Expressable is looking for a Payer Compliance Specialist to ensure adherence to payer requirements and internal compliance standards. You'll support a claim-ready environment across operational teams, driving audit readiness, reducing denials, and improving claim resolution through proactive communication and process review.
What You'll Do
- 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.
- Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.
What We're Looking For
- 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).
- 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.
Technical Stack
- Practice management systems
- Payer portals
- Claims processing tools
- Google Workspace
- Microsoft Office
Team & Environment
You will collaborate cross-functionally with billing, clinical, and compliance teams in a fully remote environment.
Benefits & Compensation
- Compensation: $24.00 - $27.00 per hour
- Exceptional paid time off policies that encourage and support life balance, including a winter break.
- 401k matching.
- Health insurance options.
- Company paid life, short-term disability, and long-term disability coverage.
- Remote work environment.
Work Mode
This is a fully remote position open to candidates anywhere in the United States.
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.
