Care Coordinator – Oncology

This is a fully remote position, open to applicants in Florida, +1 more state.

📋 Description

• Take ownership of patient cases from start to finish.

• Conduct benefit investigations along with prior authorizations and denial appeals.

• Assess financial eligibility for assistance programs.

• Support patients, callers, and stakeholders in resolving inquiries via email, inbound/outbound calls, and Lynk technology.

• Establish trusting relationships with patients, prescribers, and client stakeholders.

• Execute program welcome calls and follow-up calls after benefits investigations.

• Clarify coverage options for patients and healthcare professionals.

• Address client and healthcare provider inquiries according to established business guidelines.

• Handle inbound calls using program-approved FAQs.

• Direct patients to internal or external resources as needed.

• Deliver personalized case management and communicate benefit coverage and subsequent steps.

• Identify payer coverage and perform manual benefit investigations when necessary.

• Relay requirements for prior authorization, appeal, tier exception, and formulary exclusion.

• Follow up with payers and healthcare providers regarding submissions and results.

• Organize nurse education and follow-up services.

• Identify resources for peer support.

• Manage 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 as per SOPs.

• Record activities in the PharmaCord Lynk system.

• Adhere to corporate policies, SOPs, and training deadlines.

• Undertake additional tasks and projects as assigned.

⛳️ Requirements

• Bachelor’s degree is highly preferred or equivalent experience is 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.

• Basic computer skills are essential.

• Ability to effectively multitask.

• Clear and concise communication skills.

• Professional telephone etiquette is required.

• Strong attention to detail.

• Typing speed of at least 35 words per minute with 97% accuracy is preferred.

• Flexibility to travel as needed is preferred.

• Bilingual skills in Spanish and English are a plus.

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

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

🏝️ 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 Account.

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

• Company-covered Short-Term Disability, with an option to buy Long-Term Disability coverage.

• 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 along with two floating holidays.

• Opportunities available for advancement and personal and professional development.

• Dynamic and stimulating work environment that promotes innovative ideas.

• An inclusive workplace with a mission-driven culture.

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