Bilingual Spanish​/English Benefit Specialist

Position:
Bilingual Spanish/English Benefit Specialist

Location:

Jeffersonville, IN

Job  # of Openings: 0

Valeris is a fully integrated life sciences commercialization partner that provides comprehensive solutions that span the entire healthcare value chain. Formed by the merger of Pharma Cord and Mercalis, Valeris revolutionizes the path from life sciences innovation to real-life impact to build a world in which every patient gets the care they need. Valeris works on behalf of life sciences companies to improve the patient experience so that patients can access and adhere to critical medications.

Backed by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Valeris provides commercialization solutions to more than 500 life sciences customers and has provided access and affordability support to millions of patients.

The company is headquartered in Morrisville, North Carolina and Jeffersonville, Indiana. To learn more about Valeris, please visit

When you join the team as the Bilingual Benefits Specialist, you'll have the opportunity to make a difference in the lives of our patients each day as they look to you as part of their dedicated support team for helping them navigate the tricky process to getting access to their complex medication. You'll compassionately deliver an exceptional experience to many patients per day always remembering that every prescription or document belongs to a real person who is looking for thorough and efficient management of their records.

You'll adjust your approach to their needs by communicating clearly, focusing on the accuracy of the details of their medical records and your mastery of the program requirements, and ensuring their prescriptions or cases are handled timely. This role may be eligible for a hybrid schedule after 6 months (or sooner once proficiency in role is demonstrated). Review our Benefits & Perks below to learn more!

A typical day as a Bilingual Benefit Specialist will include providing in-depth knowledge of our client programs by working directly with patients, healthcare providers, and insurance companies to answer inquiries, process service requests, assess benefits coverage, and manage through barriers, in a compliant manner, that stand in the way of patients and their access to therapy. The Bilingual Benefits Specialist works in a dynamic and compassionate customer service role providing telephonic and web-based, where applicable, customer service support.

Key Responsibilities:

* Benefit Verification:

* Performing patient level benefits verifications as applicable for all major medical and pharmacy benefits plans.

* Completion of the template forms that provide patient level benefits Coverage Determination Summary.

* Coordination of prior authorizations based on payer guidelines and in compliance with law, regulation or guidance.

* Patient Assistance:

* Review of patient assistance enrollment forms and any supporting documentation to assess patient eligibility for participation as per SOPs and program guidelines.

* Determination of patient's eligibility based upon program criteria for qualification.

* Communicating the patient's eligibility to the patient, healthcare provider, and/or consignment pharmacy.

* Answer and assist inbound callers through resolution utilizing answers to frequently asked questions or by warm transferring callers to other appropriate individuals.

* Actively listen to each customer, assess needs, and respond with demonstrated patience and courtesy.

* Review and identification of information that is missing and/or incorrect within program service requests/program applications.

* Reporting of Adverse Events/ Product Complaint inquiries received in accordance with SOP and good manufacturer practices.

* Provides timely feedback to the company regarding service failures or customer concerns

* Effectively uses our internal technology platform, Lynk, to complete claims…