Senior Patient Navigator

Valeris

. Serve as the single point of contact for patients, caregivers, and healthcare providers .

Posted 9/23/2026full-timeRemote • North Carolina • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in patient access management, including benefit investigations, prior authorization tracking, and compliance with healthcare regulations. Proficient in medical terminology and coding systems, with strong communication skills to educate stakeholders effectively.

Highest-signal resume keywords

Patient Access ManagementBenefit InvestigationsHealthcare Compliance RegulationsICD-10, CPT, HCPCS KnowledgeBilingual or Multilingual Capability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit InvestigationsPrior Authorization TrackingMedical TerminologyICD-10 CodingCPT CodingHCPCS CodingInsurance ProcessesHealthcare CompliancePatient EducationTyping Speed (35 WPM, 97% Accuracy)

Soft Skills

CommunicationRelationship BuildingTask PrioritizationFlexibilityTeam Collaboration

Tools & Technologies

Valeris SystemElectronic Tools for Benefit Investigations

Certifications & Qualifications

PACSCHESCCM

Industry Keywords

Healthcare AdministrationPatient AccessReimbursementHIPAAMedicare GuidelinesMedicaid Guidelines

About the role

Key responsibilities & impact

Serve as the single point of contact for patients, caregivers, and healthcare providers
Provide personalized case management, benefit investigations, prior authorization tracking, and appeal support
Educate patients, healthcare providers, and stakeholders on access, reimbursement, payer policies, and Valeris programs
Build and maintain relationships with patients, prescribers, and client stakeholders
Coordinate 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
Ensure compliance with healthcare laws, regulations, HIPAA, insurance guidelines, and Valeris SOPs
Identify and escalate adverse events, product complaints, and special situation reports
Document activities accurately in the Valeris system
Support adherence services, patient education, and nurse teaching coordination
Participate in team meetings and ongoing training
Travel to the designated nearby headquarters in Morrisville, NC or Jeffersonville, IN a few times per quarter if required
Meet training deadlines, follow SOPs, and perform assigned tasks or 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
In lieu of a degree: 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 is strongly preferred
Strong understanding of medical terminology
Knowledge of ICD-10, CPT, and HCPCS coding systems
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 or multilingual capability is a plus
Prefer candidates who can type at least 35 words per minute with 97% accuracy
Flexibility to travel as needed is 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
Inclusive workplace and mission-driven culture
Travel may be required a few times per quarter per client request