[Hiring] Part-time Payer Contracting & Credentialing Specialist @Atlantic Health Strategies

Role Description

This is a remote position. Approximately 10 hours per week at $50 per hour as W-2 employment.

Our client is seeking a Part-Time Payer Contracting & Credentialing Specialist. This position partners with the client’s leadership team to support:

• Commercial and Medicaid payer contracting
• Credentialing
• Reimbursement analysis
• Focused billing compliance reviews

The Specialist helps protect revenue integrity by:

• Maintaining accurate payer enrollments
• Evaluating reimbursement requirements
• Identifying operational and financial risks before they affect the organization

This highly analytical position requires:

• Independent judgment
• Attention to detail
• Clear written communication

Work is primarily asynchronous and email-based, with occasional Microsoft Teams meetings.

Qualifications

• At least three years of behavioral health payer contracting experience, including Medicaid MCO enrollment and commercial payer contracting
• Working knowledge of behavioral health CPT and HCPCS codes, level-of-care billing requirements, and ASAM levels of care
• Demonstrated ability to interpret Medicaid fee schedules, payer policies, and contract provisions to identify reimbursement discrepancies and operational risks
• Strong written communication skills, with the ability to deliver clear findings and actionable recommendations within established timelines
• Ability to prioritize assignments, manage deadlines, and exercise sound judgment within a defined scope focused on contracting, credentialing, and analysis
• Preferred: Multi-state Medicaid experience and experience supporting a consulting organization, management services organization (MSO), or multiple facilities

Requirements

• Experience in behavioral health payer contracting
• Technical knowledge of CPT and HCPCS codes
• Analytical skills for interpreting fee schedules and policies
• Strong communication skills
• Ability to work independently

Benefits

• Support an organization committed to ethical, high-quality behavioral health and substance use disorder treatment
• Flexible schedule: Work remotely approximately 10 hours per week, with primarily asynchronous responsibilities and occasional scheduled meetings
• Apply your expertise to strengthen payer relationships, support reimbursement accuracy, and improve financial and operational performance
• Compensation: $50 per hour as a part-time W-2 employee