Patient Navigator

Valeris

. Serve as the single point of contact and provide personalized case management for patients, caregivers, and healthcare providers .

Posted 9/18/2026full-timeRemote • North Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in patient case management, benefit investigations, and healthcare compliance, with a strong understanding of medical terminology and coding systems. Capable of building relationships with patients and healthcare providers while ensuring adherence to regulations and effective communication.

Highest-signal resume keywords

Patient Case ManagementBenefit InvestigationsHealthcare ComplianceMedical TerminologyInsurance Processes

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ICD-10 CodingCPT CodingHCPCS CodingBenefit Authorization TrackingPatient Education

Soft Skills

Relationship BuildingCommunicationTask PrioritizationFlexibility

Tools & Technologies

Valeris SystemElectronic Tools

Certifications & Qualifications

PACSCHESCCM

Industry Keywords

HIPAA ComplianceMedicare GuidelinesMedicaid GuidelinesHealthcare AdministrationPatient Access

About the role

Key responsibilities & impact

Serve as the single point of contact and provide personalized case management for patients, caregivers, and healthcare providers
Deliver benefit investigations, prior authorization tracking, and appeal support
Educate patients, healthcare providers, and stakeholders on access and reimbursement processes, payer policies, and Valeris programs
Build and maintain trusted relationships with patients, prescribers, and client stakeholders
Coordinate and collaborate with client field teams according to business rules and guidelines
Communicate benefit coverage options and next steps in patient-friendly language
Use electronic tools to complete benefit investigations and secure payer coverage for prescribed treatments
Ensure compliance with healthcare laws, regulations, HIPAA, insurance guidelines, and Valeris standard operating procedures
Identify and escalate adverse events, product complaints, and special situation reports
Document activities in the Valeris system accurately
Support adherence services, including patient education and nurse-teaching coordination
Participate in team meetings and ongoing training
Travel a few times per quarter may be required per client request to the nearest headquarters in Morrisville, NC or Jeffersonville, IN
Complete training deadlines and follow SOPs consistently
Perform additional assigned tasks and projects

Requirements

What you’ll need

Bachelor's degree required, preferably in healthcare administration, social science, or a related field
In lieu of a degree: 5–10 years of relevant experience in insurance reimbursement, patient access, direct patient care, or patient education
Alternatively, relevant certifications such as PACS, CHES, or CCM plus at least 5 consecutive years of related experience
Minimum two years of experience in healthcare access delivery or management strongly preferred
Strong understanding of medical terminology and coding systems, including ICD-10, CPT, and HCPCS
Knowledge of insurance processes
Knowledge of healthcare compliance regulations, including HIPAA and Medicare/Medicaid guidelines
Ability to prioritize tasks and work efficiently in a fast-paced environment
Bilingual/multilingual capability is a plus
Ability to 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 encouraging new ideas
Inclusive workplace and mission-driven culture
Background check and, depending on the position, drug screen contingent upon employment offer