Reimbursement Case Manager: Patient Access & Support

Valeris; Raleigh (NC); On-site; USD 52,000 - 75,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Telehealth services

401(k) match

Paid time off

Holidays

Job summary

Valeris is seeking a Reimbursement Case Manager to support patients, caregivers, and providers through the Patient Support Program. You will coordinate benefits, verify insurance coverage, assist with enrollment, and advocate for affordability to ensure access to prescribed therapies.

The role requires strong communication, knowledge of medical insurance terminology, and the ability to manage complex reimbursement processes in a fast-paced environment.

Qualifications

• Associate or Bachelor’s degree preferred; or a minimum of 4 years of call center or customer service experience
• Effective communication both oral and written
• 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, providers and internal stakeholders
• Strong organizational skills
• Ability to multi-task and adapt to change while following Program Standards
• Strong interpersonal skills; ability to work independently or in a team
• Empathetic listening to interact effectively with patients and providers
• Punctual, reliable with strong attendance
• Proficient with Microsoft Office

Responsibilities

• Serve as primary contact for patients, caregivers, and providers via phone
• Coordinate resources and monitor patient needs in the Patient Support Program
• Interact with insurance companies to verify financial aspects of services
• Advocate for eligibility, enrollment, affordability, and access to therapy
• Establish relationships with patients, payers, and providers
• Explain benefits and assist in enrollment and billing processes
• Triage and escalate complex cases per SOPs
• Document status in case notes and track patient status with program manager
• Understand payer types and health states; maintain confidentiality
• Comply with SOPs and corporate policies
• Assist in program tasks and responsibilities as assigned

Skills

Communication

Insurance terminology

Problem solving

Attention to detail

Organizational skills

Multi-tasking

Interpersonal skills

Empathetic listening

Punctuality

Microsoft Office

Education

Associate or Bachelor’s degree preferred

4+ years in call center/customer service

Tools

Microsoft Office

Job description

Valeris is seeking a Reimbursement Case Manager to support patients, caregivers, and providers through the Patient Support Program. You will coordinate benefits, verify insurance coverage, assist with enrollment, and advocate for affordability to ensure access to prescribed therapies.

The role requires strong communication, knowledge of medical insurance terminology, and the ability to manage complex reimbursement processes in a fast-paced environment.