Expressable · 1 month ago
Healthcare Payer Compliance Specialist - 100% Remote
United States
Full-time
Remote
Mid Level
$24/hr - $27/hr
3+ years expExpressable is a fast-growing, fully remote healthcare organization on a mission to improve access to care. The Payer Compliance Specialist will ensure adherence to payer requirements and internal compliance standards, driving audit readiness and improving claim resolution through proactive communication and collaboration across operational teams.
E-LearningHealth CareTherapeuticsTraining
No H1B
Responsibilities
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
Qualification
Required
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)
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
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
Company
Expressable
Expressable is an online speech therapy platform designed for individuals with communication disorders.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$45.5MKey Investors
HarbourVest PartnersF-Prime
2024-05-20Series B· $26M
2022-02-09Series A· $15M
2021-05-07Seed· $4.5M
Leadership Team
Nicholas Barbara
CEO & Co-Founder
Leanne Sherred
President & Co-founder
Recent News
2024-10-30
The Business Journals
2024-06-05
2024-06-05
Company data provided by crunchbase