Coordinator, Individualized Care

Key Responsibilities

• Process enrollment requests and create complete, accurate case records to support timely downstream claim support activity.
• First line team member to identifying Adverse Events
• Complete Tier 1 claim reviews using program business rules, identifying missing information, obvious coding or submission issues, and the next best action for the provider.
• Conduct benefit verification and basic payer outreach activities, as assigned, to confirm coverage requirements or obtain clarification needed to move cases forward.
• Document all actions, outcomes, and communications clearly in the program CRM to ensure continuity and visibility across teams.
• Identify cases that require higher level review and route or escalate to the appropriate US Case Manager, Supervisor, or program leadership per defined workflows.
• Support seasonal surge readiness by maintaining queue discipline, meeting turnaround expectations, and flexing assignments based on volume and program priority.
• Limited interactions with HCP office

Required Qualifications

• Senior High School diploma or at least completed 2 years in college
• 1 plus years of experience in healthcare operations, patient support services, reimbursement support, or high volume intake processing.
• Comfort working in multiple systems and handling detailed documentation requirements with speed and accuracy.

Preferred Qualifications

• Experience with benefit verification, payer portal navigation, or provider services calls.
• Experience supporting immunization, buy and bill, or medical benefit claim workflows.
• Prior hub, patient support, or reimbursement services experience in a high volume environment.

Core Competencies

• Detail oriented execution, strong documentation habits, and comfort with defined business rules.
• Ability to triage work quickly, identify what is missing, and drive cases to a clean handoff.
• Strong written and verbal communication with a customer service mindset.
• Resilience and flexibility during changing requirements and seasonal spikes.

Performance Measures (examples)

• Enrollment processing timeliness and accuracy.
• Tier 1 review productivity, quality, and appropriate escalation rate.
• Documentation completeness in CRM and successful routing to next owner.

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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