Care Coordinator

🔥 0 minutes ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Valeris

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💊 Pharmaceuticals

🏥 Healthcare

🤝 B2B

Pharmaceuticals • Healthcare • B2B

Valeris is a fully integrated life sciences commercialization partner formed by the merger of PharmaCord and Mercalis. The company provides comprehensive solutions across the healthcare value chain to help life sciences companies bring products to market and improve patient access and adherence. Valeris offers data and strategic insights, patient support and access programs, and healthcare provider engagement tools, serving over 500 life sciences customers and supporting millions of patients. Headquartered in Morrisville, North Carolina and Jeffersonville, Indiana, Valeris focuses on enabling commercialization and patient-centric services for pharmaceutical and life sciences organizations.

📋 Description

• Provide inbound and outbound phone support to payers, patients, caregivers, specialty pharmacies, site of care centers, specialty distributors, pharmacy compounders, and providers • Coordinate and monitor patient benefits, product orders, and appointment coordination to facilitate the patient journey • Serve as an expert on benefit coordination and available support • Advocate for patients regarding eligibility, program enrollment, affordability support, and access to prescribed therapy • Establish relationships and maintain rapport with healthcare providers and patients • Provide ongoing program and patient information to healthcare providers • Navigate payer challenges and obtain necessary results • Liaise with client contacts, Program Management, internal stakeholders, and healthcare providers • Maintain records in accordance with applicable standards, regulations, and program requirements • Follow SOPs, Call Guides, and program materials; escalate complex cases • Identify and report pharmacovigilance information, including adverse events and safety complaints, as required • Provide customer service as a brand advocate and program representative • Communicate patient status, prescriber feedback, coordination challenges, and program effectiveness to Program Management • Understand patient disease states and assess situations to obtain timely results • Maintain confidentiality, privacy, ethical conduct, and professional standards • Complete required training and follow corporate policies and SOPs • Perform miscellaneous tasks and projects assigned by Project Management

🎯 Requirements

• Associate or bachelor's degree and 2 years of reimbursement/insurance, healthcare billing, physician office, or health insurance processing experience preferred • In lieu of a degree, high school diploma or equivalent with 5 years of reimbursement/insurance, healthcare billing, physician office, or health insurance processing experience required • Call Center/HUB or customer service experience with progressive levels of responsibility in a service-driven environment required • Excellent oral and written communication skills • Strong working knowledge of prior authorization and appeals • Strong knowledge of medical and pharmacy insurance terminology • Reimbursement/insurance, healthcare billing, physician office, health insurance processing, or related benefit coordination experience • Strong problem-solving and decision-making skills • Attention to detail and committed follow-through • Strong organizational skills in a fast-paced environment • Ability to adapt to change while maintaining program standards • Team-oriented approach and willingness to assist team members • Empathetic listening skills for interactions with patients and providers • Punctuality, reliability, and strong attendance record • Strong customer service experience and skills • Proficient with Microsoft Excel, Word, PowerPoint, and Outlook • Prefer candidates able to type at least 35 words per minute with 97% accuracy • Flexibility to travel as needed preferred • Successful completion of a background check and, depending on the position, a drug screen

🏖️ Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs • Telehealth and Employee Assistance Program (EAP) services • Company match on Health Savings Account contributions • Free Basic Life and AD&D coverage equal to annual earnings, with a minimum of $50,000 and a maximum of $300,000 • Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability • 401(k) Retirement Savings Plan with 100% match on the first 5% contributed, with immediate vesting • Paid Time Off (PTO) and Sick Leave • Nine paid holidays plus two floating holidays • Opportunities for advancement and personal and professional growth • Challenging, stimulating work environment that encourages new ideas • Inclusive workplace and mission-driven culture • Background check and, depending on the position, drug screen required as a condition of employment