Payer Contracting Specialist

Careerswift

4d • Remote

About The Position

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Payer Contracting Specialist, you will support provider clients with payer contract administration, reimbursement terms, and contract-related activities. You will review payer agreements, maintain accurate contract information, support negotiations and renewals, and help ensure billing and revenue cycle teams understand applicable reimbursement requirements.

Requirements

• 2+ years of experience in payer contracting, healthcare revenue cycle management, healthcare administration, or a related field
• Understanding of healthcare payer contracts, reimbursement terms, and provider participation agreements
• Experience reviewing contracts, fee schedules, and reimbursement information
• Strong analytical and attention-to-detail skills
• Ability to interpret contract language and translate relevant requirements into clear operational guidance
• Strong communication skills and ability to work with payers, provider clients, and internal RCM teams
• Strong organizational skills and ability to manage multiple contracts, deadlines, and priorities
• Ability to work independently and effectively in a fully remote environment
• HIPAA-compliant private workspace

Nice To Haves

• Experience with Medicare, Medicaid, and commercial payer contracts
• Experience with reimbursement analysis or revenue integrity
• Knowledge of healthcare billing and coding processes
• Experience with payer contract management or credentialing platforms
• Experience working with provider groups or hospitals

Responsibilities

• Review and maintain payer contracts, amendments, fee schedules, and reimbursement terms for provider clients
• Track contract effective dates, renewal timelines, and required updates
• Analyze reimbursement terms, payment rates, and contract provisions relevant to client billing
• Support payer contract negotiations and renewals by preparing documentation and relevant financial information
• Coordinate with provider clients and internal RCM teams on contract-related questions and requirements
• Communicate changes in payer contracts and reimbursement terms to billing, coding, and revenue integrity teams
• Maintain organized and accurate records of payer agreements and related documentation
• Identify potential discrepancies between contract terms and operational billing or reimbursement practices
• Support research into payer policies, contract provisions, and reimbursement requirements

Benefits

• Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, and relevant healthcare contracting expertise.
• Benefits and additional employment details will be discussed during the hiring process.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed