Medical Billing Representative
$50kVALERIS
Position: Medical Billing Representative Location: Jeffersonville, IN Job Id: 441 # 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 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 Key Responsibilities Assist with determining coverage and access options available for a specific medication or procedure Collect and analyze information and resources related to local, regional or national payer coverage or claim submission process Clearly articulate complex reimbursement and billing information to HCPs, their office staff and/or patients to ensure understanding of coverage benefit and financial responsibility Educate provider offices on local and regional payer coverage policies, issues, coding changes, and appropriate claims submission processes Educate 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 applicable Assist offices to understand payor denied or underpaid claims and provide education, as applicable, for the office to resolve of rejected, denied or underpaid claims Educate 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 questions Serve 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 patients 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 Detail oriented Basic computer knowledge Ability to multitask effectively Ability to recognize emotions and their effects Sureness about self-worth and capabilities Maintain standards of honesty and integrity Take responsibility for performance Be adaptable and handle change with flexibility Be innovative and open to new ideas Achievement driven; constant striving to improve or to meet a standard of excellence Align with the goals of the group or organization Ready to take initiative and act on opportunities Be optimistic and pursue goals persistently despite obstacles and setbacks Be service oriented and anticipate, recognize and meet needs of others, including patients and care partners Communicate clearly and send clear messages Ability to consume complex coverage policy changes and convert complexity to educate lay persons Adaptability to change Personal initiative and commitment to team and organizational goals Ability to work effectively within a team Minimum of (two) 2 years’ of billing and coding experience is preferred Bachelor’s degree in arts and sciences, social work, public health administration or a related field preferred Billing and coding diploma or certificate strongly preferred High School diploma or equivalent is required Strong understanding of medical terminology background is preferred Background working directly within physician practices or outpatient clinics billing commercial insurances, Medicare, and Medicaid preferred Bi-lingual in English and Spanish or Chinese/Mandarin is a plus 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 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. #J-18808-Ljbffr
$50k
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$16 - $18 per hour
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