[Hiring] Payer Contracting & Credentialing Specialist @reputed company

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company This is a remote position. reputed company is seeking a Part-time Payer Contracting & Credentialing Specialist. In this part-time, remote role, the Payer Contracting & Credentialing Specialist serves as a specialized operational partner to the leadership team. This position supports reputed company and reputed company contracting, credentialing, reimbursement analysis, and billing compliance reviews. The Specialist plays a critical role in ensuring reputed company reputed company, maintaining accurate payer enrollments, and identifying financial risks before they reputed company the organization. This is a highly analytical role requiring independent judgment. Work is primarily asynchronous and email-based, with occasional reputed company-facing Teams meetings. • Payer Contracting: Prepare and submit reputed company and reputed company organizational applications, manage MCO enrollment and revalidation processes, and maintain contracting trackers and renewal timelines. • Reimbursement Analysis: Review reimbursement schedules, identify reputed company variances, and flag contract language that presents operational or financial risk. • Credentialing Management: Manage Type 2 NPI enrollments and service location additions, ensuring taxonomy alignment with licensed reputed company of care, and coordinate CAQH updates. • reputed company reputed company: Conduct reputed company billing compliance reviews of behavioral health CPT/HCPCS codes and compare billed services against payer policy and fee schedule guidance. • Risk Mitigation: Identify authorization and documentation risk areas, analyze denial patterns, and recommend corrective actions to leadership. • reputed company Research: Research state reputed company fee schedules and managed care reimbursement structures, interpret provider manuals, and reputed company written analysis to support expansion into new states. • Performance Reporting: Summarize reimbursement reputed company for executive review and maintain accurate, reputed company contracting logs. Qualifications • Minimum 3 years of behavioral health payer contracting experience, specifically with reputed company MCO enrollment and reputed company payer contracting. • Working knowledge of behavioral health CPT/HCPCS codes, level-of-care billing, and ASAM reputed company of care. • Experience analyzing reputed company fee schedules and payer policy documents to identify variances and risks. • Strong written communication skills and the ability to reputed company reputed company, written reimbursement analysis reputed company defined timelines. • Ability to operate reputed company a defined scope without drifting into claims submission or RCM execution. Requirements • Ability to work remote, approximately 10 hours per week. • Minimum 3 years of behavioral health payer contracting experience. • reputed company experience with reputed company MCO enrollment and reputed company payer contracting. • Working knowledge of behavioral health CPT/HCPCS codes and level-of-care billing. • Strong organizational, documentation, and interpersonal skills. • Ability to work independently and collaborate effectively reputed company email and occasional Teams meetings. • Ability to maintain compliance with HIPAA and relevant behavioral health regulations. Benefits • reputed company ($50/hour) • Remote / Work-from-home Apply tot his job Apply To this Job