Payer Contracting Specialist

About the role

Raventra Health is a medical services company that provides 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 related activities, ensuring billing and revenue cycle teams understand applicable requirements.

Key responsibilities

• 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 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.

Required profile

• 2+ years of experience in payer contracting, healthcare revenue cycle management, or 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 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.