Senior Reimbursement & Patient Access Specialist

Valeris; Louisville (KY); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

Medical, dental, and vision

HSA/FSA options

HSA match

401(k) match

Paid time off

Holidays

Advancement opportunities

Inclusive culture

Job summary

Valeris is seeking a Sr. Reimbursement Case Manager to provide dedicated support to patients, caregivers, and providers through the Patient Support Program.

You will coordinate resources, verify insurance coverage, and guide cases from enrollment to reimbursement, ensuring access to life-saving therapies. Ideal candidates have 3+ years in case management, strong problem-solving abilities, and experience with medical/pharmacy workflows.

Qualifications

• Associate or bachelor’s degree preferred; or a minimum of 4 years of call center or customer service experience with progressive levels of responsibility within a service driven environment
• Minimum of 3 years of case management experience with strong critical thinking, problem-solving, and decision-making skills
• Preferred experience in medical, pharmacy, and Buy & Bill processes, including familiarity with related insurance, reimbursement, and healthcare workflows
• Ability to communicate effectively both orally and in writing
• 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
• Attention to detail and committed follow-through in communication with patients, providers and internal stakeholders
• Strong organizational skills
• Willing to work in a dynamic, fast paced environment and can multi-task
• Ability to help team adapt to change while maintaining Program standards
• Strong interpersonal skills, ability to work both independently and as part of a team
• Strong team player willing to jump in and help other team members when needed
• Empathetic listening skills in order to interact effectively with patients and providers
• Punctual, reliable with strong attendance record
• Strong customer service experience and skills
• Proficient with Microsoft products

Responsibilities

• Serve as primary contact for patients, caregivers, and providers
• Coordinate resources and monitor patient needs through the Patient Support Program
• Verify insurance coverage and assist with reimbursement processes
• Advise on eligibility, enrollment, and affordability support
• Maintain case notes and document status in the case management system
• Escalate complex cases per SOPs and program guidelines
• Collaborate with sales, program management, and internal stakeholders
• Ensure data integrity in enrollment forms
• Demonstrate exceptional customer service and brand advocacy
• Maintain confidentiality and privacy

Skills

Customer service

Communication

Problem solving

Multitasking

Education

Associate or Bachelor degree preferred

4 years call center experience

Tools

Microsoft Office

Job description

Valeris is seeking a Sr. Reimbursement Case Manager to provide dedicated support to patients, caregivers, and providers through the Patient Support Program.

You will coordinate resources, verify insurance coverage, and guide cases from enrollment to reimbursement, ensuring access to life-saving therapies. Ideal candidates have 3+ years in case management, strong problem-solving abilities, and experience with medical/pharmacy workflows.