Care Coordinator

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

📋 Description

• Manage patient cases from start to finish

• Conduct benefit investigations along with prior authorizations and denial appeals

• Assess financial eligibility for assistance programs

• Provide support to patients and stakeholders through email, inbound/outbound calls, and Lynk technology

• Establish trustworthy relationships with patients, prescribers, and client stakeholders

• Execute program welcome calls and follow-up calls post-benefit investigation

• Handle client and healthcare professional inquiries in accordance with business regulations

• Manage incoming calls and direct patients to the appropriate resources

• Deliver personalized case management services to patients and healthcare professionals

• Identify requirements for benefits, payer coverage, prior authorization, appeals, tier exceptions, and formulary exclusions

• Follow up with payers and healthcare professionals regarding submissions and outcomes

• Coordinate nurse education, follow-ups, peer support resources, and product shipments

• Assist with patient assistance and bridge programs

• Report adverse events, product complaints, special situation reports, and medical inquiries as per SOPs

• Record activities in the PharmaCord Lynk system

• Complete training and adhere to corporate policies, procedures, SOPs, and business rules

• Undertake additional assigned tasks or projects

⛳️ Requirements

• Availability for the 11:30 AM–8 PM ET shift is mandatory

• Must be able to work an 8.5-hour shift between 8 AM and 9 PM, Monday to Friday

• Strong attention to detail

• Professional telephone communication skills

• Basic computer proficiency

• Effective multitasking abilities

• Clear and concise communication skills

• Adaptability to change and flexibility

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

• A Bachelor’s degree is highly preferred or equivalent experience is required

• Bilingual skills in Spanish and English are advantageous

• Eligibility for remote work is subject to work-from-home criteria and business needs

• Preferred typing speed of at least 35 words per minute with 97% accuracy

• Willingness to travel as needed is preferred

• Successful completion of a background check and, depending on the position, a drug screening

🏝️ Benefits

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

• Access to Telehealth and Employee Assistance Program (EAP) services

• Company matching contributions for Health Savings Accounts

• Complimentary Basic Life and AD&D coverage equivalent to annual earnings, with a minimum of $50,000 and a maximum of $300,000

• Employer-paid Short-Term Disability coverage, with an option to purchase Long-Term Disability

• 401(k) Retirement Savings Plan featuring 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 career advancement and personal as well as professional development

• A challenging and stimulating work environment that encourages innovative ideas

• An inclusive workplace with a mission-driven culture

• Background checks and, depending on the position, drug screenings are contingent on the employment offer