Executive Patient Access & Reimbursement Lead

Valeris, Inc.; Tallahassee (FL); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) with company match

Paid time off and holidays

Job summary

Valeris seeks an Executive Case Manager to guide patients through access and reimbursement for complex medications. You own the patient journey from initiation to closure, perform benefits investigations, track prior authorizations, and support callers via Lynk.

You will communicate clearly with patients, prescribers, and caregivers, ensure HIPAA and payer requirements are met, and document all activity. A Bachelor's degree is preferred; alternatively five+ years in reimbursement, patient

Qualifications

• Bachelor's degree or higher required. Healthcare/insurance background preferred.
• Two years of experience in insurance reimbursement, patient access, direct patient care, or patient education.

Responsibilities

• Ownership of the patient journey from initiation to closure.
• Perform post Benefits Investigation calls to patients and/or physicians.
• Explain coverage options and next steps in the access journey.
• Document all activities within the Lynk system and generate reports.

Skills

Patient access

Communication

HIPAA compliance

Medical terminology

Prior authorization

Education

Bachelor's degree

CCM/CHES/PACS certification

Tools

Lynk system

Job description

Valeris seeks an Executive Case Manager to guide patients through access and reimbursement for complex medications. You own the patient journey from initiation to closure, perform benefits investigations, track prior authorizations, and support callers via Lynk.

You will communicate clearly with patients, prescribers, and caregivers, ensure HIPAA and payer requirements are met, and document all activity. A Bachelor's degree is preferred; alternatively five+ years in reimbursement, patient