Payer Compliance Specialist

Expressable
United States
Workplace: RemoteFull timeUSD 24 - 27 hourlyFunction: Legal, Risk & ComplianceSkills: ["Detail-oriented","Organizational","Analytical thinking","Critical thinking","Communication"]

Own payer setup and ongoing readiness, including fee schedules, EFT/ERA configuration, portal access, and payer profile updates. Interpret payer contracts and manuals to support clean claim submission, and track payer policy changes through implementation and compliance monitoring. Assist with audit responses and internal reviews, ensure required training is completed, and maintain reference materials to help cross-functional teams follow payer rules and workflows.

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FursaFursa
Expressable
Expressable
1 day ago

Payer Compliance Specialist

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 6 hours agoStatus: Live

Job Summary

Own payer setup and ongoing readiness, including fee schedules, EFT/ERA configuration, portal access, and payer profile updates. Interpret payer contracts and manuals to support clean claim submission, and track payer policy changes through implementation and compliance monitoring. Assist with audit responses and internal reviews, ensure required training is completed, and maintain reference materials to help cross-functional teams follow payer rules and workflows.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Legal, Risk & Compliance
Seniority: Mid level

Key Responsibilities

  • •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.
  • •Monitor payer updates and policy changes, assess impacts, and assist with implementation and compliance tracking through training and orientation sessions.
  • •Support audit and compliance efforts by responding to external payer requests, running internal reviews, and ensuring required training is completed.
  • •Maintain up-to-date reference materials and collaborate cross-functionally to improve payer compliance, documentation, and training systems.

Pay and Benefits

Salary: USD 24 - 27 hourly
Perks:Paid Leave401k MatchingHealth InsuranceLife InsuranceLong-term DisabilityRemote Work

Key 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.
  • •Experience working within a healthcare setting is required.
  • •Familiarity with payer contracts, reimbursement policies, and healthcare documentation standards.
  • •Strong spreadsheet and document management skills using Google Workspace or Microsoft Office.
Experience:Healthcare
Education:
Skills:Detail-orientedOrganizationalAnalytical thinkingCritical thinkingCommunication
Tech Stack:Google WorkspaceMicrosoft Office

Eligibility

Work Authorization:Authorization required. Sponsorship not provided.

Company Brief

Expressable
Expressable provides virtual, family-centered speech therapy combining 1:1 teletherapy with a technology-enabled education platform to improve outcomes for children and adults with communication disorders. ([linkedin.com](https://www.linkedin.com/company/expressable?utm_source=openai))
Industry: Healthcare Providers
Company Size: Medium (51 to 250 employees)
Growth: Growth Stage Startup
Funding: Series B
Headquarters: Austin, United States
Founded: 2019
Glassdoor
Glassdoor: 4.0
WebsiteLinkedInGlassdoor