Reimbursement Specialist

Valeris; Jeffersonville (IN); On-site; USD 25,000 - 39,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

401(k) retirement with match

Paid Time Off

Nine paid holidays + two floating

Job summary

Valeris is seeking a Reimbursement Specialist in Jeffersonville, IN to provide in-depth knowledge of client programs by working directly with patients, healthcare providers, and insurance companies to verify benefits, process service requests, and navigate coverage barriers. The role emphasizes compliance and compassionate customer service.

Qualified candidates have 6 months of customer service experience in healthcare or payer benefits; bachelor’s degree preferred; bilingual skills are a plus.

Qualifications

• Strong customer service experience in healthcare or payer benefits is preferred.
• Ability to communicate clearly with patients, providers and insurers.
• Comfort handling personal health information with confidentiality.
• Professionalism and strong business etiquette are essential.

Responsibilities

• Perform patient-level benefits verifications for major medical and pharmacy plans.
• Coordinate prior authorizations per payer guidelines and laws.
• Assist patients with coverage questions and barriers to access.
• Respond to inquiries via phone and web-based channels in a compliant manner.

Skills

Customer service mindset

Communication skills

Confidentiality

Teamwork

Education

Bachelor’s degree preferred

Tools

Microsoft Office

Job description

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit www.valeris.com.

A typical day in this role will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy. The Reimbursement Specialist works in a dynamic and compassionate customer service role providing telephonic and web-based, where applicable, customer service support.

Key Responsibilities:
Benefit Verification:

• • Performing patient level benefits verifications as applicable for all major medical and pharmacy benefits plans.
  • Completion of the template forms that provide patient level benefits Coverage Determination Summary.
  • Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.
• Patient Assistance:

Qualifications:

• Service minded; focus on recognizing and meeting the needs of others (especially patients and care partners)
• Ability to handle personal health information with confidentiality
• Commitment to honesty and integrity
• Professionalism and a strong sense of proper business and customer service etiquette
• Clear verbal and written communication skills
• Accountability for results
• Ability to plan and prioritize tasks and strong attention to detail
• Proficient emotional intelligence (ability to recognize emotions and their effects)
• Ability to manage disruptive impulses and handle potentially stressful customer interactions
• Proficient computer skills
• Adaptability to change
• Personal initiative and commitment to team and organizational goals
• Ability to work effectively within a team
• A positive attitude!
• Bachelor’s degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required
• 6 months customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare related certification, license, or equivalent coursework is strongly preferred
• Bilingual is a plus
• This is an office-based position, the ability to sit for extended periods of time is necessary
• Although very minimal, flexibility to travel as needed is preferred

Physical Demands & Work Environment

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
• Although very minimal, flexibility to travel as needed is preferred.
• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris?

We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
• Additional health support, including telehealth and Employee Assistance Program (EAP) services
• Company match on Health Savings Account contributions
• Free Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000
• Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability
• 401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vesting
• Paid Time Off (PTO) and Sick Leave to support work-life balance
• Team members receive nine paid holidays plus two floating holidays
• Opportunities for advancement in a company that supports personal and professional growth
• A challenging, stimulating work environment that encourages new ideas
• Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
• A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

Our Commitment to Equal Opportunity

At Valeris, we don’t just accept difference - we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.