Care Coordinator

Valeris • Jeffersonville, IN

8d

About The Position

The Care Coordinator owns patient cases from initiation through closure. The role supports benefit investigations, prior authorizations and denial appeals, determines eligibility for financial assistance programs, and helps patients and other callers or stakeholders reach resolution. Communication takes place through email, inbound and outbound calls, and Valeris’ Lynk technology. The position requires strong ownership, attention to detail, patient focus, critical thinking, and knowledge of program and industry rules and standards.

The Care Coordinator builds relationships with patients, prescribers, and client stakeholders; handles program communications and inbound calls; and provides personalized case management to patients and healthcare professionals. The role uses electronic tools and, when needed, manual research and outbound follow-up to determine coverage, coordinate next steps, and support access to medication. It also documents activities in Lynk, follows SOPs and business rules, completes training on time, and takes on additional tasks or projects as assigned.

The position requires an 8.5-hour shift scheduled between 8 a.m. and 9 p.m., Monday through Friday. Remote work eligibility depends on meeting work-from-home criteria and business needs. The role operates in a professional office environment and uses standard office equipment. Limited travel may be needed. Full-time employees are offered medical, dental and vision plans, other health support, life and disability coverage, a 401(k) plan, paid time off and holidays, and opportunities for growth.

Requirements

• Bachelor’s degree strongly preferred, or equivalent experience required.
• Ability to work an 8.5-hour shift between 8 a.m. and 9 p.m., Monday through Friday.
• Detail oriented.
• Professional telephone etiquette.
• Basic computer knowledge.
• Ability to multitask effectively.
• Clear and concise communication.
• Maintain honesty and integrity and take responsibility for performance.
• Adapt to change with flexibility, take initiative, and persist toward goals despite obstacles or setbacks.
• Be service oriented and anticipate, recognize, and meet the needs of patients and care partners.
• Type at least 35 words per minute with 97% accuracy is preferred, as stated under physical demands.

Nice To Haves

• Customer service experience; preferred but not required.
• Healthcare industry experience; preferred but not required.
• Spanish and English bilingual skills.
• Ability to travel as needed, although travel is expected to be very minimal.
• Remote work eligibility, subject to meeting all work-from-home criteria and business need.
• Bachelor’s degree.

Responsibilities

• Build trusted relationships with patients, prescribers, and client stakeholders through proactive communication and timely, accurate execution of deliverables.
• Manage relationships in accordance with healthcare laws and regulations.
• Make welcome calls to patients and post-benefits-investigation calls to patients and physicians to explain coverage options.
• Manage client inquiries that cannot be resolved through client reporting and handle healthcare professional inquiries according to applicable business rules.
• Manage inbound calls using program-approved FAQs and direct patients to internal or external resources as appropriate.
• Provide personalized case management to patients and healthcare professionals, including outbound communications about benefit coverage and next steps.
• Use electronic tools to identify benefits and payer coverage, completing manual benefit investigations as needed.
• Identify and communicate plan coverage, including prior authorization, appeal, tier-exception, and formulary-exclusion requirements.
• Use electronic resources to obtain benefit outcomes and, when needed, contact payers and healthcare professionals to follow up on submissions or outcomes.
• Coordinate nurse education and nurse follow-up for adherence services, as applicable to the program.
• Identify peer-support resources for patients.
• Coordinate product shipments through patient assistance or bridge programs from the PharmaCord pharmacy.
• Communicate proactively about prior authorization reverification or patient-assistance-program reenrollment needs.
• Report adverse events, product complaints, special situation reports, and medical inquiries in accordance with SOPs and business rules.
• Document activities in the PharmaCord Lynk system according to business requirements.
• Use Valeris’ values to support team success, meet corporate-policy training deadlines, and follow SOPs consistently.
• Perform additional tasks or projects as assigned.

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 $50,000 minimum and $300,000 maximum.
• 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 and immediate vesting.
• Paid Time Off (PTO) and sick leave.
• Nine paid holidays plus two floating holidays.
• Opportunities for advancement and personal and professional growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed