Payer Contracting Specialist (Healthcare)

Location: Fully remote within the United States

Salary: $55,000–$65,000 per year

Company

hirify.global provides longitudinal women’s healthcare through multidisciplinary care teams focused on hormonal, metabolic, reproductive, and related health conditions.

What you will do

• Maintain accurate and consistent provider data across payer and internal systems.
• Audit payer directories and pursue corrections so members can find providers.
• Reconcile provider rosters with payer records and identify discrepancies through recurring audits.
• Manage enrollment and provider-data escalations, partnering with Revenue Cycle on denial root-cause analysis.
• Research payer policies, telehealth rules, prior authorization requirements, fee schedules, provider manuals, agreements, amendments, rosters, and related documents.
• Prepare and track payer applications while supporting credentialing follow-up, deficiency resolution, revalidations, and internal documentation.

Requirements

• 2+ years of experience in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration; internships or adjacent RCM experience count.
• Strong self-direction, follow-through, attention to detail, and root-cause problem-solving skills.
• Comfort communicating persistently with payers by phone.
• Strong spreadsheet skills and the ability to learn new systems and payer portals quickly.
• Ability to work effectively with ambiguity and shifting priorities in a remote-first environment.
• Ability to document solutions and payer requirements for ongoing team use.

Nice to have

• Experience with Availity, payer portals, clearinghouses, provider directories, roster submissions, or demographic data management.
• Denial management or accounts receivable follow-up experience, especially for enrollment and credentialing denials.
• Knowledge of commercial payer requirements, Medicare, Medicaid, NCQA, CMS, CPT, ICD-10, and modifiers.
• Experience in multi-state telehealth, digital health, or high-growth healthcare.

Culture & Benefits

• Fully remote work within the United States.
• Career advancement opportunities, equity, professional development, and employee learning programs.
• Unlimited paid time off and 11 company holidays.
• Medical, dental, vision, HSA, FSA, disability coverage, wellness stipend, and 401(k) plan.
• Parental leave, family planning support, company laptop, and annual work-from-home stipend.
• Collaborative, mission-driven environment focused on improving patient care.