Healthcare Payer Compliance Specialist - 100% Remote

Expressable(1 month ago)

RemoteFull TimeJunior$58,560 - $78,610 (estimated)Corporate

About this role

The Healthcare Payer Compliance Specialist at Expressable is responsible for ensuring adherence to payer requirements and internal compliance standards to foster a claim-ready environment across operational teams. This role involves driving audit readiness, reducing denials, and improving claim resolution through proactive communication and collaboration, while managing payer setup, interpreting contracts, and maintaining compliance documentation. The Specialist also monitors payer policy changes and collaborates cross-functionally on projects to enhance compliance and documentation processes.

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Required Skills

Audit Support
Compliance Management
Claim Submission
Payer Contract Interpretation
Policy Monitoring
Cross-Functional Collaboration
Healthcare Documentation
Revenue Cycle Operations
Medical Billing
Analytical Skills

+6 more

Qualifications

Associate’s degree in healthcare administration, business, or a related field
Bachelor’s degree in healthcare administration, business, or a related field

About Expressable

www.expressable.com

Expressable is a leading provider of online speech therapy services, offering one-on-one sessions tailored to the needs of both children and adults. The platform connects clients with licensed speech therapists who provide personalized care, including practice activities and ongoing support, enhancing communication skills in a comfortable home environment. With a focus on evidence-based practices, Expressable has helped thousands achieve their speech and language goals, earning a 4.9 average rating from clients. They also accommodate various insurance plans and provide flexible scheduling to meet diverse needs.