Bilingual Spanish/English Benefit Specialist

Valeris; Jeffersonville (IN); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) Retirement Savings Plan with company match

Paid Time Off (PTO) and Sick Leave

Job summary

Valeris is looking for a Bilingual Benefits Specialist to provide exceptional support to patients and healthcare providers in navigating complex medication access. Responsibilities include benefit verifications, prior authorizations, and patient assistance enrollment, primarily in a customer service environment.

The ideal candidate should have customer service experience, healthcare knowledge, and fluency in both Spanish and English. The position offers a comprehensive benefits package including medical, dental, and a 401(k) with matching contributions.

Qualifications

• Minimum 6 months of customer service, payer benefits, or healthcare experience.
• Typing speed of at least 35 words per minute with 97% accuracy.
• Ability to use standard office equipment.

Responsibilities

• Perform patient level benefits verifications for medical and pharmacy plans.
• Review and determine eligibility for patient assistance enrollment forms.
• Answer inbound calls and resolve customer inquiries efficiently.

Skills

Fluency in Spanish and English

Customer service experience

Healthcare industry experience

Education

Bachelor’s degree strongly preferred

High school diploma or GED required

Job description

Job Summary

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions across the healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real‑life impact. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products.

As a Bilingual Benefits Specialist, you will provide exceptional support to patients, healthcare providers, and insurance companies by assisting with benefit verifications, prior authorizations, patient assistance enrollment, and related inquiries. The position is primarily customer service in a telephonic and web‑based environment, where you’ll help patients navigate access to their complex medication. Hybrid schedule may be available after 6 months.

Responsibilities

• Benefit Verification: perform patient level benefits verifications for major medical and pharmacy plans; complete template forms for benefit coverage determination summaries; coordinate prior authorizations in compliance with payer guidelines and regulations.
• Patient Assistance: review assistance enrollment forms and supporting documentation to assess eligibility; determine eligibility based on program criteria; communicate eligibility to patients, providers, and pharmacies; provide consultative support for obstacles to therapy.
• Customer Service: answer inbound callers, resolve inquiries using FAQs, warm‑transfer to appropriate staff; actively listen, assess needs, respond politely; identify missing or incorrect information in service requests or applications; report adverse events/product complaints per SOP; provide timely feedback on service failures or customer concerns.
• Technology & Communication: use the internal platform Lynk to process claims and move workflows; communicate with key medical practice accounts and sales representatives regarding case status.
• Compliance & Quality: adhere to SOPs and corporate policies; complete training and certification deadlines; perform additional tasks or projects as assigned.

Qualifications

• Bachelor’s degree strongly preferred; high school diploma or GED is required.
• Minimum 6 months of customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), or healthcare industry experience; healthcare related certification, license, or coursework is strongly preferred.
• Fluency in Spanish and English (bilingual) is required.
• Typing speed of at least 35 words per minute with 97% accuracy; minimal travel flexibility.
• Ability to sit for long periods, use computers, phones, and handle standard office equipment.

Physical Demands & Work Environment

• Regularly required to talk, hear, and type; frequently sit for long periods; use hands for typing; reach with arms.
• This role operates in a professional office environment and uses standard office equipment.

Benefits

• Medical, dental, and vision plans including HSA‑ and FSA‑eligible options; Valeris contributes toward premium costs.
• Additional health support: telehealth and Employee Assistance Program (EAP) services.
• Company match on Health Savings Account contributions.
• Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000.
• Company‑paid Short‑Term Disability coverage; option to purchase Long‑Term Disability.
• 401(k) Retirement Savings Plan with 100% match on the first 5% contributed, immediate vesting.
• Paid Time Off (PTO) and Sick Leave.
• Team members receive nine paid holidays plus two floating holidays.
• Opportunities for advancement and personal growth.
• Inclusive, diversity‑valuing culture.
• Mention of mission‑driven environment.

Employment Conditions

Any offer of employment is contingent upon successful completion of a background check and, where required, a drug screen in accordance with company standards.

Equal Opportunity Statement

Valeris is an equal‑opportunity employer and celebrates diversity. We are committed to a workplace where differences are accepted, supported, and thrive for the benefit of employees, products, and community.