Senior Coordinator, Prior Authorization

About Customer Service Operations

Customer Service Operations at Cardinal Health serves as a critical liaison between patients, providers, and payers. Our mission is to establish, maintain, and enhance customer business by managing complex contract administration, order processing, and problem resolution. Specifically, this team provides outsourced services for medical billing and reimbursement, ensuring that patients receive the durable medical equipment (DME) and clinically prescribed supplies they need without administrative delays.

About the Role

The Senior Coordinator, Prior Authorization is the engine that keeps medical supply shipments moving. In this fully remote role, you will be responsible for obtaining, documenting, and tracking payer approvals for DME orders, including diabetes devices, ostomy supplies, urological items, and wound care products. Your day involves navigating payer portals, submitting detailed authorization packets, and conducting phone-based follow-ups with insurance providers and provider offices to secure timely approvals.

You will proactively manage expiring authorizations to prevent order delays, ensuring that patients never miss a shipment due to administrative hurdles. This position requires a balance of independent time management and high-volume productivity, as you will be working across mixed work types—handling web portal tasks while simultaneously managing phone calls. You will serve as the first line of defense in resolving complex authorization issues, ensuring that every action is logged with audit-ready accuracy in compliance with HIPAA standards.

Hiring Process

Candidates interested in this opportunity are encouraged to submit their application as soon as possible, as the application window is anticipated to close on May 5, 2026. The hiring team values diverse backgrounds and experiences, including those without traditional college degrees.

Culture & Equal Opportunity

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. We encourage candidates who are back-to-work, people with disabilities, without a college degree, and Veterans to apply.

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.

Work location

Work model: Remote

1124, Bratton Street, Jackson, Hinds County, Mississippi, 39203, United States

Jackson, Mississippi

Key Responsibilities

check_circleReview assigned accounts to determine prior authorization requirements by payer and product category
check_circlePrepare and submit complete prior auth packets via payer portals, third-party platforms, or fax
check_circleConduct phone-based follow-ups with payers and provider offices to confirm receipt and obtain approvals
check_circleLog approvals accurately and correct rejected decisions by addressing missing documentation
check_circleMonitor upcoming prior auth expirations and initiate re-authorization early to prevent shipment delays
check_circlePrioritize work based on aging, SLA, and payer requirements to meet daily throughput goals
check_circleCapture all actions and decisions in systems with complete, audit-ready notes
check_circleEnsure secure handling of PHI and maintain full compliance with HIPAA and regulatory requirements

Requirements

verifiedHigh School diploma, GED or equivalent work experience
verified3-6 years of experience in healthcare payer-facing work
verifiedWorking knowledge of HIPAA and secure handling of PHI
verifiedExperience with diabetes devices and familiarity with ostomy, urological, and wound care product categories
verifiedKnowledge of payer criteria for DME prior authorization
verifiedFamiliarity with payer portals and third-party platforms
verifiedExposure to ICD-10/HCPCS coding and basic authorization/claims terminology

Nice to Have

High School diploma, GED or equivalent work experience. 3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims. Proven ability to meet daily productivity targets and quality standards in a queue-based environment. Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work. High attention to detail and accuracy when compiling documentation. Self-motivated with strong time management; able to pace independently without inbound-call cadence. Customer-centric mindset with a sense of urgency; capable of multitasking. Working knowledge of HIPAA and secure handling of PHI. Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories. Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards. Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools. Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology.

Benefits & Perks

check_circleMedical, dental, and vision coveragecheck_circlePaid time off plancheck_circleHealth savings account (HSA)check_circle401k savings planAccess to wages before pay day with myFlexPay

Skills, education and keywords

Skills: Prior Authorization, Insurance Verification, Medical Documentation, Revenue Cycle, Claims, Hipaa, Icd-10, HCPCS.

Education: High School diploma, GED or equivalent work experience, preferred.

Frequently asked questions about Senior Coordinator, Prior Authorization at Cardinal Health

What does a Senior Coordinator, Prior Authorization at Cardinal Health do?expand_more

A Senior Coordinator, Prior Authorization at Cardinal Health is responsible for the following: Review assigned accounts to determine prior authorization requirements by payer and product category; Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax; Conduct phone-based follow-ups with payers and provider offices to confirm receipt and obtain approvals; and Log approvals accurately and correct rejected decisions by addressing missing documentation.

What are the requirements for this Senior Coordinator, Prior Authorization role?expand_more

Cardinal Health is looking for candidates who meet the following requirements: High School diploma, GED or equivalent work experience; 3-6 years of experience in healthcare payer-facing work; Working knowledge of HIPAA and secure handling of PHI; Experience with diabetes devices and familiarity with ostomy, urological, and wound care product categories; Knowledge of payer criteria for DME prior authorization; and Familiarity with payer portals and third-party platforms.

Where is the Senior Coordinator, Prior Authorization role at Cardinal Health located?expand_more

Senior Coordinator, Prior Authorization at Cardinal Health is based in 1124, Bratton Street, Jackson, Hinds County, Mississippi, 39203, United States. This is a remote role.

Is this Senior Coordinator, Prior Authorization job remote, hybrid, or on-site?expand_more

Cardinal Health has listed this Senior Coordinator, Prior Authorization role as remote.

How much experience is required for this Senior Coordinator, Prior Authorization role?expand_more

Senior Coordinator, Prior Authorization at Cardinal Health typically requires 3–6 years of relevant experience at the senior level.

What skills do you need for the Senior Coordinator, Prior Authorization role at Cardinal Health?expand_more

Key skills for Senior Coordinator, Prior Authorization at Cardinal Health include Prior Authorization; Insurance Verification; Medical Documentation; Revenue Cycle; Claims; Hipaa; Icd-10; and HCPCS.

What education is required for Senior Coordinator, Prior Authorization at Cardinal Health?expand_more

Educational requirements for this role: High School diploma, GED or equivalent work experience, preferred.

What category does the Senior Coordinator, Prior Authorization role belong to?expand_more

Senior Coordinator, Prior Authorization at Cardinal Health is part of the admin job category on Recrutus.