Reimbursement & Patient Access Specialist

Valeris; United States; Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

HSA- and FSA-eligible options

Telehealth services

401(k) Retirement Savings Plan with 5%

Paid Time Off

Nine paid holidays

Opportunities for advancement

Inclusive workplace culture

Job summary

Valeris is seeking a Reimbursement Case Manager to provide expert phone support to patients, caregivers, and providers. You will navigate insurance benefits, verify coverage, and coordinate resources to ensure access to life-saving therapies through the Patient Support Program.

You will collaborate with sales, program management, and healthcare providers, ensuring data integrity and adherence to SOPs while upholding confidentiality in a fast-paced environment.

Qualifications

• Associate or Bachelor's degree preferred; or a minimum of 4 years' call center or customer service experience.
• Ability to communicate effectively both orally and in writing.
• Knowledge of medical insurance terminology and reimbursement/insurance concepts.
• Excellent problem-solving and decision-making skills.
• Attention to detail and strong follow-through with patients and providers.
• Strong organizational skills and ability to multi-task in a fast-paced environment.
• Excellent interpersonal and empathetic listening skills.
• Proficiency with Microsoft Office and related tools.

Responsibilities

• Provide inbound/outbound phone support as the primary contact for patients, caregivers, and providers.
• Coordinate patient needs and services through the Patient Support Program for manufacturers.
• Serve as a liaison to sales, program management, and internal stakeholders.
• Verify insurance coverage, navigate benefits, and facilitate access to therapies.
• Review enrollment forms for data integrity and follow SOPs.
• Document case notes in the case management system and communicate status to stakeholders.
• Escalate complex cases per SOPs and program guidelines.
• Maintain confidentiality and comply with regulatory standards.

Skills

Communication

Insurance knowledge

Problem solving

Attention to detail

Organization

Multitasking

Interpersonal skills

Empathetic listening

Punctuality

Microsoft Office

Case management system

Education

Associate or Bachelor's degree preferred

4+ years call center experience

Tools

Case management system

CRM software

Job description

Valeris is seeking a Reimbursement Case Manager to provide expert phone support to patients, caregivers, and providers. You will navigate insurance benefits, verify coverage, and coordinate resources to ensure access to life-saving therapies through the Patient Support Program.

You will collaborate with sales, program management, and healthcare providers, ensuring data integrity and adherence to SOPs while upholding confidentiality in a fast-paced environment.