Care Coordinator

Valeris

. Own patient cases from initiation to closure .

Posted 10/15/2026full-timeRemote • North Carolina • 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 professionals. Proficient in utilizing electronic tools for identifying benefits and payer coverage while adhering to corporate policies and SOPs.

Highest-signal resume keywords

Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationBilingual Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit InvestigationsPrior AuthorizationsCase ManagementFinancial Qualifications AssessmentDocumentation in PharmaCord LynkTyping Speed of 35 Words Per MinuteBasic Computer Knowledge

Soft Skills

Detail OrientedProfessional Telephone EtiquetteMultitasking AbilityRelationship Building

Tools & Technologies

Lynk TechnologyElectronic Tools for Benefit Identification

Industry Keywords

Healthcare IndustryPatient Assistance ProgramsSOPsAdverse Events Reporting

About the role

Key responsibilities & impact

Own patient cases from initiation to closure
Perform benefit investigations and prior authorizations/denial appeals
Determine financial qualifications for assistance programs
Assist patients, callers, and stakeholders through resolution via email, inbound/outbound calls, and Lynk technology
Build trusted relationships with patients, prescribers, and client stakeholders
Perform program welcome calls and post-benefits-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 and communicate benefit coverage and next steps
Identify benefits and payer coverage using electronic tools and manual investigations
Communicate coverage, prior authorization, appeals, tier exceptions, and formulary exclusions
Follow up with payers and healthcare providers regarding submissions and outcomes
Coordinate nurse education and adherence services where applicable
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
Follow corporate policies, SOPs, and training deadlines
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 and 9 pm, Monday to Friday required
Bi-lingual skills in Spanish and English are a plus
Remote work eligibility is subject to meeting all work-from-home criteria and business need
Detail oriented
Professional telephone etiquette
Basic computer knowledge
Ability to multitask effectively
Clear and concise communication
Candidates who can 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 the 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 that encourages new ideas
Inclusive workplace and mission-driven culture
Background check and, depending on the position, drug screen required as a condition of employment