Remote Payer Contracting Specialist

Allarahealth; Clayton (NC); A distancia; USD 65.000 - 85.000; Jornada completa

Descripción de la vacante

Allara is seeking a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This early-career role touches provider data, payer policy, contracting, revenue cycle, and credentialing, giving you breadth and rapid learning in healthcare payments.

Fully remote within the U.S., you will own provider data integrity, audit payer directory placements, reconcile rosters, and support new health plan partnerships and service lines with timely follow-ups and documented process

Formación

• 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration.
• Genuinely self-directed. You manage your own queue without reminders, follow up without being asked, and treat a stalled item as a personal affront.
• You think about root causes. Fixing the claim is table stakes; understanding why it denied and stopping the next twenty is the job.
• Exceptional attention to detail.

Responsabilidades

• Own provider data integrity across every system. Keep all payer records consistent, correct, and current.
• Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.
• Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied.
• Be the go-to desk for enrollment and provider-data escalations. Partner with Revenue Cycle to triage denials and figure out root causes.
• Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals.
• Codify what you learn. Turn each new payer’s requirements and each resolved escalation into a durable internal reference.
• Support contracting and credentialing: prepare, submit, and track payer applications for new health plan partnerships and service lines; provide surge support on follow-up, deficiency resolution, revalidations, and trackers.

Conocimientos

Self-directed

Attention to detail

Root cause analysis

Descripción del empleo

Allara is seeking a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This early-career role touches provider data, payer policy, contracting, revenue cycle, and credentialing, giving you breadth and rapid learning in healthcare payments.

Fully remote within the U.S., you will own provider data integrity, audit payer directory placements, reconcile rosters, and support new health plan partnerships and service lines with timely follow-ups and documented process