Patient Benefits & Reimbursement Specialist

Valeris; Central City (KY); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, vision plans

HSA- and FSA- eligible options

Telehealth services

Job summary

Valeris is a fully integrated life sciences commercialization partner dedicated to helping patients access therapies and navigate insurance coverage. The Benefits Specialist role involves working with patients, healthcare providers, and insurers to verify benefits, process requests, and resolve barriers in a compliant, patient-focused environment.

The position emphasizes accuracy, confidentiality, and exceptional customer service, using PharmaCord Lynk for claims processing.

Qualifications

• Bachelor's degree preferred or equivalent experience; high school diploma or GED required.
• 6 months customer service experience; payer benefits experience or healthcare-related certification preferred.
• Bilingual is a plus.
• Office-based position; ability to sit for extended periods.
• Willingness to travel occasionally.

Responsibilities

• Verify patient benefits for major medical and pharmacy plans.
• Coordinate prior authorizations per payer guidelines and laws.
• Review patient assistance enrollment forms for eligibility.
• Communicate eligibility to patients, providers, and consignment pharmacies.
• Assist inbound calls and resolve inquiries; transfer as needed.
• Utilize PharmaCord Lynk to process claims and keep workflows moving.
• Provide consultative support to key medical practice accounts and sales teams.
• Adhere to SOPs, maintain patient confidentiality, and meet training deadlines.
• Support continuous improvement and participate in assigned tasks.

Skills

Customer service

Verbal & written communication

Confidentiality

Attention to detail

Teamwork

Adaptability

Computer skills

Education

Bachelor's degree preferred

High school diploma or GED required

Tools

PharmaCord Lynk

Job description

Valeris is a fully integrated life sciences commercialization partner dedicated to helping patients access therapies and navigate insurance coverage. The Benefits Specialist role involves working with patients, healthcare providers, and insurers to verify benefits, process requests, and resolve barriers in a compliant, patient-focused environment.

The position emphasizes accuracy, confidentiality, and exceptional customer service, using PharmaCord Lynk for claims processing.