Benefits & Reimbursement Specialist

VALERIS; Indianapolis (IN); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) retirement plan with match

Paid Time Off

HSA/FSA options

Company-paid Short-Term Disability

Job summary

Valeris is seeking a dedicated Benefits Specialist to support patient access and insurer interactions. You will verify benefits, assist with enrollment, and coordinate prior authorizations while staying compliant.

This office-based role emphasizes patient-centered service, collaboration with healthcare providers and sales teams, and accurate documentation using PharmaCord Lynk. A bachelor's degree is preferred and experience in payer benefits is valued.

Qualifications

• Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required.
• 6 months customer service experience, payer benefits experience (reimbursement, prior authorization) strongly preferred.
• Bilingual abilities are a plus.

Responsibilities

• Performing patient level benefits verifications for major medical and pharmacy benefits plans.
• Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.
• Review of patient assistance enrollment forms and any supporting documentation to assess eligibility.
• Communicating the patient’s eligibility to the patient, healthcare provider, and/or consignment pharmacy.
• Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals.
• Actively listen to each customer, assess needs, and respond with demonstrated patience and courtesy.
• Review and identification of information that is missing and/or incorrect within program service requests/program applications.
• Reporting of Adverse Events/ Product Complaint inquiries received in accordance with SOP and good manufacturer practices.
• Provides timely feedback to the company regarding service failures or customer concerns.
• Effectively uses our internal technology platform, PharmaCord Lynk, to complete claims processing and keep workflows moving.
• Communicate with key medical practice accounts, sales representatives regarding the status of cases.
• Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.

Skills

Customer service

Payer benefits experience

Healthcare industry experience

Communication skills

Team collaboration

Attention to detail

Bilingual (bonus)

Education

Bachelor's degree strongly preferred

High school diploma or GED required

Tools

PharmaCord Lynk

Job description

Valeris is seeking a dedicated Benefits Specialist to support patient access and insurer interactions. You will verify benefits, assist with enrollment, and coordinate prior authorizations while staying compliant.

This office-based role emphasizes patient-centered service, collaboration with healthcare providers and sales teams, and accurate documentation using PharmaCord Lynk. A bachelor's degree is preferred and experience in payer benefits is valued.