Managed Care Coordinator
EGL Genetic Diagnostics LLC

Job Info

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EGL Genetics Laboratory is owned by Eurofins and is one of the leading diagnostic genetic laboratories in North America. EGL, with three comprehensive laboratories providing cytogenetic, biochemical, and molecular genetic testing, has been a worldwide leader in comprehensive genetic diagnostic testing for more than 35 years. EGL has extensive expertise in genetic testing for rare diseases, metabolic diseases, autism, intellectual disabilities, and congenital disorders of glycosylation.

EGL Genetic Diagnostics LLC is searching for a Managed Care Coordinator in Tucker, GA.

Managed Care Coordinator responsibilities include, but are not limited to, the following :

• Assist EGL's leadership with building short-term and long-term strategy around payer relations and serve as a liaison between EGL leadership and payers
• Design and provide periodic reporting/analytical identifying payer trends and individual claims concerns
• Manage all credentialing efforts and processes including submission of credentialing applications and resolution of any issue that prevent EGL from obtaining approval to participate in payer network
• Manage payer contract reviews and negotiations, including annual renewals
• Maintain a record of all licenses, certifications, and keep up-to-date with continued reporting and training requirements by various payers
• Keep up-to-date on all industry trends and developments with regards to CPT/ICD10 coding and impact on EGL
• Partner with EGL Billing department to ensure that the fee schedules and coding is current in EGL's systems

The ideal candidate would possess :

• Experience with credentialing process required
• Confidence to build and maintain rapport with representatives of a payer at all levels
• Strong analytical skills and experience with Excel required.
• Ability to analyze data and build reports with minimal supervision
• Medical billing certification or degree, preferred
• Ability to communicate effectively with all levels of the company; be attentive to detail and see the big picture
• Strong systems skills & extensive experience with MS Excel is required

Basic Minimum Qualifications:

• Must have 5 to 10 years of experience directly related to the responsibilities described above
• Authorization to work in the United States indefinitely without restriction or sponsorship

This is a full time position (normal hours of Monday - Friday 8:30 a.m. - 5:00 p.m.) that involves building and maintaining EGL's relations with 3rd party payers, including various insurance plans, State Medicaid programs, Medicare, and Tricare. Candidates currently living within a commutable distance of Tucker, Georgia are encouraged to apply.

As a Eurofins employee, you will become part of a company that has received national recognition as a great place to work. We offer excellent full-time benefits including comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays and vacation, personal days, and dental and vision options.

To learn more about Eurofins, please explore our website www.eurofinsus.com.

Eurofins is a M/F, Disabled, and Veteran Equal Employment Opportunity and Affirmative Action employer.

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