8 days old

Payer Relations Coordinator

BioReference Laboratories, Inc.
Elmwood Park, NJ 07407
  • Job Code
    BRL-19-5912
This is an exciting time to join our dynamic organization. OPKO Health is a diversified healthcare company that seeks to establish industry-leading positions in large, rapidly growing markets, including pharmaceuticals, diagnostics, and biologics. OPKO's diagnostics business includes BioReference Laboratories, the nation's third-largest and fastest growing clinical laboratory over the last 35 years, which provides diagnostic testing to physician offices, hospitals, and clinics, among others, and GeneDx, a rapidly growing genetics and genomics laboratory that applies cutting edge technologies to make efficient clinical diagnostic testing and interpretation available for individuals with rare and common genetic conditions. Come join our team and become part of something big, by making our patients and customers the highest priority.

POSITION SUMMARY:

The Payer Relations Coordinator is responsible for supporting payer relationships, commercial and government, nationwide or within an assigned territory.

Reporting to the Payer Relations 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 Laboratories

PRINCIPAL JOB DUTIES:

Duties may include but are not necessarily limited to the following:

  • 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 Regional Payer Relations 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 Laboratories 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

EDUCATION:

HS Degree is required

College is preferred

EXPERIENCE AND REQUIRED SKILLS:

  • 2+ years of experience in the health care provider setting (medical billing or medical assistant)
  • Ability to manage multiple priorities simultaneously.
  • Keen understanding of managed care and health plan operations
  • 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

BioReference Laboratories is an Equal Opportunity Employer





Posted: 2019-10-10 Expires: 2019-11-08
Sponsored by:
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Sponsored by:
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Payer Relations Coordinator

BioReference Laboratories, Inc.
Elmwood Park, NJ 07407

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