Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. Formed by the merger of PharmaCord and Mercalis, Valeris™ revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients. The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. As a Care Coordinator, you provide inbound and outbound phone support and may serve as the primary contact for payers, patients, caregivers, specialty pharmacies, site of care centers, specialty distributors, pharmacy compounders, and providers. The primary function is to provide unparalleled customer service to key internal and external stakeholders as a dedicated contact by coordinating resources, exchanging information, and ensuring appropriate delivery of services.
Care Coordinator may be regionally aligned and will serve as an expert on all aspects of benefit coordination, and other forms of available support and will be responsible for handling healthcare provider and/or patient interactions
May serve as an advocate to patients regarding eligibility requirements, program enrollment, affordability support, and general access for prescribed therapy
Serves as point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient
Strong working knowledge and ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Follows program guidelines and escalates complex cases according to SOPs, Call Guides, and other program materials.
Adverse Events, safety complaints as per program SOPs) – (specific to program/client requirements) through Inbound and Outbound calling
Liaison between Program Management, other internal stakeholders, and healthcare providers
Provides unparalleled customer service, with attention to detail, while serving as a brand advocate and program representative; understands the importance of achieving quality outcomes and commits to the appropriate use of resources
Works with all levels of Program Management on a day-to-day basis to maintain open lines of communication and share awareness regarding patient status, prescriber feedback/satisfaction, coordination challenges and program effectiveness
Helps maintain team morale by consistently demonstrating a positive attitude and strong work ethics
On time adherence to training deadlines for all corporate policies and procedures governing access to confidential data
Conducts miscellaneous tasks or projects as assigned by Project Management
On time adherence to training deadlines for all corporate policies and procedures
Perform additional tasks or projects as assigned
Associate or bachelor’s degree and 2 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing preferred, or in lieu of a degree, a High School diploma or equivalent with 5 years of reimbursement/insurance, healthcare billing, physician office, health insurance processing
Call Center/HUB or customer service experience with progressive levels of responsibility within a service driven environment required
orally and in writing
Strong working knowledge of prior authorization and appeals is required
Strong knowledge of medical and pharmacy insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing or related benefit coordination experience
Strong team players are willing to jump in and help other team members when needed.
Strong customer service experience and skills
Proficient with Microsoft products (Excel, Word, PowerPoint, and Outlook)
Although very minimal, flexibility to travel as needed is preferred.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
~ Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
~ Additional health support, including telehealth and Employee Assistance Program (EAP) services
~ Company match on Health Savings Account contributions
~ 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% you contribute, with immediate vesting
~ Team members receive nine paid holidays plus two floating holidays
~ Opportunities for advancement in a company that supports personal and professional growth
~ Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
~ At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Although very minimal, flexibility to travel as needed is preferred.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.
We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:
~ Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
~ Additional health support, including telehealth and Employee Assistance Program (EAP) services
~ Company match on Health Savings Account contributions
~ 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% you contribute, with immediate vesting
~ Team members receive nine paid holidays plus two floating holidays
~ Opportunities for advancement in a company that supports personal and professional growth
~ Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
~ At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community.