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Contracts and Payer Relations Specialist
Easterseals PORT Health. Support the Contracts and Payer Relations Manager with the contracting process .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract management and provider relations, with a strong focus on maintaining accurate records and ensuring compliance with payer requirements. Proficient in electronic health record systems and capable of resolving billing issues effectively.
Highest-signal resume keywords
Contract ManagementElectronic Health Record (EHR) ProficiencyMedicaid and Medicare ExperienceMicrosoft Office Suite ProficiencyOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract TrackingQuality AssuranceData EntryBilling Issue ResolutionSite Addition/Change FormsProvider RelationsLegal Document ExperienceRate ConfigurationSystem AssessmentDatabase Maintenance
Soft Skills
Effective CommunicationAttention to DetailMultitaskingTeam CollaborationIndependence
Tools & Technologies
NC TracksAlpha CMSProvider DirectMicrosoft Office WordMicrosoft Office ExcelMicrosoft Office Outlook
Certifications & Qualifications
Associate’s DegreeHigh School Diploma
Industry Keywords
Behavioral HealthcareManaged Care Organization (MCO)IPRS BillingPayer RelationsContracting Process
About the role
Key responsibilities & impact- Support the Contracts and Payer Relations Manager with the contracting process
- Log and track contracts, amendments, and agreements to ensure timely and accurate review and approvals
- Maintain accurate contract records, files, and supporting documentation
- Monitor provider update emails and the contracts mailbox for requests and required actions
- Maintain internal location and service databases and update changes
- Ensure accurate directory information internally and with payers
- Support contract-related rate and system setup in the electronic health record with the revenue cycle team
- Perform quality assurance for rate, site, and service configuration in electronic health record and payer systems
- Complete and submit site addition/change forms to payers
- Maintain site identifiers and program credentials, including updates in the EHR
- Resolve contract-related denials or billing issues with the Contracts and Payer Relations Manager, payers, and Claims department
- Update NC Tracks, NPPES, Alpha CMS, Provider Direct, payer, and internal systems to reflect agency changes and terminations
- Assist with EHR and internal system assessments and develop strategies to improve system efficiency
Requirements
What you’ll need- Associate’s Degree from a USDOE or CHEA accredited institution, or accredited High School Diploma with 3 years’ work experience in behavioral healthcare, contracting, or provider relations
- 1 to 3 years’ experience working with Medicaid, Medicare, Private Insurance, Managed Care Organization (MCO) IPRS Billing, or NC Tracks
- 1–3 years’ experience working in Alpha CMS and/or Provider Direct
- Ability to communicate effectively, verbally and in writing
- Strong knowledge of Microsoft Office Word, Excel, and Outlook
- Excellent organizational skills and attention to detail
- Ability to multitask and work well under pressure
- Ability to work independently and as part of a team
- State-appropriate, unrestricted driver’s license and personal vehicle insurance
- Experience with legal documents and contracting preferred
- Must possess visual acuity for written correspondence and accuracy review
- Must be able to talk, hear, sit for long periods, speak audibly, write legibly, and perform repetitive computer/data-entry motions
- Must be able to work in a shared office environment with respect and professionalism
Benefits
Comp & perks- Full-time employment
- Remote work arrangement
- Some travel required, including possible overnight stays