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 overall patient journey • Deliver services through manufacturer Patient Support Programs • Coordinate resources, exchange information, and ensure appropriate delivery of services • Handle healthcare provider and patient interactions as an expert in benefit coordination and available support • Advocate for patients regarding eligibility, enrollment, affordability support, and access to prescribed therapy • Establish relationships, develop trust, and maintain rapport with healthcare providers and patients • Serve as a provider point of contact for ongoing support and program information • Acquire and deliver detailed program and patient information • Explain payer benefits, including private/commercial and government coverage such as Medicare, Medicaid, VA, and DOD • Navigate payer challenges and ask appropriate questions to obtain results • Liaise with client contacts and regional sales representatives • Maintain records in accordance with applicable standards and regulations • Follow program guidelines and escalate complex cases according to SOPs, Call Guides, and program materials • Liaise between Program Management, internal stakeholders, and healthcare providers • Provide customer service as a brand advocate and program representative • Communicate patient status, prescriber feedback, coordination challenges, and program effectiveness to Program Management • Assess patient program disease states and intervene where needed to obtain timely results • Maintain ethical and professional conduct regarding confidentiality and privacy • Utilize resources for conflict resolution as needed

🎯 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 • 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 required • Strong knowledge of medical and pharmacy insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing, or related benefit coordination • Excellent problem-solving and decision-making skills required • Attention to detail and committed follow-through with patients, providers, and stakeholders • 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 • Punctuality, reliability, and strong attendance record • Strong customer service experience and skills • Proficiency with Microsoft Excel, Word, PowerPoint, and Outlook • Ability to type at least 35 words per minute with 97% accuracy preferred • 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