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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient advocacy, insurance verification, and reimbursement processes while maintaining strong relationships with patients, healthcare providers, and payers. Proficient in case management and effective communication to ensure quality outcomes in patient support programs.
Highest-signal resume keywords
Patient AdvocacyInsurance VerificationReimbursement ProcessesCase ManagementEffective Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical Insurance TerminologyHealthcare BillingInsurance Benefit InvestigationsData Integrity EvaluationTyping Proficiency
Soft Skills
Problem-SolvingAttention to DetailOrganizational SkillsInterpersonal SkillsEmpathetic Listening
Tools & Technologies
Case Management SystemMicrosoft Products
Industry Keywords
Patient Support ProgramReimbursementCo-Pay AssistanceHealthcare ProvidersProgram Standards
About the role
Key responsibilities & impact- Provide inbound and outbound phone support as the primary contact for patients, caregivers, and providers
- Facilitate and monitor patients’ journeys through Patient Support Program services
- Coordinate resources, exchange information, and ensure appropriate delivery of services
- Advise on reimbursement, co-pay, foundation assistance, PAP issues, and other available support
- Advocate for patients regarding eligibility, enrollment, reimbursement, affordability support, and access to prescribed therapy
- Establish relationships and maintain rapport with patients, payers, and healthcare providers
- Support healthcare providers with program and patient information
- Verify insurance coverage, medical billing, reimbursement processes, and access for complex pharmaceuticals
- Evaluate program enrollment forms for data integrity
- Conduct insurance benefit investigations and triage cases according to standard operating procedures
- Follow program guidelines and escalate complex cases according to policy, SOPs, Call Guides, and program materials
- Use the case management system, document case notes, communicate benefits, and assist with PA/Appeals processes
- Explain benefits offered by private/commercial and government payers, including Medicare, Medicaid, VA, and DOD
- Liaise with client contacts, Program Management, internal stakeholders, and healthcare providers
- Maintain records according to applicable standards and regulations
- Serve as a brand advocate and program representative while achieving quality outcomes
- Communicate with the Program Manager regarding patient status, prescriber feedback, satisfaction, and program effectiveness
- Maintain confidentiality and privacy
- Complete training deadlines and follow all SOPs
- Perform additional assigned tasks or projects
Requirements
What you’ll need- Associate or Bachelor’s degree preferred, or a minimum of 4 years of call center or customer service experience with progressive levels of responsibility
- Ability to communicate effectively both orally and in writing
- Knowledge of medical insurance terminology and reimbursement/insurance, healthcare billing, physician office, health insurance processing, or related experience
- Excellent problem-solving and decision-making skills
- Attention to detail and committed follow-through
- Strong organizational skills
- Ability to work in a dynamic, fast-paced environment, multitask, and adapt to change while adhering to Program Standards
- Strong interpersonal skills and ability to work independently and as part of a team
- Empathetic listening skills
- Punctuality, reliability, and strong attendance record
- Proficiency with Microsoft products
- 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 that encourages new ideas
- Inclusive workplace and mission-driven culture
- Full-time employment benefits