Sr. Representative, Customer Service Operations (Prior Authorization) at Cardinal Health

About Cardinal Health

Cardinal Health is a global leader in healthcare services, empowering pharmacies, hospitals, and healthcare providers with innovative solutions that improve patient outcomes. With a presence in over 40 countries, Cardinal Health manages pharmaceutical distribution, specialty solutions, and medical product manufacturing. In the Philippines, our Bonifacio Global City-Taguig office is a hub for customer service operations, driving efficiency in prior authorization processes. We prioritize diversity, inclusion, and employee growth, making us a top employer in the healthcare sector.

Role Overview

As a Sr. Representative, Customer Service Operations (Prior Authorization) in Bonifacio Global City-Taguig, Philippines, you will play a critical role in ensuring seamless processing of prior authorization requests. This full-time position involves handling complex cases, coordinating with stakeholders, and maintaining compliance with payer guidelines. Ideal for professionals passionate about healthcare operations, this role offers stability, growth, and the chance to impact patient care directly.

Key Responsibilities

Your day-to-day duties will focus on high-impact tasks in prior authorization management:

• Handle complex prior authorization requests, including high-cost medications and procedures.
• Serve as the primary point of contact for escalated authorization issues.
• Review insurance policies to ensure full compliance with payer requirements.
• Coordinate effectively with healthcare providers and insurance companies to resolve discrepancies.
• Ensure timely submission, tracking, and follow-up on all authorization requests.
• Verify patient eligibility and benefits for incoming requests.
• Initiate requests via phone, fax, or online portals.
• Communicate approval or denial outcomes clearly to providers and patients.
• Maintain accurate records and detailed notes in company systems.
• Collaborate with billing and clinical teams for information accuracy.

Compliance and Process Excellence

Adhere strictly to HIPAA rules, safeguarding PHI and confidential information. Adapt to frequent process changes, provide feedback for improvements, and meet quality standards. Attend all required meetings and route calls appropriately while embodying Cardinal Health's core values: Invites Curiosity, Builds Partnerships, Inspires Commitment, Develops Self and Others.

Qualifications & Requirements

To succeed in this senior role, candidates should demonstrate:

• Proven experience in prior authorization or healthcare customer service.
• Strong understanding of insurance policies, payer guidelines, and eligibility verification.
• Excellent communication skills for interacting with providers, insurers, and patients.
• Attention to detail for documentation and compliance (HIPAA expertise required).
• Ability to handle escalations and resolve complex issues efficiently.
• Reliability, adaptability, and a proactive approach to process improvements.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply. No specific degree is mandated; relevant experience is key.

Benefits & Perks

Cardinal Health offers competitive compensation estimated at PHP 650,000 - 950,000 annually, reflecting healthcare sector rates in the Philippines with a buffer for top talent. Enjoy:

• An inclusive workplace celebrating diversity of thought, experience, and background.
• Equal Opportunity/Affirmative Action employment without discrimination.
• Professional development aligned with core values.
• Collaborative environment in modern Bonifacio Global City-Taguig facilities.
• Support for work-life balance and employee well-being.

Career Growth

At Cardinal Health, career progression is a priority. Start as a Sr. Representative and advance to leadership in customer service operations, prior authorization management, or broader healthcare services. Our global network provides cross-functional opportunities, training programs, and mentorship to develop your skills in healthcare supply chain and patient services.

Why Join Us

Join Cardinal Health in the Philippines for a role that combines purpose with professional fulfillment. Be part of a company that values authenticity, fosters partnerships, and drives better healthcare solutions. In Bonifacio Global City-Taguig, you'll work in a vibrant location with access to urban amenities, contributing to a mission that touches millions of lives. Our commitment to diversity ensures every employee can thrive as their true selves.

Role FAQs

What is the work location and type?

This full-time role is based in Bonifacio Global City-Taguig, Philippines.

Is prior authorization experience required?

Yes, experience with complex requests and payer guidelines is essential.

What salary can I expect?

Estimated PHP 650,000 - 950,000 yearly, based on market rates.

Does Cardinal Health support diversity?

Absolutely, we are an Equal Opportunity employer encouraging applications from diverse backgrounds.

How do I apply?

Review our privacy policy and submit your application through the careers portal.

This SEO-optimized description highlights Cardinal Health careers in prior authorization, healthcare operations in the Philippines, and customer service excellence. Apply today to elevate your career!