Contracts and Payer Relations Specialist

Easterseals PORT

Raleigh (NC)

Remote

USD 55,000 - 76,000

Full time

3 days ago
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Job summary

Easterseals PORT in Raleigh, NC is seeking a Contracts and Payer Relations Specialist to support contracting, payer configuration, and updates in EHR systems. You will log contracts, maintain files, monitor updates, and assist in rate and system setup with the revenue cycle team to ensure accurate billing.

The role requires 1–3 years’ experience with Medicaid/Medicare and payer systems, solid communication skills, and proficiency with Microsoft Office.

Qualifications

  • Associate’s degree from USDOE or CHEA-accredited institution or high school diploma with 3 years in behavioral healthcare, contracting or provider relations.
  • 1–3 years’ experience with Medicaid, Medicare, private insurance and MCO IPRS billing.
  • 1–3 years’ experience with NC Tracks.
  • 1–3 years’ experience with Alpha CMS and/or Provider Direct.
  • Strong communication skills, both verbal and written.
  • Self-starter with a positive, outgoing attitude.
  • Proficient in Microsoft Office (Word, Excel, Outlook).
  • Excellent organizational skills and attention to detail.
  • Ability to multi-task and work under pressure.
  • Team player who can work independently.
  • Valid state driver’s license and personal vehicle insurance.
  • Experience with legal documents and contracting preferred.

Responsibilities

  • Logging and tracking all contracts, amendments, and agreements to ensure timely review and approvals.
  • Maintaining accurate records and files of contracts and amendments.
  • Monitor provider update emails and contracts mailbox for updates and requests.
  • Maintain internal location/site database and update changes as needed.
  • Ensure accurate internal and payer directory information.
  • Assist in rate and system setup in the EHR with revenue cycle team for timely billing.
  • Conduct QA duties related to rate, site, and service configuration in EHR/payer systems.
  • Submit site addition/change forms to payers.
  • Maintain current site identifiers and program credentials in EHR and related systems.
  • Collaborate with Contracts and Payer Relations Manager to resolve denials or billing issues.
  • Coordinate updates with NC Tracks, NPPES, Alpha CMS/Provider Direct and internal systems; reflect changes including terminations.
  • Assist in system assessments to improve efficiency and support strategy development.

Skills

Verbal & written communication
Self-starter
Attention to detail
Organization
Multitasking
Team player
Independent work
Contracting knowledge
Microsoft Office
Driver's license

Education

Associate’s Degree or High School Diploma with 3+ years in behavioral healthcare/contracting

Tools

NC Tracks
Alpha CMS
Provider Direct
Microsoft Office

Job description

Contracts and Payer Relations Specialist

Job Category: Administration

Requisition Number: CONTR007677

  • Posted : October 2, 2026
  • Full-Time
  • Remote
Locations

Showing 1 location

Description

Position Summary:

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.

Essential Job Functions:

  • 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.
  • Conduct quality assurance duties related to rate, site and service configuration in electronic health record and/or payer system(s).
  • Complete and submit site addition/change forms to Payers.
  • Assist in maintenance of current information on site identifiers and program credentials; including managing and updating any changes within EHR system.
  • Work with Contracts and Payer Relations Manager regarding payer and our internal Claims department to resolve contract related denials or billing issues.
  • Interact with internal team(s) regarding updates state (NC Tracks; NPPES; Alpha CMS and Provider Direct, Payers e.g.) and internal systems to reflect agency changes as needed, including terminations.
  • Assists in EHR and other internal system assessments for the department to identify opportunities that maximize system efficiencies, and assists in the development of strategies for meeting those needs.

Minimum Qualifications:

  • Associate’s Degree from USDOE or CHEA accredited institution or accredited High School Diploma with 3 year’s work experience in behavioral healthcare, contracting or provider relations.
  • 1 to 3 years’ experience working with Medicaid, Medicare, Private Insurance and Managed Care Organization (MCO) IPRS Billing or;
  • 1-3 years’ experience working in NC Tracks
  • 1-3 years’ experience working in Alpha CMS and/or Provider Direct.
  • Ability to effectively communicate, both verbally and written.
  • Self-starter with a positive, outgoing personality and attitude.
  • Strong knowledge of Microsoft Office Word, Excel, and Outlook.
  • Excellent organizational skills and attention to detail.
  • Ability to multi-task and work well under pressure.
  • Ability and desire to be a team player.
  • Ability to work independently.
  • Must possess a state-appropriate, unrestricted driver’s license and personal vehicle insurance.
  • Experience with legal documents and contracting preferred.

Equipment Used:

Telephone, Fax, Internet, Copier, Calculator, Electronic Health Record, IBM compatible personal computers with related finance and word processing software, and Microsoft Office software products.

Essential physical requirements:

  • Must possess the visual acuity to develop written correspondence and determine accuracy, neatness and thoroughness of the work assigned.
  • Must be able to physically perform the basic life operational functions of talking, hearing, sitting for long periods of time and performing repetitive motions, such as using a computer.
  • Must be able to speak audibly, write legibly and perform repetitive motions such as data entry.

Must be able to work in a shared office environment, while displaying respect and professionalism toward others in the office. Some travel required, which may include exposure to inclement weather and overnight stays.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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