Care Coordinator

Valeris

. Own patient cases from initiation to closure .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient case management, including benefit investigations, prior authorizations, and effective communication with patients and healthcare providers. Proficient in utilizing electronic tools for identifying benefits and payer coverage while maintaining a service-oriented approach.

Highest-signal resume keywords

Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationBilingual Spanish and English

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit InvestigationsPrior AuthorizationsCase ManagementTyping Speed of 35 Words Per MinuteDetail Oriented

Soft Skills

Clear and Concise CommunicationProfessional Telephone EtiquetteAbility to MultitaskService-Oriented ApproachAdaptability

Tools & Technologies

PharmaCord Lynk SystemElectronic Tools for Benefit Identification

Industry Keywords

Healthcare IndustryPatient Assistance ProgramsSOPsAdverse Events ReportingClient Stakeholders

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 through resolution via email, inbound/outbound calls, and Lynk technology
Build trusted relationships with patients, prescribers, and client stakeholders
Perform welcome calls and post-benefit-investigation calls explaining coverage options
Manage client and healthcare provider inquiries
Manage inbound calls according to program-approved FAQs
Triage patients to internal or external resources
Provide personalized case management and communicate benefit coverage and next steps
Identify benefits and payer coverage using electronic tools and manual investigations
Communicate prior authorization, appeal, tier exception, and formulary exclusion requirements
Follow up with payers and healthcare providers regarding submissions and outcomes
Coordinate nurse education and nurse follow-up services
Identify peer support resources
Coordinate product shipments through patient assistance and bridge programs
Communicate prior authorization reverification and patient assistance re-enrollment needs
Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
Document activities in the PharmaCord Lynk system
Complete required training and follow SOPs
Perform additional assigned tasks or projects

Requirements

What you’ll need

Bachelor’s degree strongly preferred or equivalent experience required
Customer service and healthcare industry experience preferred but not required
Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required
Basic computer knowledge
Professional telephone etiquette
Ability to multitask effectively
Clear and concise communication
Detail oriented
Ability to adapt to change and take initiative
Service-oriented approach toward patients and care partners
Bilingual Spanish and English skills are a plus
Ability to type at least 35 words per minute with 97% accuracy preferred
Successful completion of a background check and, depending on position, a drug screen
Remote work eligibility subject to work-from-home criteria and business need

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 that encourages new ideas
Inclusive workplace and mission-driven culture
Minimal travel flexibility preferred