Market Access Operations Coordinator

BioReference Health, LLC•Elmwood Park, NJ

13h

About The Position

The Market Access Coordinator is responsible for supporting payer relationships, commercial and government, nationwide or within an assigned territory. Reporting to the Market Access Operations Manager, the Coordinator manages the administrative aspects of the payer relationship. Such responsibilities include, but are not limited to: credentialing, enrollment, fee schedules, data exchange (i.e. HEDIS), as well as act as liaison with the legal counsel for contract revision, signature, documentation and record retention all in accordance with the core values of BioReference Health, LLC.

Requirements

HS Degree is required
2+ years of experience in the health care provider setting (medical billing or medical assistant) - Preferred
Ability to manage multiple priorities simultaneously.
Ability to work independently, communicate proactively, manage multiple projects and prioritize daily tasks while managing critical deadlines.
Excellent communication, customer service skills and organizational skills.
Ability to handle sensitive information and maintain a very high level of confidentiality.
Must be proficient with all Microsoft Office products -- particularly Excel and Word

Nice To Haves

College is preferred
Keen understanding of managed care and health plan operations- Preferred

Responsibilities

Supporting the overall strategy of the company with health plans and payers to achieve short-term and long term goals. This includes:
Proactively reviewing health plan credentialing and enrollment documents and health plan reimbursement trends
Aligning with the company value proposition appropriately.
Develop and support administrative relationships with the Market Access Directors and Managers to drive in network coverage decisions and fair reimbursement.
Involvement with the development of processes for efficient day to day payer support and support client facing (Sales) inquiries.
Maintain exceptional documentation and record retention for future contract negotiations and reference.
Escalates potentially problematic issues to management as it relates to payer contracting and enrollment (i.e. official payer correspondence).
Provide education and training to sales as it relates to payer relations and managed care (government and commercial).
Work effectively with individuals across multiple departments throughout the organization.
Embrace, embody and represent the BioReference Health, LLC company culture at all times to external and internal constituents.
Demonstrate the values of the company by acting with integrity, respect and trust.
Other duties as assigned