Payer Compliance Specialist
About The Position
We're a fast-growing, fully remote organization on a mission to make a real difference — and we know our people make that possible. As we scale, we're adding a high-ownership, high-impact role to our team. We're seeking a Payer Compliance Specialist who will manage payer setup and policy updates while supporting internal training, clean claims, and cross-functional compliance projects. About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.
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.
- 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).
- Detail-oriented with excellent organizational and follow-through abilities.
- Strong analytical and critical thinking skills to interpret payer policies and identify operational impacts.
- Effective verbal and written communication skills, including the ability to deliver training and simplify complex topics.
- Ability to collaborate cross-functionally with billing, clinical, and compliance teams in a fully remote environment.
- Adaptability to evolving payer requirements and healthcare regulations.
- Eligible to work in the United States.
Nice To Haves
- Medical Billing/Coding Certification not required, but a plus.
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 their impact, and assist with implementation and compliance tracking; attending new payer orientation meetings and ongoing payer training sessions.
- Support audit and compliance efforts by assisting with external payer responses, conducting internal reviews, and ensuring required training is completed.
- Maintain up-to-date reference materials and serve as a resource to internal teams on payer rules and workflows.
- Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.
Benefits
- Exceptional paid time off policies that encourage and support life balance
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
