Reimbursement Specialist
Valeris, Inc. —Jeffersonville, IN
- Full-time
- Bilingual
- Background check
- Computer literacy
- Health savings account
- AD&D insurance
Quick Apply
7d
Admissions Specialist
Galen College of Nursing —Louisville, KY
- Weekends as needed
- Mid-level
- Travel
- Ability to sit for extended periods
- Employee stock purchase plan
- Disability insurance
Quick Apply
Shipping and Packing Specialist
Mango Gift, LLC / Wallplates.com —Louisville, KY
- $18 - $22 an hour
- Part-time
- No experience needed
- Assembly
- In-person
- Health insurance
- Paid time off
Quick Apply
CUSTOMER SERVICE SPECIALIST
LOUISVILLE METRO HOUSING AUTHORITY —Louisville, KY
- From $18.49 an hour
- Overtime
- Spanish
- Microsoft Excel
- Microsoft Outlook
Quick Apply
5d
CS Workforce Specialist II
Chewy —Louisville, KY
- Full-time
- Hybrid work
- Mid-level
- 1 year
- Time management
- Employee discount
Schedule Specialist
Optum —New Albany, IN
- $16.00 - $22.85 an hour
- Full-time
- Customer service
- Pass drug screening
- High school diploma or GED
Quick Apply
5d
Quality Assurance Specialist, PT (call center)
Louisville Water Company —Louisville, KY
- Part-time
- Mid-level
- 3 years
- High school diploma or GED
5d
Precertification Specialist
Ohio Valley Pain Institute —Louisville, KY
- $20 - $22 an hour
- Full-time
- Customer service
- Medical office experience
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
6d
Patient Services Specialist
The Eye Care Institute —Louisville, KY
- $18 - $21 an hour
- Full-time
- Private practice
- HIPAA
- Bachelor's degree
- Free parking
- Continuing education credits
Quick Apply
1d
Branch Specialist
AAA East Central —Louisville, KY
- Computer literacy
- High school diploma or GED
- Accounting
- Paid parental leave
- Health insurance
Prior Authorization Specialist
PharMerica —Louisville, KY
- Full-time
- Microsoft Word
- Customer service
- Mid-level
- Disability insurance
- Health insurance
CS Workforce Specialist III
Chewy —Louisville, KY
- Full-time
- Hybrid work
- SQL
- Supervising experience
- 1 year
- Employee discount
Disclosure Specialist- Release of Information
Baptist Health System KY & IN —Louisville, KY
- Full-time
- Customer service
- HIPAA
- Mid-level
1d
Volunteer Services Senior Specialist
American Red Cross —Louisville, KY
- Full-time
- Microsoft Outlook
- 5 years
- Mid-level
- Paid holidays
- Health insurance
Education & Outreach Specialist
American Printing House for the Blind —Louisville, KY
- $62,000 - $78,000 a year
- Full-time
- Hybrid work
- Experience working with individuals with disabilities
- Mid-level
- Master's degree
- Health savings account
- Paid holidays
23h
Reports Specialist
Spectrum —Louisville, KY
- Full-time
- Word processing
- System design
- Residential
- Opportunities for advancement
Career Coach / Employment Specialist
North Star Achievement Center —Louisville, KY
- From $20 an hour
- Part-time
- Hybrid work
- Background check
- Experience working with individuals with disabilities
- Customer service
- Paid training
- Mileage reimbursement
Quick Apply
Prior Authorization Specialist
Pharmacy Alternatives —Louisville, KY
- Full-time
- Hybrid work
- Microsoft Word
- Customer service
- Mid-level
- Disability insurance
- Health insurance
14d
Subrogation Customer Support Specialist
Machinify —Louisville, KY
- $25 an hour
- Microsoft Word
- Research
- High school diploma or GED
- Paid holidays
- Disability insurance
Compliance Specialist
Park Community Credit Union —Louisville, KY
- $26.38 - $27.20 an hour
- Customer service
- Writing skills
- Mid-level
Quick Apply

I want to receive the latest job alert for customer experience specialist in louisville ky

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

customer experience specialist jobs near louisville ky

Customer Service Representative jobs in Louisville, KY

Senior Sales Specialist jobs in Louisville, KY

Scheduler jobs in New Albany, IN

Patient Services Coordinator jobs in Louisville, KY

Information Specialist jobs in Louisville, KY

Customer Specialist jobs in Louisville, KY

Quality Assurance Specialist jobs in Louisville, KY

Career Coach jobs in Louisville, KY

Prior Authorization Specialist jobs in Louisville, KY

Compliance Officer jobs in Louisville, KY

Admissions Specialist jobs in Louisville, KY

Outreach Specialist jobs in Louisville, KY

Shipping And Receiving Clerk jobs in Chapin, SC

Shipping And Receiving Clerk jobs in Seaside, OR

Library Clerk jobs in Los Angeles, CA

Shipping And Receiving Clerk jobs in Bedford, MA

Shipping And Receiving Clerk jobs in Hatboro, PA

County Clerk jobs in Kenton County, KY

Data Entry Clerk jobs in Phoenix, AZ

Customer Service Representative jobs in Grand Rapids, MI

Reimbursement Specialist

Valeris, Inc. -
Jeffersonville, IN

Quick Apply

Job Details

Full-time
7 days ago

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
401(k) matching
Opportunities for advancement

Qualifications

High school diploma or GED

Full Job Description

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 PharmaCord 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 www.valeris.com.

A typical day in this role 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 Reimbursement 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, PharmaCord Lynk, to complete claims processing and keep workflows moving.
- Communicate with key medical practice accounts, sales representatives regarding the status of cases. Provide consultative services where issues arise on how obstacles can be overcome to get patient on paid therapy.
- Benefits Specialists are expected to be patient focused and committed to providing the highest quality customer service all while maintaining a sense of compliance and commitment to abiding by company policies and procedures.
- Utilize Valeris’ values as the driving force behind the team’s success
- On time adherence to training deadlines for all corporate policies and procedures
- Ensure all SOPs are followed with consistency
- Perform additional tasks or projects as assigned

Qualifications:

Service minded; focus on recognizing and meeting the needs of others (especially patients and care partners)
Ability to handle personal health information with confidentiality
Commitment to honesty and integrity
Professionalism and a strong sense of proper business and customer service etiquette
Clear verbal and written communication skills
Accountability for results
Ability to plan and prioritize tasks and strong attention to detail
Proficient emotional intelligence (ability to recognize emotions and their effects)
Ability to manage disruptive impulses and handle potentially stressful customer interactions
Proficient computer skills
Adaptability to change
Personal initiative and commitment to team and organizational goals
Ability to work effectively within a team
A positive attitude!
Bachelor's degree strongly preferred or equivalent experience required; completion of a high school diploma or GED is required
6 months customer service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare related certification, license, or equivalent coursework is strongly preferred
Bilingual is a plus
This is an office-based position, the ability to sit for extended periods of time is necessary
Although very minimal, flexibility to travel as needed is preferred

Physical Demands & Work Environment

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to sit for long periods of time, use hands to type, handle or feel; and reach with hands and arms. Prefer candidates who can type at least 35 words per minute with 97% accuracy.
Although very minimal, flexibility to travel as needed is preferred.
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, etc.

Why Work for Valeris?

We’re committed to supporting the well-being and success of our team members. As part of our organization, full-time employees can expect:

Medical, dental, and vision plans, including HSA- and FSA-eligible options, with Valeris contributing toward premium costs
Additional health support, including telehealth and Employee Assistance Program (EAP) services
Company match on Health Savings Account contributions
Free Basic Life and AD&D coverage equal to your 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% you contribute, with immediate vesting
Paid Time Off (PTO) and Sick Leave to support work-life balance
Team members receive nine paid holidays plus two floating holidays
Opportunities for advancement in a company that supports personal and professional growth
A challenging, stimulating work environment that encourages new ideas
Work for a company that values diversity and makes deliberate efforts to create an inclusive workplace
A mission-driven, inclusive culture where your work makes a meaningful impact

Any offer of employment is contingent upon the successful completion of a background check and, depending on the position, a drug screen in accordance with company standards. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or activities associated with the position. Responsibilities and tasks may be modified at any time, with or without notice.

Our Commitment to Equal Opportunity

At Valeris, we don’t just accept difference – we celebrate it, support it and we thrive on it for the benefit of our employees, our products and our community. Valeris is proud to be an equal opportunity employer.

Quick Apply

Refine Your Search

customer experience specialist jobs in louisville ky

Reimbursement Specialist

Admissions Specialist

Shipping and Packing Specialist

CUSTOMER SERVICE SPECIALIST

CS Workforce Specialist II

Schedule Specialist

Quality Assurance Specialist, PT (call center)

Precertification Specialist

Patient Services Specialist

Branch Specialist

Prior Authorization Specialist

CS Workforce Specialist III

Disclosure Specialist- Release of Information

Volunteer Services Senior Specialist

Education & Outreach Specialist

Reports Specialist

Career Coach / Employment Specialist

Prior Authorization Specialist

Subrogation Customer Support Specialist

Compliance Specialist

I want to receive the latest job alert for customer experience specialist in louisville ky

Related Searches

Explore jobs in more locations

Physical Demands & Work Environment

Why Work for Valeris?

Our Commitment to Equal Opportunity

Job Seeker Tools

Employer Tools

Browse

Stay Connected