Payor Credentialing and Pricing Specialist

job summary:
Take the next step in your healthcare career with a high-impact position bridging database management, system configurations, and contract execution. This role is ideal for a proactive detail-oriented professional eager to gain hands-on experience maintaining account setups and managing complex pricing logic based on executed contract terms.

You will work on-site two days a week at our state-of-the-art facility in Research Triangle Park, located in Durham, NC.

location: Durham, North Carolina
job type: Contract
salary: $23 - 24 per hour
work hours: 9 to 5
education: Bachelors

responsibilities:

• Review executed client contracts to accurately establish pricing, rates, and billing logic.
• Perform system configuration and database management in Xifin (billing system) and Salesforce.
• Set up, configure, and maintain private and commercial payor profiles within internal databases.
• Support provider and laboratory enrollment and credentialing paperwork with payors.
• Troubleshoot system configuration discrepancies and perform data entry with extreme accuracy.
• Collaborate with cross-functional teams (Revenue Cycle, Finance, Market Access) to resolve billing errors.

 
qualifications:

• Required Skills:
  • Healthcare billing experience, specifically working directly with commercial/private payors (e.g., BCBS, Cigna).
  • Direct experience in contract review and translating contract terms into database/pricing setups.
  • Strong database management, system configuration, and data integrity skills.
  • Exceptional written and verbal communication skills with strong independent problem-solving ability.
  • Proficiency in MS Office (Excel, Word, Outlook).
• Preferred Skills:
  • Salesforce CRM experience.
  • Prior experience using Xifin billing system or exposure to clinical laboratory billing workflows.
  • Bachelor's degree in Healthcare Administration, Business, or Finance.

#LI-ST1

skills: HIPAA Compliance, Customer Relationship Management (CRM) software


Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com.


Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).


This posting is open for thirty (30) days.