Senior Patient Access & Reimbursement Navigator

Valeris; Morrisville (NC); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical, dental & vision plans

HSA/FSA benefits

401(k) match

PTO & sick leave

Holidays

Job summary

Valeris is seeking a Sr. Patient Navigator to ensure patients access life-changing medications through insurance verification, prior authorizations, and appeals.

You will educate patients and healthcare providers on access and reimbursement pathways while maintaining compliant processes under HIPAA and other regulations. This role requires coordinating with client teams, handling benefit investigations, and documenting activities in Valeris’ systems.

Qualifications

• Bachelor’s degree in healthcare administration, social science, or related field.
• 5–10 years in insurance reimbursement, patient access, or related fields.
• Strong knowledge of ICD-10, CPT, HCPCS coding and insurance processes.
• Excellent communication with patients, providers, and payers.

Responsibilities

• Serve as primary contact for patients, caregivers, and healthcare providers.
• Manage benefit investigations, prior authorization tracking, and appeals.
• Educate patients and providers on access, coverage, and program options.
• Build trustful relationships and ensure compliant reimbursement support.
• Coordinate with client field teams under established guidelines.
• Document activities in Valeris system and maintain records.
• Travel as required by client: HQ proximity within 30 miles of Morrisville NC or Jeffersonville IN.

Skills

Insurance reimbursement

Patient access

Prior authorization

Appeals support

HIPAA compliance

Education for patients and HCPs

Relationship management

Medical terminology

Education

Bachelor's degree

PACS/CHES/CCM certifications

Job description

Valeris is seeking a Sr. Patient Navigator to ensure patients access life-changing medications through insurance verification, prior authorizations, and appeals.

You will educate patients and healthcare providers on access and reimbursement pathways while maintaining compliant processes under HIPAA and other regulations. This role requires coordinating with client teams, handling benefit investigations, and documenting activities in Valeris’ systems.