Senior Market Access Liaison

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At Exact Sciences, we’re helping change how the world prevents, detects and guides treatment for cancer. We give patients and clinicians the clarity needed to make confident decisions when they matter most. Join our team to find a purpose-driven career, an inclusive culture, and robust benefits to support your life while you’re working to help others.

Position Overview

The Senior Market Access Liaison is responsible for providing field sales support specific to coverage and reimbursement concerns which may be creating barriers to access for patients and physicians. This role will focus on the Precision Oncology portfolio and ensure that accurate, non-promotional messaging for field sales and for offices is provided to help remove any potential coverage and reimbursement barriers. This role will partner with various key stakeholders such as, but not limited to, sales, marketing, training, compliance, billing, and strategic accounts. In addition to supporting the field, this role will support the Market Access department with respect to our specialized appeals team, helping to improve the appeal process. The market access liaison will also support our revenue cycle team both internally, on our Epic platform, as well as externally, through our relationship with a third-party vendor.

Essential Duties

Include, but are not limited to, the following:

• Lead field sales support from a market access and billing perspective. Establish effective, trust working relationships with internal stakeholders ensuring proper education of market access landscape to support expanding access of testing to all appropriate patients.
• Develop non-promotional field collateral aimed at supporting the market access message around coverage, contracting, out-of-pocket, and financial assistance.
• Support appeals program for strategic payors.
• Support PO training department as the market access content expert.
• Gather field sales intel around competitive practices with respect to billing and reimbursement so internal stakeholders can be aware and support proper messaging, accordingly.
• Identify opportunities to improve our customer experience through streamlined market access and billing support.
• Work with the revenue cycle, legal and compliance teams to problem-solve and analyze to find creative solutions to patient barriers while remaining compliant.
• Strong understanding of medical billing, explanation of benefits (EOBs), payor policies, contracting changes, and coverage updates.
• Strong knowledge of ABN requirements.
• Strong knowledge of Medicare 14-day rule.
• Working knowledge of ICD-10, CPT and HCPCS coding, accounts receivable, HIPAA, and electronic data interchange (EDI) claims submission methods.
• Demonstrated ability to manage cross-functional projects and create new processes and workflows.
• Demonstrated strong customer service skills and ability to think on your feet.
• Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork.
• Support and comply with the company’s Quality Management System policies and procedures.
• Maintain regular and reliable attendance.
• Ability to act with an inclusion mindset and model these behaviors for the organization.

Minimum Qualifications

• Bachelor’s degree in business, finance, or related field; or high school degree/general education diploma and 4 years of relevant experience in lieu of bachelor’s degree.
• 2+ years Reimbursement and Billing Management experience within the healthcare services industry to include.
• Working knowledge in the genomic, diagnostic, or oncology environment.
• Working knowledge with commercial and government payers and reimbursement process.
• Knowledge and understanding of applicable regulations impacting billing in the healthcare industry and ability to apply that knowledge to new processes and policies.
• Understanding of market-related issues, contract development, negotiation, and pull-through as well as the legal and regulatory implications associated with commercial and government payer management.
• Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-9-CM/ICD-10-CM coding.
• Demonstrated ability to perform the essential duties of the position with or without accommodation.
• Authorization to work in the United States without sponsorship.

Salary Range:

Exact Sciences is proud to offer an employee experience that includes paid time off (including days for vacation, holidays, volunteering, and personal time), paid leave for parents and caregivers, a retirement savings plan, wellness support, and health benefits including medical, prescription drug, dental, and vision coverage. Learn more about our benefits.

Our success relies on the experiences and perspectives of a diverse team, and Exact Sciences fosters a culture where all employees can develop personally and professionally with a sense of respect and belonging. If you require an accommodation, please contact us here.

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We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to disability, protected veteran status, and any other status protected by applicable local, state, or federal law.

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