About Navista

We believe in the power of community oncology to support patients through their cancer journeys. As an oncology practice alliance comprised of more than 100 providers across 50 sites, Navista provides the support community practices need to fuel their growthwhile maintaining their independence.

The Team Lead for Benefits Eligibility and Authorizationis responsible foroverseeing the daily operations of the Eligibility and Authorization team whilemaintaininghands-on involvement in verifying andmaintaininginsurance coverage and obtainingauthorizationsacross all patient accounts for all lines of business.This role combines individual contributor responsibilities with leadership duties, including problem-solving, staff support, training,as well as presenting performance trends to the supervisor for performance management.The Team Lead guides team members through complex eligibilityscenarios andprovidesexpert guidance on prior authorizations for Medical Oncology, Radiation, and other Imaging therapies. This position communicates with patients and other departmentsregardingpatient coverage, eligibility, and authorizations.

Responsibilities

• Provide daily workflow support and problem-solvingassistanceutilizingthe SOPs and reference documents for consistency and accuracy in responseto Eligibility and Authorization coordinators through Teams chats,emails,and direct communication viateamscalls.
• Respond to team member questionsregardingpolicies, procedures, complex cases, and system-related issues ina timelyand thorough manner
• Train and onboard new Eligibility and Authorization coordinators, ensuring they understand department processes, systems, and performance expectations
• Monitor and review team performance and productivity metrics on a regular basis,identifyingtrends, opportunities for improvement, and coaching needs
• Act as an escalation point for complex eligibility and authorization delays that require advanced problem-solving, ensuring prompt resolution
• Coordinates and communicates informationrequiredor requested by other internal teams or site stakeholders within 24 hours
• Oversee andprovideexpert guidance on prior authorizations for Medical Oncology, Radiation, Imaging therapies, and other high-risk denial medications, ensuring robust clinical documentation, payer-criteria alignment, proactive appeals management, and minimized treatment delays for vulnerable patient populations
• Maintain up-to-date knowledge of payer-specific requirements,including Medicaid,Medicare Advantage plans and various commercial insurance plans as well as notify Benefits Eligibility and Authorization Management of any issues that have potential for a negative outcome for the organization
• Demonstrates exceptional analytical and problem-solving abilities with a strong focus on accuracy and precision.
• Communicate effectively with all Revenue Cycle Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received.
• Maintain excellent customer service and kindness with all patients and staff.
• Maintain a high level of confidentiality for patients in accordance with HIPAA standards.
• Regular attendance and punctuality.
• Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
• Effectively completes other duties and projects assigned.

Qualifications

• 4-5 years of experience, preferred
• Knowledge of medical terminology.
• Familiar with Urology, Chemotherapy, PET, and Radiation Billing.
• Experience with computerized billing software and interpreting EOBs.
• Working knowledge of ICD-10, CPT, HCPCS, and CPT coding.
• Minimum four years of experience in a medical business office.
• Knowledge of computer/telephony support, preferably in a healthcare environment.
• Strong customer service background, preferably in a healthcare environment.
• Competence with computer processing functions and other standard office equipment.
• Prior experience in Microsoft Office Suite.
• Ability to manage and prioritize multiple tasks.
• Ability to calmly and professionally resolve customer issues with diplomacy and tact.
• Ability to work independently with minimal supervision.
• Strong organizational skills.

What is expected of you and others at this level

• Applies acquired job skills and company policies and procedures to complete standard tasks.
• Works on routine assignments that require basic problem resolution.
• Refers to policies and past practices for guidance.
• Receives general direction on standard work; receives detailed instruction on new assignments.
• Consults with supervisor or senior peers on complex and unusual problems.

Anticipated hourly range: $23.30 - $28.80

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: 03/15/26 *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 candidates 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.

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.