Manager – Benefits Eligibility & Authorizations

What Benefits Eligibility and Authorizations Manager contributes to Cardinal Health

The Benefits Eligibility and Authorizations Manager oversees the insurance verification process within the organization, ensuring accuracy, efficiency, and compliance with industry standards and regulations. They manage a team responsible for verifying patient insurance coverage, obtaining authorizations for services, and resolving insurance-related issues.

Responsibilities

• Supervises and leads a team of insurance verification and authorization verification specialists.

• Provides training, guidance, and performance evaluations to team members.

• Fosters a positive and collaborative work environment to maximize team productivity and morale.

• Develops and implement standardized procedures for insurance verification.

• Oversees the verification of patient insurance coverage for medical services.

• Ensures timely verification of insurance benefits and eligibility.

• Coordinates the authorization process for medical procedures and services requiring pre-authorization.

• Communicates with insurance companies to obtain necessary authorizations and resolve authorization-related issues.

• Monitors authorization status to ensure compliance with payer requirements and minimize denials.

• Collaborates with billing and coding teams to resolve insurance-related claim rejections and denials.

• Investigates and address discrepancies in insurance coverage and billing information.

• Implements strategies to minimize claim denials and optimize reimbursement.

• Stays updated on changes in insurance regulations, policies, and procedures.

• Ensures compliance with HIPAA regulations and other relevant healthcare laws.

• Conducts regular audits to assess the accuracy and completeness of insurance verification processes.

• Establishes key performance indicators (KPIs) for insurance verification processes.

• Monitors performance metrics and analyze trends to identify areas for improvement.

• Generates reports and provide insights to management regarding insurance verification efficiency and effectiveness.

• May perform any additional responsibilities or special projects as required.

• May provide cross-functional support as business needs demand.

• Duties and responsibilities may be subject to change based upon the needs of the department.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, or related field or equivalent experience preferred

• Previous experience in healthcare insurance verification, with at least 4+ years in a managerial or supervisory role preferred

• Expertise in insurance verification software and electronic health record (EHR) systems.

• Knowledge of medical insurance terminology, billing practices, and reimbursement processes.

• Familiarity with regulatory requirements, such as HIPAA, and industry best practices in insurance verification.

What is expected of you and others at this level

• Friendly, professional, and effective communications skills; able to calmly present solutions in challenging situations.

• Proactive identification of challenges, and solution-oriented approach to problem solving.

• Service-orientation and aptitude to utilize proper listening skills.

• Effective analytical skills: able to use inductive and deductive reasoning to anticipate outcomes.

• Self-directed accountability and reliability

• Effective leadership, communication, and interpersonal skills, with the ability to influence and collaborate effectively with cross-functional teams.

• Able to manage and prioritize multiple tasks/projects, work autonomously, and meet deadlines.

• Able to work well in a team environment that promotes inclusiveness and communication among team members.

• Communication using both verbal and written English proficiency.

• Cultural competence

Anticipated salary range: $87,700 – $125,000 per year
 

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: 10/25/2025 *if interested in opportunity, please submit application as soon as possible.

The salary 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.

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