Program Supervisor, Reimbursement & Patient Access

Valeris; North Carolina; On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Health plans

Telehealth availability

HSA option

401(k) match

Paid holidays

Career growth

Job summary

Valeris is seeking a Program Supervisor in a professional office setting focused on reimbursement and insurance processes for complex pharmaceuticals. The role coordinates reimbursement support, ensures adherence to policies, and mentors staff.

The position requires a Bachelor's degree (or HS with 4 years’ experience) and strong knowledge of Medicare/Medicaid, with travel as needed. Valeris offers comprehensive health plans, retirement options, and growth opportunities.

Qualifications

• Bachelor's degree and 2 years of reimbursement/insurance experience preferred.
• Extensive knowledge of Medicare, Medicaid, and private payer payment methodologies.

Responsibilities

• Provides organization and direction for daily reimbursement support according to the scope of services provided in the statement of work.
• Evaluate and monitor Program needs, identify unmet needs and provide recommendations for internal process improvement and workflow efficiency.
• Provides counsel and strategies on coverage and reimbursement issues to patients and healthcare providers, and works on patients' behalf to identify reimbursement coverage options.
• Problem solves issues with autonomy and serves as first line of escalation for complex reimbursement issues.
• Routinely conducts quality assurance activities through reviews, meetings, reports, observation of results, according to SOPs and regulatory compliance.

Skills

Medicare knowledge

Reimbursement expertise

Patient advocacy

Coaching & mentoring

Education

Bachelor's degree

HS diploma + 4y exp

Job description

Valeris is seeking a Program Supervisor in a professional office setting focused on reimbursement and insurance processes for complex pharmaceuticals. The role coordinates reimbursement support, ensures adherence to policies, and mentors staff.

The position requires a Bachelor's degree (or HS with 4 years’ experience) and strong knowledge of Medicare/Medicaid, with travel as needed. Valeris offers comprehensive health plans, retirement options, and growth opportunities.