Care Coordinator

Valeris•Remote, Kentucky, KY

About The Position

Valeris is a life sciences commercialization partner that provides patient support services and healthcare provider engagement tools. Care Coordinators own patient cases from initiation to closure, helping patients access and adhere to medications. The work includes benefit investigations, prior authorizations and denial appeals, determining eligibility for financial assistance programs, and supporting patients and other stakeholders toward resolution through email, inbound and outbound calls, and Valeris’ Lynk technology. The role requires strong ownership, attention to detail, patient focus, critical thinking, and knowledge of program and industry rules and standards. The position involves managing relationships with patients, prescribers, and client stakeholders; communicating coverage options and next steps; responding to inbound calls and inquiries; coordinating services and product shipments; and documenting activities in the Lynk system. The role operates in a professional office environment using standard office equipment. Remote work may be available if work-from-home criteria are met and business needs allow.

Requirements

  • Detail oriented, with strong attention to accuracy.
  • Professional telephone etiquette and clear, concise communication.
  • Basic computer knowledge and ability to multitask effectively.
  • Ability to take responsibility for performance, maintain honesty and integrity, and manage disruptive impulses.
  • Adaptability and flexibility when handling change; openness to innovation and new ideas.
  • Achievement-driven approach, initiative, persistence, and alignment with organizational goals.
  • Service-oriented approach, including anticipating and meeting the needs of patients and care partners.
  • Ability to work an 8.5-hour shift scheduled between 8 a.m. and 9 p.m., Monday through Friday.
  • Bachelor’s degree strongly preferred, or equivalent experience required.
  • Customer service and healthcare industry experience preferred but not required.

Nice To Haves

  • Customer service experience.
  • Healthcare industry experience.
  • Bilingual Spanish and English skills.
  • Ability to type at least 35 words per minute with 97% accuracy.
  • Flexibility to travel as needed.

Responsibilities

  • Build trusted relationships with patients, prescribers, and client stakeholders through proactive communication and accurate, timely work while adhering to healthcare laws and regulations.
  • Conduct welcome calls and post-benefit-investigation calls with patients and physicians to explain coverage options.
  • Manage client and healthcare provider inquiries according to reporting requirements and program business rules.
  • Manage inbound calls using program-approved FAQs and triage patients to appropriate internal or external resources.
  • Provide personalized case management to patients and healthcare providers, including communicating benefit coverage and next steps.
  • Use electronic tools and, when needed, manual investigations and calls to identify benefits and payer coverage and follow up with payers and healthcare providers.
  • Identify and communicate coverage requirements, including prior authorizations, appeals, tier exceptions, and formulary exclusions.
  • Coordinate nurse education and follow-up 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 re-enrollment needs.
  • Report adverse events, product complaints, special situation reports, and medical inquiries in accordance with SOPs and business rules.
  • Document all activities in the PharmaCord Lynk system according to business requirements.
  • Use Valeris’ values to support team success and meet training deadlines for corporate policies and procedures.
  • Follow all SOPs consistently and 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 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 maximum of $300,000.
  • Company-paid short-term disability coverage, with the option to purchase long-term disability.
  • 401(k) plan with 100% match on the first 5% contributed and immediate vesting.
  • Paid Time Off and sick leave.
  • Nine paid holidays plus two floating holidays.
  • Advancement opportunities and support for personal and professional growth.
  • A challenging work environment that encourages new ideas.
  • Inclusive, mission-driven culture and efforts to create an inclusive workplace.
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