Remote Care Coordinator—Patient Access & Benefits

Valeris

North Carolina

Remote

USD 55,000 - 70,000

Full time

11 days ago

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Benefits offered by this job

Medical, dental, and vision plans
Telehealth and EAP services
401(k) with company match
Paid Time Off and holidays

Job summary

Valeris is seeking a Care Coordinator to provide inbound and outbound phone support, coordinating patient benefits, orders, and appointments across payer types. You will serve as the primary contact for payers, patients, caregivers, and providers in a remote North Carolina setting.

The role requires knowledge of prior authorization and appeals, excellent communication, and attention to detail to ensure timely delivery of services and high-quality patient care.

Qualifications

  • Associate or bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred.
  • Or, in lieu of a degree, a High School diploma or equivalent with 5 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing.

Responsibilities

  • Provide inbound and outbound phone support for payers, patients, caregivers, and providers.
  • Coordinate benefits, product orders, and appointment scheduling to support the patient journey.
  • Explain benefits for various payer types including Medicare, Medicaid, VA and DOD, with Medicare Part B expertise.
  • Serve as liaison between program management and healthcare providers.
  • Follow SOPs and escalation paths for complex cases and pharmacovigilance reporting.

Skills

Reimbursement knowledge
Customer service
Communication skills
Prior authorization & appeals
Attention to detail

Education

Associate or Bachelor’s degree
High School diploma or equivalent with 5 years experience

Tools

Microsoft Excel
Microsoft Word
PowerPoint
Outlook

Job description

Valeris is seeking a Care Coordinator to provide inbound and outbound phone support, coordinating patient benefits, orders, and appointments across payer types. You will serve as the primary contact for payers, patients, caregivers, and providers in a remote North Carolina setting.

The role requires knowledge of prior authorization and appeals, excellent communication, and attention to detail to ensure timely delivery of services and high-quality patient care.

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