Contracts Administrator/Billing Liaison

HR HealthCare•Woodstock, NY

1d•Onsite

About The Position

The Contract Administrator is responsible for the interpretation, implementation, and ongoing management of payer contracts to ensure accurate billing and reimbursement. This role serves as the operational bridge between Contracting, Billing, and IT systems, translating complex payer agreements into actionable system logic within platforms such as Brightree. The Contract Administrator functions as the architect of reimbursement configuration, ensuring that contractual terms, fee schedules, and billing requirements are accurately reflected in internal systems and workflows to optimize revenue integrity and minimize denials.

Requirements

Associate’s degree required
3+ years of experience in healthcare billing, contracting, or revenue cycle operations
Proficiency in Brightree or similar billing platforms
Strong Excel and data analysis skills
Experience with payer portals and systems (e.g., Inovalon)
Contract interpretation and analytical thinking
Revenue cycle and reimbursement expertise
Attention to detail and accuracy
Strong communication and documentation skills
Ability to work independently and cross-functionally
Organizational and problem-solving skills
Must adhere to all HIPAA and company confidentiality standards.

Nice To Haves

Bachelor’s degree preferred (Healthcare Administration, Business, or related field)
Experience working with payer contracts and reimbursement methodologies preferred
Understanding of HCPCS codes, modifiers, and DME billing requirements
Experience translating provider manuals into operational workflows
Familiarity with reimbursement modeling and price table configuration

Responsibilities

Analyze payer contracts, provider manuals, fee schedules, and policy bulletins to interpret reimbursement methodologies.
Translate complex insurance contract language into system-ready billing logic and internal workflows.
Implement and maintain price tables and reimbursement structures within Brightree and related systems.
Ensure allowable amounts, HCPCS codes, modifiers, and billing rules align with current payer requirements to reduce denials and write-offs.
Collaborate with Contracting to process updates and ensure timely system configuration changes.
Monitor payer updates, provider bulletins, and regulatory changes impacting reimbursement.
Maintain accuracy of billing configurations to support clean claim submission and proper payment.
Partner with Billing and Medical Records teams to clarify requirements and improve documentation and billing practices.
Support audits and compliance initiatives related to payer contracts and reimbursement processes.
Serve as Insurance Portal Administrator, managing access, permissions, and security in compliance with HIPAA standards.
Grant, revoke, and audit user access across multiple payer portals.
Maintain a centralized database of payer portals, credentials, and user permissions.
Act as an escalation point for portal access issues and user support.
Ensure timely deactivation of terminated employee access and perform periodic access audits.
Work closely with Contracting, Billing, IT, and Revenue Cycle teams to ensure accurate execution of payer agreements.
Develop and communicate clear work instructions derived from payer manuals and contract terms.
Support onboarding and training of staff on payer-specific billing requirements and system processes.