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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient relationship management, effective communication, and compliance with healthcare regulations. Proficient in handling inquiries, educating patients on benefits, and coordinating care to support adherence to treatment plans.
Highest-signal resume keywords
Patient Relationship ManagementHealthcare ComplianceMotivational InterviewingBilingual CommunicationCustomer Service Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefits InvestigationPrior Authorization ManagementPatient EducationCase ManagementDocumentation in Lynk SystemReimbursement KnowledgeTyping Skills (35 WPM, 97% Accuracy)Triage SkillsFinancial Assistance KnowledgeProduct Complaint Reporting
Soft Skills
EmpathyTrustworthinessCommunication SkillsInterpersonal SkillsAdaptability
Tools & Technologies
Lynk SystemPatient Assistance ProgramsPharmaCord Pharmacy Coordination
Industry Keywords
Healthcare LawsCare CoordinationPatient Support ServicesInsurance BenefitsAdverse Event Reporting
About the role
Key responsibilities & impact- Build and maintain trusted relationships with patients through proactive communication and timely, accurate services
- Ensure interactions and relationship management comply with healthcare laws and regulations
- Conduct program welcome calls and explain available services and resources
- Use motivational interviewing to involve patients in healthcare goal setting
- Perform post-Benefits Investigation calls and explain coverage options
- Handle client and patient inquiries, including complex reimbursement and billing information
- Handle inbound calls using program-approved FAQs and de-escalate challenging situations
- Triage patients to appropriate internal or external resources
- Document patient enrollment and all activities in the Lynk system
- Educate patients about products, treatment, insurance benefits, out-of-pocket costs, financial assistance, and treatment support
- Manage assigned cases and tasks to maintain service levels
- Support patients in following prescribed therapy plans
- Identify benefits and payer coverage through electronic and manual investigations
- Communicate prior authorization, appeals, tier exceptions, and formulary exclusion requirements
- Follow up with payers and healthcare providers regarding benefit coverage
- Coordinate nurse follow-up for adherence services
- Recommend peer support resources
- Coordinate product shipments through patient assistance and bridge programs from the PharmaCord pharmacy
- Manage prior authorization re-verification and patient assistance program re-enrollment
- Report adverse events, product complaints, special situation reports, and medical inquiries according to SOPs and business rules
Requirements
What you’ll need- Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required
- Customer service and healthcare industry experience strongly preferred
- Ability to work an 8.5-hour shift between 8 am to 9 pm, Monday to Friday required
- Bi-lingual in English and Spanish or Chinese/Mandarin is a plus
- Commitment to the mission of care coordination
- Passionate, trustworthy, and empathetic when working with patients
- Good communication and interpersonal skills and ability to speak concisely to patients
- Flexible and adaptable in response to changing patient and healthcare providers’ needs
- Professional telephone etiquette
- Basic computer knowledge
- Ability to multitask effectively
- Prefer candidates who can type at least 35 words per minute with 97% accuracy
- Flexibility to travel as needed is preferred
- Must complete 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 encouraging new ideas
- Inclusive workplace and mission-driven culture
- Background check and, depending on the position, drug screen as a condition of employment
