Patient Access & Reimbursement Specialist

Valeris; New York (NY); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

HSAs and FSAs eligible options

Company match on Health SavingsAccount

401(k) retirement plan with match

Paid Time Off and Sick Leave

Nine paid holidays + two floating days

Job summary

Valeris is seeking a Benefits Specialist to work in our office-based environment in New York. You will interact directly with patients, healthcare providers, and insurance companies to verify benefits, process service requests, and navigate coverage challenges in a compliant manner.

The role emphasizes patient-focused service, timely responses, and adherence to SOPs, using PharmaCord Lynk to manage claims and workflows and collaborating with internal teams to resolve barriers to paid therapy.

Qualifications

• Bachelor's degree strongly preferred or equivalent experience.
• 6 months customer service experience, payer benefits experience, healthcare industry experience or healthcare related certification preferred.
• Bilingual is a plus.

Responsibilities

• Verify patient benefits and coverage for major medical and pharmacy plans.
• Review enrollment forms to assess patient eligibility.
• Communicate eligibility to patients, providers, and pharmacies.
• Assist inbound callers and provide consultative services to overcome barriers to therapy.
• Use PharmaCord Lynk to process claims and manage workflows.
• Maintain compliance and follow SOPs.

Skills

Customer service

Communication skills

Confidentiality

Data entry

Teamwork

Education

Bachelor's degree

High school diploma or GED

Tools

PharmaCord Lynk

Job description

Valeris is seeking a Benefits Specialist to work in our office-based environment in New York. You will interact directly with patients, healthcare providers, and insurance companies to verify benefits, process service requests, and navigate coverage challenges in a compliant manner.

The role emphasizes patient-focused service, timely responses, and adherence to SOPs, using PharmaCord Lynk to manage claims and workflows and collaborating with internal teams to resolve barriers to paid therapy.