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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient case management, including benefit investigations, prior authorizations, and financial qualifications for assistance programs. Proficient in clear communication and relationship building with patients, healthcare professionals, and stakeholders while adhering to corporate policies and procedures.
Highest-signal resume keywords
Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationBilingual Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit InvestigationsPrior AuthorizationsFinancial QualificationsCase ManagementTyping SkillsDocumentationSOP ComplianceProgram CoordinationMedical Inquiries HandlingTriage Management
Soft Skills
Detail OrientedProfessional Telephone EtiquetteMultitaskingAdaptabilityCustomer Service
Tools & Technologies
PharmaCord Lynk SystemEmail CommunicationInbound/Outbound CallsLynk Technology
Industry Keywords
Healthcare Industry ExperiencePatient Assistance ProgramsAdverse Events ReportingStakeholder ManagementRemote Work Eligibility
About the role
Key responsibilities & impact- Own patient cases from initiation to closure
- Conduct benefit investigations and prior authorizations/denial appeals
- Determine financial qualifications for assistance programs
- Assist patients and callers/stakeholders via email, inbound/outbound calls, and Lynk technology
- Build trusted relationships with patients, prescribers, and client stakeholders
- Perform program welcome calls and post-benefit-investigation calls
- Manage client and healthcare professional inquiries according to business rules
- Manage inbound calls and triage patients to appropriate resources
- Provide personalized case management to patients and HCPs
- Identify benefits, payer coverage, prior authorization, appeal, tier exception, and formulary exclusion requirements
- Follow up with payers and HCPs on submissions and outcomes
- Coordinate nurse education, nurse follow-up, peer support resources, and product shipments
- Support patient assistance and bridge programs
- Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs
- Document activities in the PharmaCord Lynk system
- Complete training and follow corporate policies, procedures, SOPs, and business rules
- Perform additional assigned tasks or projects
Requirements
What you’ll need- The 11:30 AM–8 PM ET shift is required
- Ability to work an 8.5-hour shift between 8 AM and 9 PM, Monday to Friday
- Detail oriented
- Professional telephone etiquette
- Basic computer knowledge
- Ability to multitask effectively
- Clear and concise communication
- Ability to adapt to change and handle flexibility
- Customer service and healthcare industry experience preferred but not required
- Bachelor’s degree strongly preferred or equivalent experience required
- Spanish and English bilingual skills are a plus
- Remote work eligibility subject to work-from-home criteria and business need
- Ability to type at least 35 words per minute with 97% accuracy preferred
- Flexibility to travel as needed preferred
- Successful completion of a background check and, depending on position, a drug screen
Benefits
Comp & perks- Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
- Telehealth and Employee Assistance Program (EAP) 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 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 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
- Challenging, stimulating work environment encouraging new ideas
- Inclusive workplace and mission-driven culture
- Background check and, depending on position, drug screen contingent on employment offer