Care Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Take ownership of patient cases from start to finish.

• Perform benefit investigations and manual inquiries as necessary.

• Handle prior authorizations, denial appeals, tier exceptions, and formulary exclusions.

• Assess financial eligibility for assistance programs.

• Support patients, prescribers, healthcare providers, clients, and other stakeholders through email and inbound/outbound calls.

• Establish trusted relationships via proactive communication and precise execution of tasks.

• Conduct program welcome calls and follow-up calls post-benefit investigations.

• Address client and healthcare professional inquiries in line with business guidelines.

• Manage incoming calls and direct patients to suitable resources.

• Relay benefit coverage information and next steps to patients and healthcare professionals.

• Utilize electronic tools and Lynk to ascertain benefits, payer coverage, and outcomes.

• Coordinate nurse education and follow-up adherence services.

• Identify resources for peer support.

• Organize product shipments through patient assistance and bridge programs.

• Communicate needs for prior authorization reverification and patient assistance re-enrollment.

• Report adverse events, product complaints, special situation reports, and medical inquiries according to standard operating procedures and business rules.

• Document actions in the PharmaCord Lynk system.

• Adhere to standard operating procedures and corporate policies while meeting training deadlines.

• Undertake additional assigned tasks or projects.

⛳️ Requirements

• Bachelor's degree preferred, or equivalent experience required.

• Experience in customer service and the healthcare industry is preferred but not mandatory.

• Availability to work an 8.5-hour shift between 8 am and 9 pm, Monday to Friday is required.

• Basic computer skills are necessary.

• Ability to multitask efficiently.

• Strong communication skills, both clear and concise.

• Professional telephone manner.

• Attention to detail is crucial.

• Candidates who can type at least 35 words per minute with 97% accuracy are preferred.

• Willingness to travel as needed is preferred.

• Bilingual skills in Spanish and English are a plus.

• Successful completion of a background check; drug screening may be required depending on the position.

• Remote work eligibility is contingent upon work-from-home criteria and business needs.

🏝️ Benefits

• Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing to premium costs.

• Telehealth and Employee Assistance Program (EAP) services.

• Company match on Health Savings Account contributions.

• Complimentary 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 a 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.

• A challenging and stimulating work environment that encourages new ideas.

• An inclusive workplace with a mission-driven culture.