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Integrated Services of Appalachian Ohio
Posted: 10/15/2026Care Coordinator
Integrated Services of Appalachian Ohio
Posted: 10/15/2026Core 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 effective communication with patients and healthcare providers. Proficient in utilizing electronic tools for identifying benefits and payer coverage while adhering to reporting requirements and SOPs.
Highest-signal resume keywords
Patient Case ManagementBenefit InvestigationsPrior AuthorizationsClear CommunicationBilingual Skills
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 and callers/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 HCP inquiries according to reporting requirements and business rules
- Manage inbound calls using 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 HCPs regarding benefit coverage submissions and outcomes
- Coordinate nurse teaching and nurse follow-up for adherence services
- Identify peer support resources
- Coordinate product shipments through patient assistance and bridge programs
- Communicate prior authorization reverification and patient assistance program 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 SOPs and complete required training deadlines
- Perform additional assigned tasks or projects
Requirements
What you’ll need- Detail oriented
- Professional telephone etiquette
- Basic computer knowledge
- Ability to multitask effectively
- Clear and concise communication
- Positive attitude
- 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
- Bilingual skills in Spanish and English are a plus
- Work-from-home criteria must be met for remote work eligibility
- Ability to talk, hear, sit for long periods, and use hands to type, handle, or feel
- Preferred ability to type at least 35 words per minute with 97% accuracy
- 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
- Remote work eligibility subject to work-from-home criteria and business need
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 AuthorizationsCase ManagementFinancial Qualifications AssessmentElectronic Tools UsageTyping SkillsDocumentation in Lynk SystemAdverse Event ReportingProgram ManagementHealthcare Knowledge
Soft Skills
Detail OrientedProfessional Telephone EtiquetteMultitasking AbilityPositive AttitudeClear Communication
Tools & Technologies
Lynk TechnologyElectronic Tools
Industry Keywords
Healthcare IndustryPatient Assistance ProgramsSOPsCustomer ServiceStakeholder Management