Reimbursement & Patient Support Specialist

Valeris

Oregon

Hybrid

USD 48,000 - 68,000

Full time

6 days ago
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Benefits offered by this job

Health plans
HSA-eligible options
401(k) match
Paid time off

Job summary

Valeris is seeking a Reimbursement Case Manager to support patients, caregivers, and providers within the Patient Support Program. You will verify insurance benefits, enrollment, and access to therapies, while coordinating resources and maintaining clear documentation across internal teams.

The role emphasizes empathetic communication, adherence to program standards, and timely case management in a fast-paced environment. A relevant degree or equivalent experience is preferred.

Qualifications

  • Associate or Bachelor’s degree preferred or equivalent experience in a service environment.
  • Experience in call center or customer service with progressive responsibility.
  • Knowledge of medical insurance terminology and reimbursement processes.
  • Strong problem-solving and decision-making skills.
  • Excellent written and oral communication with patients, providers, and internal stakeholders.

Responsibilities

  • Provide inbound and outbound phone support to patients, caregivers, and providers.
  • Coordinate and monitor patient needs through the Patient Support Program.
  • Verify insurance benefits and assist with eligibility and enrollment processes.
  • Serve as liaison to payers, providers, and internal stakeholders; maintain relationships.
  • Document status and benefits in the case management system; assist with appeals where needed.
  • Adhere to SOPs, training deadlines, and program guidelines; handle complex cases per SOPs.

Skills

Effective communication
Problem solving
Attention to detail
Microsoft Office

Education

Associate/Bachelor degree

Tools

CRM systems
MS Office

Job description

Valeris is seeking a Reimbursement Case Manager to support patients, caregivers, and providers within the Patient Support Program. You will verify insurance benefits, enrollment, and access to therapies, while coordinating resources and maintaining clear documentation across internal teams.

The role emphasizes empathetic communication, adherence to program standards, and timely case management in a fast-paced environment. A relevant degree or equivalent experience is preferred.

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