Executive Care Coordinator, Bilingual

Valeris

. Manage patients’ journeys from initiation to closure .

Posted 10/26/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in patient access management, insurance reimbursement processes, and effective communication with diverse stakeholders. Proficient in medical terminology, coding systems, and compliance with HIPAA and Medicare/Medicaid guidelines.

Highest-signal resume keywords

Patient Access ManagementInsurance ReimbursementMedical TerminologyBilingual CommunicationHealthcare Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10 CodingCPT CodingHCPCS CodingBenefit InvestigationPrior Authorization ManagementClaims DocumentationData AnalysisPatient EducationCase ManagementReimbursement Support

Soft Skills

Attention to DetailOrganizational SkillsCritical ThinkingEffective CommunicationInterpersonal Skills

Tools & Technologies

LynkReimbursement ToolsReporting Software

Certifications & Qualifications

PACSCHESCCM

Industry Keywords

HIPAAMedicare GuidelinesMedicaid GuidelinesHealthcare AdministrationPatient Care

About the role

Key responsibilities & impact

Manage patients’ journeys from initiation to closure
Deliver patient support for access to complex medications
Complete benefit investigations and track prior authorizations and denial appeals
Assist patients, caregivers, healthcare providers, specialty pharmacies, and other stakeholders via email and inbound/outbound calls
Explain coverage options, eligibility, reimbursement support tools, and next steps
Manage inbound calls and triage patients to appropriate resources
Provide personalized case management and communicate benefit coverage
Identify prior authorization, appeal, tier-exception, and formulary-exclusion requirements
Contact payers and healthcare providers regarding benefit coverage outcomes and submissions
Coordinate nurse teaching with nurse educators and support adherence services
Identify peer-support resources and re-enrollment or prior-authorization reverification needs
Report adverse events, product complaints, special situation reports, and medical inquiries
Document reimbursement activities, claims status, payments, and appeals in Lynk
Generate reports and analyses to identify trends and improvement opportunities
Follow laws, regulations, program procedures, HIPAA, SOPs, and training requirements
Perform additional assigned tasks and projects

Requirements

What you’ll need

Fluent in both Spanish and English
Completion of Bachelor's degree or higher required; healthcare administration, social science, or similar fields strongly preferred
In lieu of a degree, five plus years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education required
Two years of experience in insurance reimbursement, patient access, direct patient care, and/or patient education required
Minimum two years of experience in healthcare access delivery or management strongly preferred
Other relevant certifications and five or more consecutive years of relevant experience considered; examples include PACS, CHES, or CCM
Strong understanding of medical terminology and coding systems including ICD-10, CPT, and HCPCS
Knowledge of insurance processes, HIPAA, and Medicare/Medicaid guidelines
Excellent attention to detail and organizational skills
Ability to prioritize tasks and work efficiently in a fast-paced environment
Effective written and verbal communication and interpersonal skills
Critical thinking and issue-resolution ability
Must meet work-from-home criteria and business-need requirements for remote eligibility
Ability to type at least 35 words per minute with 97% accuracy preferred
Background check and, depending on position, drug screen required as a condition of employment

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