Patient Reimbursement & Access Specialist

Valeris, Inc.; United States; Remote; USD 48,000 - 72,000; Full time

Benefits offered by this job

Medical, dental & vision plans

401(k) with matching

PTO & sick leave

Paid holidays

Job summary

Valeris, Inc. is seeking a Reimbursement Case Manager to serve as the primary contact for patients, caregivers, and providers. The role focuses on coordinating resources and ensuring access to therapies through the Patient Support Program while navigating insurance coverage and reimbursement processes.

The ideal candidate has strong customer service experience, excellent communication, and a solid understanding of insurance terminology to support patients effectively.

Qualifications

• Associate or Bachelor’s degree preferred.
• 4+ years of call center or customer service experience with progressive levels of responsibility.
• Knowledge of medical insurance terminology and reimbursement/insurance.
• Excellent problem-solving and decision-making skills.
• Attention to detail and follow-through in communication with patients and providers.

Responsibilities

• Provide inbound and outbound phone support to patients, caregivers, and providers.
• Coordinate resources and facilitate patient journey through the Patient Support Program.
• Verify insurance coverage and aid in the PA/Appeals process.
• Communicate patient benefits clearly to providers and patients.
• Maintain case notes and status in the case management system.
• Collaborate with Program Management and internal stakeholders.

Skills

Customer service

Communication

Problem solving

Organizational skills

Empathetic listening

Education

Associate or Bachelor's degree preferred

Tools

Microsoft Office

Job description

Valeris, Inc. is seeking a Reimbursement Case Manager to serve as the primary contact for patients, caregivers, and providers. The role focuses on coordinating resources and ensuring access to therapies through the Patient Support Program while navigating insurance coverage and reimbursement processes.

The ideal candidate has strong customer service experience, excellent communication, and a solid understanding of insurance terminology to support patients effectively.