Medical Billing Representative

Valeris Commercialization SpecialistValeris 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.Key Responsibilities:Assist with determining coverage and access options available for a specific medication or procedureCollect and analyze information and resources related to local, regional or national payer coverage or claim submission processClearly articulate complex reimbursement and billing information to HCPs, their office staff and/or patients to ensure understanding of coverage benefit and financial responsibilityEducate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processesEducate offices about the medical necessity requirements for coverage and provide education support for the office to submit pre-determinations, appeals and/or peer to peer reviews with payors, as applicableAssist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected, denied or underpaid claimsEducate HCPs, their office staff and/or patients on appropriate resources for questions about co-pay, coinsurance, out of pocket costs, deductibles and other financial assistance or coverage related questionsServe as a patient advocate and enhance the customer experience for all callers by acting as a single point of contact and a compassionate voice for all providers and patientsUtilize Valeris' values as the driving force behind the team's successOn time adherence to training deadlines for all corporate policies and proceduresEnsure all SOPs are followed with consistencyPerform additional tasks or projects as assignedQualifications:Detail orientedProfessional telephone etiquetteBasic computer knowledgeAbility to multitask effectivelyAbility to recognize emotions and their effectsSureness about self-worth and capabilitiesManage disruptive impulsesMaintain standards of honesty and integrityTake responsibility for performanceBe adaptable and handle change with flexibilityBe innovative and open to new ideasAchievement driven; constant striving to improve or to meet a standard of excellenceAlign with the goals of the group or organizationReady to take initiative and act on opportunitiesBe optimistic and pursue goals persistently despite obstacles and setbacksBe service oriented and anticipate, recognize and meet needs of others, including patients and care partnersCommunicate clearly and send clear messagesAbility to consume complex coverage policy changes and convert complexity to educate lay personsAdaptability to changePersonal initiative and commitment to team and organizational goalsAbility to work effectively within a teamA positive attitude!Minimum of (two) 2 years' of billing and coding experience is preferredBachelor's degree in arts and sciences, social work, public health administration or a related field preferredBilling and coding diploma or certificate strongly preferredHigh School diploma or equivalent is requiredStrong understanding of medical terminology background is preferredBackground working directly within physician practices or outpatient clinics billing commercial insurances, Medicare, and Medicaid preferredBi-lingual in English and Spanish or Chinese/Mandarin is a plusPhysical 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 costsAdditional health support, including telehealth and Employee Assistance Program (EAP) servicesCompany match on Health Savings Account contributionsFree Basic Life and AD&D coverage equal to your annual earnings, with a minimum of $50,000 and a maximum of $300,000Company-paid Short-Term Disability coverage, with the option to purchase Long-Term Disability401(k) Retirement Savings Plan with 100% match on the first 5% you contribute, with immediate vestingPaid Time Off (PTO) and Sick Leave to support work-life balanceTeam members receive nine paid holidays plus two floating holidaysOpportunities for advancement in a company that supports personal and professional growthA challenging, stimulating work environment that encourages new ideasWork for a company that values diversity and makes deliberate efforts to create an inclusive workplaceA mission-driven, inclusive culture where your work makes a meaningful impactAny 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.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.Important NoticeDue to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.Please Note:PharmaCord will never use Microsoft Teams to reach out to candidates for interview scheduling. However, video interviews are typically conducted via Microsoft Teams. Official meeting links will always be sent from an @valeris.com or @echo.newtonsoftware.com email address, or through our scheduling platform, Calendly.We will never request your bank account information at any stage of the hiring process.We will never send a check (electronic or physical) to purchase home office equipment.If you receive any suspicious communication regarding employment with PharmaCord, please report it to our Talent Acquisition team immediately at View email address on click.appcast.io