Benefit Specialist (Evening Shift: 11:30 am - 8:00 pm)

About the role

The Benefits Specialist plays a crucial role in supporting patients and healthcare providers by verifying benefits, determining coverage, and managing patient assistance programs. This role operates in a dynamic and compassionate customer service environment, requiring strong communication skills and a deep understanding of healthcare regulations.

Responsibilities

• Performing patient-level benefits verifications for major medical and pharmacy plans.
• Completing template forms for patient-level benefits coverage determination summaries.
• Coordinating prior authorizations based on payer guidelines and legal requirements.
• Assessing and communicating patient eligibility for patient assistance programs.
• Answering and assisting inbound callers, resolving inquiries through SOPs and good manufacturing practices.
• Reporting adverse events and product complaints in accordance with SOPs and good manufacturing practices.
• Providing timely feedback on service failures or customer concerns.
• Using PharmaCord Lynk to process claims and maintain workflow efficiency.
• Communicating with medical practice accounts and sales representatives on case statuses.
• Offering consultative services to resolve issues and ensure patients are on paid therapy.

Qualifications

• Bachelor's degree preferred or equivalent experience required.
• 6 months of customer service experience, preferably in healthcare or payer benefits.
• Healthcare industry experience or relevant certifications/licenses.
• Bilingualism is a plus.

Physical Demands & Work Environment

• Sit for extended periods.
• Use hands for typing, handling, and feeling.
• Reach with hands and arms.
• Typing speed of at least 35 words per minute with 97% accuracy.

Benefits

• Medical, dental, and vision plans with HSA- and FSA-eligible options, with Valeris contributing to premiums.
• Telehealth and Employee Assistance Program (EAP) services.
• Company match on Health Savings Account contributions.
• Short-Term and Long-Term Disability coverage.
• 401(k) Retirement Savings Plan with a 100% match on the first 5% contributed.
• Paid Time Off (PTO) and Sick Leave.
• Nine paid holidays plus two floating holidays.
• Opportunities for advancement in a supportive and inclusive culture.

Why Work for Valeris?

We offer a comprehensive benefits package, including medical, dental, and vision plans, with Valeris contributing to premiums. Additionally, we provide telehealth services, EAP support, and a robust retirement plan with a company match. Our team members enjoy a range of benefits, including free basic life and AD&D coverage, Short-Term Disability coverage, and Paid Time Off (PTO) and Sick Leave.

Equal Opportunity Employer

Valeris is committed to fostering an inclusive workplace and does not discriminate based on race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law.

Contact Information

To apply for this position, please click the "Apply" button. For any inquiries, please contact the Talent Acquisition team at careers@pharmacord.com.