Payor Relations Representative - Linden, United States - Accu Reference Medical Lab
Description
Under the general supervision of the Chief Operating Officer, support, develop and maintain relationships with all insurance providers within our network.
This position responds to inquiries, replies to referrals, and successfully engage to bring additional insurance providers in which to partner.
This position also manages and conducts out-of-network negotiations and contracting as needed.ESSENTIAL FUNCTIONS:
- Support and maintain a positive relationship between managedcare networks and the laboratory
- Oversee the daily operations of managedcare networks and other health plan contracts
- Follow up with contract negotiations
- Respond, immediately, to external managedcare related issues
- Provide ongoing managedcare network education to sales staff, when needed
PERFORMANCE MEASUREMENTS:
- Successfully initiate new managedcare and other insurance network relationships
- Successfully implement contracts with managedcare and other insurance networks
- Experience meeting deadlines
- Work well under pressure
REQUIREMENTS:
- Bachelor's degree, or equivalent years of experience in healthcare managedcare contracting
- Minimum 5 years of experience in laboratory managedcare contract developing
- Excellent verbal and written communication skills
- Fluent in English (both verbal and written)
Pay:
From $55,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work setting:
- Inperson
Education:
- Bachelor's (preferred)
Experience:
- managed-care networks: 2 years (required)
Work Location:
In person
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