Patient Access Coordinator

Job Description

Job Description

VALLEY VITALCARE

Patient Access Coordinator

The access gateway of the patient journey — owning the financial and benefit path so therapy can start.

Job Family: Corporate Track: Individual Contributor FLSA: Non-Exempt (Hourly)

The Patient Access Coordinator owns the access gateway of the patient journey at Valley Vital Care, clearing the financial and benefit path so patients can start therapy without delay. From benefit investigation and copay support to manufacturer and assistance programs, the role secures coverage and removes barriers quickly — consolidating the former Biologic Coordinator, market Acute Access Coordinator, and hardship support work, and protecting time to therapy without compromising accuracy. Patient Access Coordinators work across three levels (I, II, III), advancing as they demonstrate greater autonomy, coverage expertise, and specialty depth.

All Patient Access Coordinators are responsible for the following:

• Complete benefit investigations and verify coverage for biologic and acute referrals.

• Own copay support, manufacturer programs, and financial assistance.

• Drive patient advocacy and hardship navigation.

• Own therapy access timelines with intake, authorization, and pharmacy.

• Ensure patients clearly understand cost and coverage.

• Document access activity accurately and on time.

• Track and resolve access barriers before they delay therapy.

• Escalate complex coverage or payer issues appropriately.

Each level carries every responsibility of the level below, plus the functions listed. A teammate is placed at the highest level whose essential functions they can perform independently and to standard.

Completes standard benefit verification and core access tasks. Works with guidance.

Qualifications:

• High school diploma or equivalent

• 0 to 1 year benefits, access, or healthcare admin experience

• Familiarity with insurance terminology

• Strong communication and follow-through

Owns the full access scope across biologic and acute referrals independently. The standard benchmark for the role.

Added responsibilities:

• Own the full access scope across biologic and acute referrals independently.

• Resolve complex coverage and assistance cases.

• Coordinate access timelines without routine escalation.

Qualifications:

• 1 to 3 years patient access or benefits experience

• Biologic or specialty access experience preferred

• Comfortable with manufacturer and assistance programs

• Strong payer and coverage knowledge

Resolves complex access cases, manages escalations, and serves as team resource and trainer.

Added responsibilities:

• Handle the most complex access and hardship cases.

• Manage escalations and serve as the team resource.

• Train peers and improve access workflows.

• Identify recurring operational barriers, recommend improvements, and help standardize best practices.

Qualifications:

• 3+ years patient access or benefits experience

• Advanced coverage and hardship expertise

• Demonstrated escalation and trainer experience

• Specialty or biologic depth

#Valleyvitalcare