Remote Reimbursement Specialist - Patient Access & Benefits

Valeris; Kentucky; Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health insurance

401(k) match

PTO & holidays

Life insurance

Job summary

Valeris is seeking a Reimbursement Specialist to support patients, providers, and insurers. This remote Kentucky role focuses on benefits verification, patient assistance enrollment, and eligibility determination within established SOPs.

You will collaborate with healthcare partners to resolve barriers and ensure access to therapy. The position emphasizes strong communication, confidentiality, and adherence to regulatory guidelines, with a preference for a Bachelor’s degree and payer benefits

Qualifications

• Bachelor’s degree preferred or equivalent experience.
• 6 months customer service experience required or preferred.
• Payer benefits experience (reimbursement, prior authorization) preferred.
• Bilingual is a plus.
• Office-based role; ability to sit for extended periods.

Responsibilities

• Verify patient benefits for major medical and pharmacy plans.
• Review patient assistance enrollment and determine eligibility per SOPs.
• Communicate eligibility to patients, providers, and pharmacies.
• Handle inbound inquiries and resolve using FAQs or warm transfers.
• Use PharmaCord Lynk to complete claims processing and manage workflows.
• Coordinate prior authorizations per payer guidelines and compliance.

Skills

Customer service

Communication

confidentiality

Attention to detail

Teamwork

Education

Bachelor’s degree preferred

High school diploma or GED required

Tools

PharmaCord Lynk

MS Office

Job description

Valeris is seeking a Reimbursement Specialist to support patients, providers, and insurers. This remote Kentucky role focuses on benefits verification, patient assistance enrollment, and eligibility determination within established SOPs.

You will collaborate with healthcare partners to resolve barriers and ensure access to therapy. The position emphasizes strong communication, confidentiality, and adherence to regulatory guidelines, with a preference for a Bachelor’s degree and payer benefits