Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Insurance Verification Specialist (Benefit Specialist)

$50k

PharmaCord

Benefits Specialist

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.

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 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, 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?
  • 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.

Important Notice

Due 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

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Insurance Verification Specialist (Benefit Specialist) in Jeffersonville, IN vacancy
  • $20.72 - $25.69 per hour

     ...At SCA Health, we offer a comprehensive benefits package to support your health, well-...  ...match, paid time off, life and disability insurance, and more. Your ideas should inspire...  ...will. Responsibilities Insurance Verification: Verify that sufficient information... 
    Suggested
    Contract work
    Live out
    Work at office
    Local area
    Immediate start

    SCA Health

    New Albany, IN
    5 days ago
  •  ...Benefits SpecialistFBT Gibbons LLP is a national law firm focused...  ...currently seeking a Benefits Specialist to support the...  ..., dental, and vision), life insurance, short- and long-term disability...  ...required employment eligibility verification form upon hire.Applicants must... 
    Suggested
    Temporary work
    Work at office

    FBT Gibbons LLP

    Louisville, KY
    5 days ago
  •  ...Job Summary The Eligibility & Benefits Specialist plays a crucial role in ensuring patients...  ...access the care they need by verifying insurance benefits and eligibility before...  ...restrictions, benefit caps, and coordinate verification for secondary insurance when... 
    Suggested
    Daily paid

    ScionHealth

    Louisville, KY
    more than 2 months ago
  • $69k

     ...Remote Insurance Sales Representative | Flexible Schedule | Commission-Based This position offers flexible work hours and clear...  ...Unionized position with stock options Comprehensive benefits package including medical, dental, and prescription coverage... 
    Suggested
    Remote work
    Work from home
    Flexible hours

    HMG Careers

    Parkway Village, KY
    12 hours ago
  • $20 per hour

     ...Job title Licensed Health Insurance Agents About Sagility Sagility combines...  ...answering questions, explaining plan benefits, identifying additional needs, or...  ...successful completion of background checks, verification of previous employment, education... 
    Suggested
    Hourly pay
    Weekly pay
    Seasonal work
    Local area
    Remote work
    Work from home

    Sagility

    Louisville, KY
    1 hour ago
  • $21 per hour

     ...Job title Licensed Health Insurance Agent – Medicare | Remote About Sagility...  ...customers on available Medicare health plans, benefits, products, and services Recommend...  ...background checks, previous employment verification, education verification, licensing... 
    Hourly pay
    Weekly pay
    Seasonal work
    Local area
    Immediate start
    Remote work
    Work from home

    Sagility

    Louisville, KY
    1 hour ago
  •  ...Employee Benefits Specialist Location: Louisville, KY. Job Type: Full-Time Compensation: Competitive Salary + Benefits About the...  ...client-focused Employee Benefits Specialist to join a growing insurance agency. This role will support Employee Benefits producers... 
    Full time
    Work at office

    GPAC

    Louisville, KY
    5 days ago
  •  ...About the Role: We are seeking motivated individuals to join our growing remote team as an Employee Benefits Specialist. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members... 
    Remote job
    Full time

    Zuzick Organization of Globe Life

    Louisville, KY
    3 days ago
  • $75k

     ...take charge of your earning potential? At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow,...  ...recruiting, back-office support, and customer service. You’ll also benefit from generous bonuses , annual renewal income , and luxury... 
    Flexible hours
    Night shift

    Platinum Supplemental Insurance

    Jeffersonville, IN
    2 days ago
  •  ...If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent insurance agent with HealthMarkets is an opportunity unlike any other... 
    For contractors
    Self employment

    HealthMarkets

    Jeffersonville, IN
    2 days ago
  •  ...Community leader. Protector of dreams. That's what makes an American Family Insurance Agent. It's a highly rewarding opportunity that allows you to create financial stability while making a positive impact on our customers' lives. If you're looking for a chance to build... 
    For contractors
    Local area

    Agency & Agent Staff

    Clarksville, IN
    4 days ago
  •  ...American Family Insurance AgentCommunity leader. Protector of dreams. That's what makes an American Family Insurance Agent. It's a highly rewarding opportunity that allows you to create financial stability while making a positive impact on our customers' lives. If you'... 
    For contractors
    Local area

    American Family Insurance

    Clarksville, IN
    1 day ago
  •  ...opportunities ~10-year retirement program and passive monthly income ~ Health insurance reimbursement program   Your responsibilities:  Meet with clients over Zoom or by phone Present benefit and protection options Help secure families' financial futures... 
    Remote work

    Globe Life

    Clarksville, IN
    4 days ago
  •  ...regarding offer letters, employment and reference checksAssist with pre-hire and post-hire background checks, professional license verifications, and other required screening checks ensuring they are completed within timelinesSupport the onboarding process and hiring... 
    Full time
    Work at office
    Local area
    Flexible hours

    BrightSpring

    Louisville, KY
    4 days ago
  •  ...work directly with business owners to help expand their employee benefit options, while helping to solve key issues many small...  ...Required• Represent the number 1 provider of supplemental health insurance in the U.S.*• Financial Strength & Brand Reputation• Competitive... 
    Immediate start

    Aflac

    New Albany, IN
    14 days ago
  •  ...Job Description AECOM is seeking Disaster Recovery Insurance Specialists  to join our dynamic team. This is a contingent position, with...  .... This position does not include relocation benefits. At AECOM, we are committed to maintaining a secure and... 
    Full time
    Work at office
    Local area
    Worldwide
    Relocation package
    Flexible hours

    AECOM

    Louisville, KY
    22 days ago
  • $5,000 per month

     ...guidance that strengthens organizational culture and reduces risk. Schedule: Mon-Fri- 8a-5p Benefits and perks for You! ~ Medical, Dental, Vision insurance    ~ Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)    ~ Tuition discounts... 
    Local area
    Flexible hours
    Shift work

    BrightSpring Health Services

    Louisville, KY
    17 days ago
  •  ...Property & Casualty and/or Life & Health License for Indiana and/or Kentucky required About Us We are a locally owned independent insurance agency serving individuals, families, and businesses throughout Indiana and Kentucky. Our mission is to provide personalized service... 
    Full time
    Part time
    Work at office
    Flexible hours

    HBS Insurance

    Jeffersonville, IN
    4 days ago
  • -No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online enrollment forms accurately -Schedule and manage virtual appointments -... 
    Full time

    Zuzick Organization of Globe Life

    Louisville, KY
    3 days ago
  •  ...Human Resources Information System), and benefits management. Ability to work...  ...valid driver's license and ability to meet insurability standards for any work-related driving...  ...vehicle report, and work authorization verification. Work Environment The work environment... 
    Hourly pay
    Full time
    Work experience placement
    Work at office
    Local area
    Remote work
    Work from home
    Flexible hours

    First Source LLC

    Louisville, KY
    1 day ago
  •  ...inclusive workplace ~ Health, Dental, Vision, & Prescription Coverage ~ Paid holidays, vacation, & sick/personal time ~ Health insurance ~ Dental insurance ~ Vision insurance ~401(k) ~ Life insurance ~ Disability insurance ~ Employee assistance program... 
    Weekly pay
    Temporary work
    Work at office
    Worldwide
    Flexible hours

    CTDI

    Jeffersonville, IN
    2 days ago
  • $7.25 per hour

     ...pre-hire drug screenings and onboarding. Provides employment verifications to outside inquirers. Provides support with onboarding and hiring...  ..., or protected veteran status. Job Type Full time Benefits Offered Not specified Veteran Preference No Place... 
    Hourly pay
    Full time
    Shift work

    Seven Counties Services

    Louisville, KY
    4 days ago
  • $50k - $53k

     ...primary liaison for health and welfare benefits, manages employee data in the HRIS, oversees...  ...documentation (including I-9 verifications), and ensures compliance with state and...  ...terminations) and partner with payroll/insurance providers to ensure accurate deductions... 
    Permanent employment
    Full time
    Temporary work
    Work experience placement
    Work at office
    Shift work

    Randstad

    Louisville, KY
    3 days ago
  •  ...onboarding, employee records management, benefits administration, leave tracking,...  ...including background checks, employment verification, and onboarding requirements. Conducts...  ...administration of medical, dental, vision, life insurance, disability, retirement, and other... 
    Local area

    Park DuValle Community Health Centers

    Louisville, KY
    2 days ago
  • $55k - $63k

     ...Benefits Pulled from the full job description ~401(k) ~ Health insurance ~ Paid time off ~ Vision insurance ~ Dental insurance ~ Paid holidays ~ Wellness program Branch Recruiter (not remote or hybrid) Bilingual Preferred Salary Range: $55K-... 
    Work at office
    Local area

    ProLogistix

    Jeffersonville, IN
    4 days ago
  •  ...providing guidance to the proper department - i.e. payroll questions, benefits, vacation policy, etc. Support Workforce Operations...  ...holidays, vacation, & sick/personal time Benefits ~ Health insurance ~ Dental insurance ~ Vision insurance ~401(k) ~ Life... 
    Weekly pay
    Temporary work
    Work at office
    Worldwide
    Flexible hours

    Communications Test Design Inc

    Jeffersonville, IN
    1 day ago
  •  ...the Human Resource department, including talent, compensation, benefits, leave, reporting, and administration of company policies. The...  ...and coordinate pre-employment drug tests and background verification. Create new-hire onboarding programs and deliver compelling new... 
    Work at office
    Local area

    Five Star Solutions

    Louisville, KY
    1 day ago
  •  ...Meet virtually with pre-qualified clients who have requested information. Educate families on financial protection and supplemental benefits. Build relationships while providing personalized recommendations. Develop leadership skills through coaching, mentoring,... 
    Full time
    Remote work

    Zuzick Organization of Globe Life

    Louisville, KY
    2 days ago
  •  ...join our growing team in New England. We specialize in helping working families protect their financial future through supplemental benefits. Recognized as one of New England’s Best Places to Work in 2024 and 2025 ranked #1 in our category since 2020, we take pride in... 
    Full time
    Immediate start
    Remote work

    Zuzick Organization of Globe Life

    Louisville, KY
    2 days ago
  •  ...We are seeking motivated individuals to join our growing remote team as a Benefits Enrollment Advisor. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members, and support the... 
    Remote job
    Full time

    Zuzick Organization of Globe Life

    Louisville, KY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Insurance Verification Specialist (Benefit Specialist). Be the first to apply!