Healthcare Payer Compliance Specialist
Expressable
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $24 - $27 per hour
Job Level
Mid-LevelSenior
About the role
- Support audit and compliance efforts by assisting with external payer responses, conducting internal reviews, and ensuring required training is completed.
- Maintain payer setup and readiness including fee schedules, EFT/ERA configuration, portal access, and payer profile updates.
- Interpret payer contracts and manuals to extract operational requirements and support clean claim submission.
- Maintain up-to-date reference materials and serve as a resource to internal teams on payer rules and workflows.
- Monitor payer updates and policy changes, assess their impact, and assist with implementation and compliance tracking; attending new payer orientation meetings and ongoing payer training sessions.
- Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.
Requirements
- Associate’s or Bachelor’s degree in healthcare administration, business, or a related field (or equivalent work experience).
- 3+ years of experience in medical billing, revenue cycle operations, payer compliance, or healthcare auditing.
- Familiarity with payer contracts, reimbursement policies, and healthcare documentation standards.
- Proficiency with practice management systems, payer portals, and claims processing tools.
- Experience managing EFT/ERA setup, fee schedules, and provider enrollment data.
- Strong spreadsheet and document management skills (e.g., Google Workspace or Microsoft Office).
Benefits
- Exceptional paid time off policies that encourage and support life balance, including a winter break.
- 401k matching to ensure our staff have what they need to enjoy their retirement
- Health insurance options that ensure well being for the whole person and their family
- Company paid life, short-term disability, and long-term disability coverage
- Remote work environment that strives for connectivity through professional collaboration and personal connections
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical billingrevenue cycle operationspayer compliancehealthcare auditingpayer contractsreimbursement policiesclaims processingEFT setupERA configurationfee schedules
Soft skills
collaborationcommunicationorganizational skillsattention to detailproblem-solving