Payer Compliance Specialist

Posted 3 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
24-27 Hourly
Mid level
Edtech
The Role
Manage payer setup, fee schedules, EFT/ERA configuration, portal access, and payer profile updates. Interpret contracts and manuals, monitor policy changes, support clean claims, assist audits and payer responses, track compliance training, maintain reference materials, and train internal teams on payer rules. Collaborate with billing, clinical, and compliance teams on projects improving documentation, workflows, and payer compliance.
Summary Generated by Built In

Job Title: Payer Compliance Specialist
Location:
100% Remote (anywhere in the US)
Status:
Full-Time Non-Exempt | Direct Hire
Pay:
$24.00 - $27.00 per hour


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.

What You Would Be Doing

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • 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.

What You Bring to Expressable

Education and Experience

  • 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.

  • Medical Billing/Coding Certification not required, but a plus.

Technical Skills

  • 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).

Core Competencies

In addition to the competencies associated with our core values, the Contract Coordinator should bring the following:

  • 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.

Why Join Us?

  • 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

  • A remote work environment that strives for connectivity through professional collaboration and personal connection

Work Authorization

We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.


More about Expressable
Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].


E-Verify

Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify.

E-Verify Participation Poster

E-Verify Right to Work Poster

Skills Required

  • Associate's or bachelor's degree in healthcare administration, business, or a related field, or equivalent work experience
  • At least 3 years of experience in medical billing, revenue cycle operations, payer compliance, or healthcare auditing
  • Experience working within a healthcare setting
  • 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 using tools such as Google Workspace or Microsoft Office
  • Medical billing or coding certification
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The Company
HQ: Austin, Texas
104 Employees
Year Founded: 2019

What We Do

Expressable provides exceptional speech therapy delivered online from the comfort of your home. We pair you with a qualified and experienced speech therapist specialized to your needs, and provide educational materials and weekly homework assignments to help you integrate practice throughout your daily life. Plus, you can securely text your therapist anytime and schedule appointments around your life - 7 days/week, mornings to evenings. See why families love Expressable (4.9/5 stars). Sign up for a free consultation today to speak with a speech therapist today!

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