includes:

• Verifying eligibility and benefits for new, returning, and annual patients, including deductibles, copays, and coinsurance.
• Submitting authorizations for internal and external orders such as radiation, chemotherapy, PET/CT, urology, and scans.
• Following up on pending authorizations within 48 hours and documenting all actions taken.
• Entering approved authorizations into billing systems and EMRs, while addressing denials through appeals based on medical necessity.
• Coordinating with clinical staff, patients, and payors to prevent delays in care and ensure timely claims processing.

Additional duties involve staying abreast of insurance policies, utilizing CPT/ICD-10 coding, and upholding HIPAA confidentiality standards.

Qualifications & Requirements

Education and Experience

A High School Diploma or equivalent is preferred, paired with 2-3 years of prior authorization experience. Familiarity with payor websites, oncology billing (urology, chemotherapy, radiation), and software like GE Centricity is highly valued.

Skills and Competencies

• Strong knowledge of medical terminology, ICD-10, CPT, and HCPCS coding.
• Excellent verbal communication and customer service skills in healthcare settings.
• Proficiency with computerized billing, EOB interpretation, and office equipment.
• Ability to multitask in a fast-paced environment, work independently, and resolve issues diplomatically.
• Commitment to regular attendance, positivity, and team collaboration.

Candidates with experience in managed care contracts and healthcare regulations will excel in this role.

Benefits & Perks

Cardinal Health offers a premium compensation package designed to support your well-being and professional success:

• Competitive salary estimated at $65,000-$95,000 annually, based on experience and healthcare sector benchmarks.
• Comprehensive medical, dental, and vision benefits with low employee contributions.
• 401(k) with generous company matching and immediate vesting.
• Paid time off, holidays, and flexible remote work nationwide.
• Tuition reimbursement, wellness programs, and employee assistance resources.

Enjoy perks like fitness reimbursements, volunteer time off, and access to our employee discount marketplace.

Career Growth

At Cardinal Health, your career trajectory is limitless. This coordinator role serves as a launchpad into advanced RCM positions, such as Senior Authorization Specialist or Revenue Cycle Manager. We invest in your development through ongoing training, certifications in medical coding and compliance, and leadership programs. Many team members advance within our oncology-focused Navista network, leveraging internal mobility across our nationwide operations.

Our commitment to diversity, equity, and inclusion ensures equitable opportunities for all, with mentorship and clear paths to promotion.

Why Join Us

Choosing Cardinal Health means joining a leader in healthcare innovation with a proven track record of employee satisfaction. Work on meaningful projects that directly support cancer patients in community settings. Our remote-friendly model offers work-life balance, while our collaborative culture fosters positivity and team effort. Be part of a company ranked among Fortune 500 leaders, with stability and growth in the evolving healthcare landscape.

Experience the power of community oncology backed by Cardinal Health's resources—apply now to make a difference.

Role FAQs

Is this role remote?

Yes, this is a US-Nationwide-FIELD position, fully remote within the United States.

What software experience is required?

Experience with GE Centricity, EMRs, and billing software is preferred, along with payor portals.

Do I need certification?

While not required, coding certifications (e.g., CPC) and prior authorization expertise strengthen applications.

How does this role impact patient care?

You ensure seamless access to treatments by securing authorizations, preventing delays in critical oncology services.

What is the typical work schedule?

Standard business hours with flexibility; regular attendance and punctuality are essential.