Commercial Operations Associate
Lafayette, LA Reimbursement
Job Type
Full-time
Description

Why Tides Medical?


Joining Tides Medical means being a part of a health care team who is passionate about serving others, values integrity and quality, and excellent customer relationships.


Purpose of Position


The purpose of the Commercial Operations Associate position is to serve as a versatile liaison between the Reimbursement, Customer Service, and Commercial Operations departments, optimizing workflow efficiency and supporting organizational productivity. This role will focus on our customer and sales agent onboarding, facilitating a seamless integration into the CRM system while helping to maintain data integrity. Additionally, the Commercial Operations Associate will assist the Reimbursement Team as needed by monitoring prior authorizations, creating benefit verification cases, and managing incoming communications, alleviating caseload burdens and ensuring timely resolution. By effectively bridging the gap between reimbursement, customer service, and commercial operations, this position will play a pivotal role in enhancing overall departmental performance and achieving corporate objectives. 


Essential Functions of the Areas of Responsibility


Perform the following in accordance with AATB, FDA, and Tides Medical stated policies and procedures while upholding Tides Medical’s mission and corporate values.

  • Monitor and manage incoming faxes and emails 
  • Input new Customer Accounts and Sales Agents in the CRM system
  • Generate, send, and upload customer and sales agent agreements into the CRM
  • Assist in benefit verification case creation
  • Assist in checking the status of prior authorizations and pre-determinations
  • Help ensure data integrity in the CRM, including account names, addresses, account teams, and parent/child relationships
  • Match patients to customer invoices to enable accurate reporting and analytics
  • Interact with sales agents to verify account information submitted into CRM
  • Create and monitor pricebooks, ensuring customer accounts have the correct price
  • Perform any duties as delegated

Expectations

  • Demonstrate strong collaboration skills and contribute to a harmonious work environment, avoiding the creation of unnecessary stress or conflicts
  • Uphold a commitment to truthfulness in all conduct and communications
  • Show respect towards fellow employees, refraining from engaging in any speech or conduct that may be discriminatory
  • Maintain strict confidentiality regarding employee records, donor records, and proprietary corporate information
  • Demonstrate strong problem-solving abilities, showcasing independence in resolving challenges effectively
Requirements
  • Effective communication skills both verbally and in writing
  • Strong team player with a demonstrated history of collaboration in a team environment
  • Proficient in multitasking while maintaining high levels of efficiency and accuracy
  • Ability to handle sensitive and confidential situations with professionalism 
  • Thorough understanding and adherence to HIPAA Privacy Rule
  • Strong computer skills, including proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
  • Minimum of a Bachelor’s degree or equivalent work experience
  • At least 2 years of experience in sales or sales operations
  • Salesforce or Relevant CRM experience