Payer Contracting Specialist

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.

WHAT YOU WILL DO

• 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

WHAT WE ARE LOOKING FOR

• 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 HAVE

• 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

COMPENSATION AND 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.

HIRING PROCESS

Application review → introductory conversation → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.

Location: Remote