Contracts and Payer Relations Specialist

About the role

The Payer Relations Specialist works primarily with the Contracts and Payer Relations Manager supporting the contracting process, and ensuring up to date, accurate information is present for payer configuration. The Payer Relations Specialist is primarily internally facing, but may interact with external parties as needed to maintain rates, sites, and service implementation and updates in various system.

Responsibilities

• Logging and tracking all contracts, contract amendments, and agreements submitted to the organization to ensure timely and accurate review, and approval(s).
• Maintaining accurate records and files of contracts, agreements and amendments and supporting documentation.
• Monitor provider update emails and contracts mailbox for updates and requests for information and/or action.
• Maintain internal location site/service database and entry of updates/changes as needed.
• Ensure accurate directory information internally and with payers.
• Supports contract related rate and system set up requirements in electronic health record in conjunction with revenue cycle team to ensure timely and accurate billing.