Remote Reimbursement Case Manager - Patient Access

Valeris; North Carolina; Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health, dental and vision plans

401(k) with match

Paid time off and holidays

Remote-friendly environment

Job summary

Valeris is seeking a Reimbursement Case Manager to provide inbound/outbound call support, coordinating patient services and payer interactions within our Patient Support Program. You will act as the primary contact for patients, caregivers, and providers, ensuring access to therapies and accurate benefit information.

The role emphasizes reimbursement processes, eligibility assessment, data integrity, and collaboration with internal teams to maintain high service levels while handling

Qualifications

• Associate or Bachelor's degree preferred; or a minimum of 4 years of call center or customer service experience.
• Knowledge of medical insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related experience
• Excellent problem-solving and decision-making skills required

Responsibilities

• Serve as the primary contact for patients, caregivers and providers.
• Coordinate resources and communicate patient benefits and status.
• Advise on eligibility, enrollment in programs and reimbursement processes.
• Triage cases according to SOPs and program guidelines.
• Maintain records and support PA/Appeals processes

Skills

Call center experience

Insurance terminology

Effective communication

Problem solving

Organizational skills

Education

Associate or Bachelor degree preferred

Job description

Valeris is seeking a Reimbursement Case Manager to provide inbound/outbound call support, coordinating patient services and payer interactions within our Patient Support Program. You will act as the primary contact for patients, caregivers, and providers, ensuring access to therapies and accurate benefit information.

The role emphasizes reimbursement processes, eligibility assessment, data integrity, and collaboration with internal teams to maintain high service levels while handling