About Cardinal Health

Cardinal Health, a global leader in healthcare services and products, empowers pharmacies, hospitals, and healthcare providers with innovative solutions that improve patient outcomes and streamline operations. With a presence across the United States and beyond, Cardinal Health specializes in pharmaceutical distribution, medical product manufacturing, and specialty solutions like durable medical equipment (DME) and diabetes management devices. Our commitment to excellence drives us to support over 1 million patients daily through reliable supply chains and customer-centric services. Join our Customer Service Operations team and contribute to life-changing healthcare delivery.

Role Overview

The Senior Coordinator, Prior Authorization plays a pivotal role in Cardinal Health's Customer Service Operations, ensuring seamless access to essential DME such as continuous glucose monitors (CGMs), insulin pumps, ostomy supplies, urological products, and wound care items. This remote, nationwide position involves obtaining payer approvals efficiently to prevent order delays and support uninterrupted patient care. You'll thrive in a fast-paced, queue-based environment, leveraging your expertise in payer interactions, documentation, and compliance to meet daily productivity targets and quality standards. Ideal for detail-oriented professionals passionate about healthcare reimbursement and revenue cycle management.

Key Responsibilities

As a Senior Coordinator, Prior Authorization, your core duties focus on proactive authorization management:

• Review assigned accounts to identify prior authorization needs by payer and product category, ensuring no order slips through without proper clearance.
• Compile and submit comprehensive prior auth packets, including Detailed Written Orders (DWO), Certificates of Medical Necessity (CMN), prescriptions, and clinical notes, via payer portals, third-party platforms, or fax.
• Perform strategic phone-based follow-ups with payers and provider offices to confirm receipt, troubleshoot issues, and secure approval or referral numbers swiftly.
• Accurately log all approvals in systems to release orders for shipment, while addressing rejections by rectifying documentation gaps.
• Monitor expiration dates proactively, initiating re-authorizations to safeguard new and reorder shipments from delays.

Additional responsibilities include prioritizing high-impact orders based on aging, service level agreements (SLAs), and payer rules; maintaining audit-ready documentation; upholding HIPAA standards; achieving daily throughput goals; and collaborating with teammates to refine processes.

Qualifications & Requirements

To succeed in this role at Cardinal Health, candidates should demonstrate:

• A High School diploma, GED, or equivalent experience.
• 3-6 years in payer-facing healthcare roles like prior authorization, insurance verification, claims processing, or revenue cycle management (preferred).
• Proven track record of hitting productivity and quality metrics in high-volume settings.
• Excellent phone etiquette for sustained interactions with payers and providers.
• Impeccable attention to detail for handling sensitive medical documentation.
• Self-starter with superior time management, multitasking (e.g., portal work during calls), and urgency.
• Working knowledge of HIPAA, PHI security, DME payer criteria, and products like diabetes devices, ostomy, urology, and wound care supplies (preferred).
• Familiarity with payer portals, Grid tools, and adapting to workflow changes.

No advanced degree required—your hands-on experience and customer-centric mindset will set you apart.

Benefits & Perks

Cardinal Health offers competitive compensation and robust benefits to support your professional and personal life:

• Fully remote work nationwide for ultimate flexibility.
• Comprehensive medical, dental, and vision coverage starting day one.
• 401(k) retirement savings with generous company matching.
• Paid vacation, sick days, and holidays, plus flexible scheduling.
• Tuition reimbursement and ongoing training in healthcare compliance and tools.
• Wellness programs, employee stock purchase plans, and mental health resources.

Our total rewards package is designed to attract top talent and foster long-term success.

Career Growth

At Cardinal Health, this Senior Coordinator role is a launchpad for advancement in healthcare operations. Gain expertise in DME reimbursement and payer strategies, positioning yourself for promotions to Supervisor, Team Lead, or specialized roles in revenue cycle management. We invest in your development through regular coaching, QA feedback, compliance training, and cross-functional projects. Many team members progress to analyst or manager positions within 2-3 years, leveraging our vast network of opportunities across distribution, specialty pharma, and nuclear pharmacy services.

Why Join Us

Choose Cardinal Health for impactful work that directly supports patients relying on life-sustaining DME. Our nationwide remote model offers work-life balance, while our collaborative culture rewards knowledge-sharing and process innovation. With a focus on compliance, quality, and efficiency, you'll contribute to a company ranked among Fortune 500 leaders, backed by cutting-edge technology and a mission to advance healthcare. Experience professional fulfillment in a supportive environment where your skills drive real results.

Role FAQs

Is this position remote?

Yes, fully remote across the US-nationwide field, with flexible hours to meet productivity goals.

What daily volume should I expect?

Targets vary by queue type (portal, fax, phone), but expect high-throughput processing with clear metrics and support.

Do I need prior DME experience?

Preferred but not required—training provided on diabetes devices, payer criteria, and tools.

How does Cardinal Health support compliance?

Mandatory HIPAA training, live monitoring, QA reviews, and a culture of reporting issues promptly.

What tools will I use?

Payer portals, third-party platforms, internal systems like Grid for allocation, and secure documentation software.