PRIMARY DUTIES AND RESPONSIBLITIES 

• Monitor shared inboxes, work queues, and tracking tools for contracting, licensure, credentialing, payor portal administration, and payor policy research requests to ensure all work is logged and prioritized appropriately. 

• Assign and distribute work to team members based on work type, regulatory urgency, deadlines, and capacity. 

• Track work in progress and completed work across all Payor Relations functions to ensure adherence to established SLAs and due dates. 

• Review completed contracting, licensure, credentialing, portal updates, and policy research outputs prior to submission or publication to verify accuracy and completeness. 

• Validate that required documentation, forms, screenshots, and supporting evidence are complete and correctly prepared before external submission or internal distribution. 

• Identify errors, omissions, or inconsistencies in work products and return items for correction prior to submission. 

• Maintain visibility into backlog, expirations, recurring updates, and policy review cycles; escalate risks or delays to leadership as needed. 

• Coordinate workflow handoffs between contracting, credentialing, licensing, payor policy research, and portal administration to prevent bottlenecks. 

• Ensure consistent use of tracking logs, worklists, and status updates across all Payor Relations workstreams. 

• Provide routine status updates to leadership on workload, quality trends, upcoming expirations, and policy or portal‑related deadlines. 

ANCILLARY DUTIES AND RESPONSIBILITIES  

• Support onboarding and ongoing coaching related to workflow expectations and quality standards across Payor Relations functions. 

• Identify recurring quality issues, rework drivers, or workflow inefficiencies and surface recommendations for improvement. 

• Assist with documentation and maintenance of standard operating procedures for contracting, licensure, credentialing, portal administration, and payor policy research. 

• Support audit readiness by ensuring submissions, screenshots, correspondence, and confirmations are properly retained. 

• Collaborate with Managers and Directors to refine prioritization, escalation criteria, and workload balancing. 

• Help standardize handoff processes between functional areas to ensure seamless execution. 

• Track and report common error types, corrections, or trends affecting timeliness and quality. 

• Provide back‑up workflow and quality review support during peak volumes or coverage gaps. 

• Participate in cross‑functional coordination as needed to support resolution of payor or network issues. 

• Perform other duties and projects as assigned to support Payor Relations operational objectives. 

MINIMUM REQUIREMENTS OR QUALIFICATIONS

Education/Experience: 

• High School Diploma or (GED) General Education Degree; Minimum 4–6 years of experience in healthcare payor relations, credentialing, licensing, contracting, revenue cycle operations, or a related administrative or compliance function. 

Skills: 

Language: Ability to read, analyze, and interpret medical supply publications, technical procedures, and/or operational training tools. Ability to write internal and external business correspondence. Ability to effectively present information and respond to questions from management, team members, and/or customers.  

Math: Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages. Ability to apply intermediate math skills.  

Reasoning: Ability to solve practical problems and deal with a variety of variables.  Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.  Advanced analytical reasoning to include ability to forecast exponentials within work flow processes and reason against outside factors.  

Computer:  Intermediate computer skills and knowledge of Microsoft Office Applications, Access or other database software. 

Telecommunications:  ability to utilize or knowledge of call center telecommunications software (i.e. dialer systems)   

Licensure or Certifications required:  No certifications required  

WORK REQUIREMENTS 

• Ability to work evenings and weekends 

PHYSICAL DEMANDS (The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.)While performing the duties of this job, the employee is frequently required to walk, sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 lbs.  

WORK ENVIRONMENT (The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ) While performing the duties of this position, the employee performs tasks in a temperature controlled office environment under normal office conditions. The noise level in the work environment is usually moderate. The work environment involves minimal exposure to hazards or physical risks, which require following basic safety precautions.  

DISCLAIMER 

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.   The Company officers, mid-level, and entry level management staff may assign additional duties and responsibilities as needed.  This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related duties requested by their supervisor in compliance with Federal and State Laws.

At BD, we prioritize on-site collaboration because we believe it fosters creativity, innovation, and effective problem-solving, which are essential in the fast-paced healthcare industry. For most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. Remote or field-based positions will have different workplace arrangements which will be indicated in the job posting.

For certain roles at BD, employment is contingent upon the Company’s receipt of sufficient proof that you are fully vaccinated against COVID-19. In some locations, testing for COVID-19 may be available and/or required. Consistent with BD’s Workplace Accommodations Policy, requests for accommodation will be considered pursuant to applicable law.

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