Specialist, Benefits Eligibility and Authorizations

Benefits Eligibility and Authorization (RCM)

Benefits Eligibility and Authorization verify patient specific health benefits. Benefits Eligibility and Authorization provides 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.

Responsibilities

• Identifies and investigates claim denials and rejections related to insurance eligibility, benefits verification, and prior authorization requirements for Durable Medical Equipment (DME) services.

• Review and resolve claim denials and rejections related to eligibility, coverage, coordination of benefits, and authorization issues.

• Verify patient insurance coverage, benefits, and payer requirements.

• Obtain, update, and track prior authorizations and reauthorizations.

• Analyze denial trends and identify root causes to prevent future claim issues.

• Correct registration, insurance, and authorization errors within billing and practice management systems.

• Ensure compliance with payer policies, Medicare guidelines, and company procedures.

• Document all account activity accurately and maintain productivity and quality standards.

• Collaborate with intake, billing, and revenue cycle teams to improve front-end processes and reduce preventable denials.

Qualifications

• Bachelor's degree in related field, or equivalent work experience, preferred

• 3+ year experience in DME, healthcare revenue cycle management, insurance verification, or prior authorization preferred.

• Knowledge of Medicare, Medicaid, and commercial payer requirements preferred

• Strong analytical, problem-solving, and communication skills.

• Ability to interpret payer policies and explain coverage requirements.

• Proficiency with EMR, billing systems, and denial management tools.

What is expected of you and others at this level

• Applies basic concepts, principles and technical capabilities to perform routine tasks

• Works on projects of limited scope and complexity

• Follows established procedures to resolve readily identifiable technical problems

• Works under direct supervision and receives detailed instructions

• Develops competence by performing structured work assignments

Anticipated hourly range: $20.02/hr. - $25.78/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: 08/14/2026 *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.