Payer Compliance Specialist I

US Anesthesia Partners

Payer compliance specialist analyzing healthcare claims for USAP, an anesthesia services organization. Resolving payer variances, appeals, refund requests, and systemic reimbursement issues.

Posted 8/13/2026full-timeRemote • Alaska, California, Hawaii • 🇺🇸 United StatesJuniorMid-Level💰 $16 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare revenue cycle management, including payer compliance, appeals processing, and variance analysis. Proficient in Excel and Word, with strong analytical and communication skills to effectively address payer-related issues.

Highest-signal resume keywords

Healthcare Revenue Cycle ManagementPayer Compliance ManagementVariance AnalysisAppeals ProcessingExcel Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer PoliciesHealthcare Billing RequirementsCPT CodingICD-9 CodingASA CodingAnalytical AbilityMathematical SkillsInformation Reporting

Soft Skills

Good Communication SkillsTeamwork AttitudeInterpersonal SkillsAbility to Work Independently

Tools & Technologies

ExcelWord

Industry Keywords

Managed Care ProgramsMedical TerminologyPayer Variance Issues

About the role

Key responsibilities & impact

Follow payer compliance management standard operating procedures
Analyze, evaluate, and validate payer under- and over-allowable variances in work queues
Manage corrective actions through appeals, cross-workflow, or escalation to management
Gather appeal documentation and file appeals to appropriate payers
Follow up on appeal results 45–60 days after submission
Partner with leadership to research and report systemic payer issues creating variance trends
Use the out-of-model guidance matrix to report over-allowed variances accurately and consistently to leadership and finance
Learn and apply payer policies and contractual terms
Research refund requests, respond appropriately, and take action
Inquire with leadership and the contract management team about potential contract-term discrepancies
Communicate regularly with management regarding payer variance issues
Communicate with internal RCM departments and insurance companies
Meet deadlines, management requirements, and handle multiple potentially stressful tasks

Requirements

What you’ll need

High school graduate or equivalent required
Minimum of 2 years of experience in healthcare revenue cycle
Functional knowledge of Excel and Word required
Basic knowledge of managed care programs and healthcare billing requirements
Analytical ability to identify and resolve payer-related underpayments and coding issues
Good mathematical, verbal, and written communication skills
Experience gathering and reporting information
Teamwork attitude and good interpersonal skills
Ability to work independently with limited supervision
Familiarity with basic medical terminology and concepts preferred
Knowledge of CPT, ICD-9, and ASA coding preferred
Ability to meet physical requirements with or without reasonable accommodation
Occasional standing and walking
Frequent sitting and hand/finger movement
Ability to use office equipment and communicate verbally and in writing
Candidates residing in California, Hawaii, or Alaska are not eligible for hire

Benefits

Comp & perks

Quarterly bonus eligibility
Equal employment opportunities
Reasonable accommodations for individuals with disabilities