9h ago
Healthcare Payer Compliance Specialist
Remote
$49.9k-$56.2k / year
full-timemid Remotehealthcare
🛠 Tech Stack
💼 About This Role
You'll ensure payer compliance and audit readiness for a virtual speech therapy practice, supporting cross-functional teams through proactive communication and process review. You'll interpret payer contracts and maintain claim-ready environments to reduce denials.
🎯 What You'll Do
- Support audit and compliance efforts with external payer responses and internal reviews.
- Maintain payer setup including fee schedules, EFT/ERA configuration, and portal access.
- Interpret payer contracts and manuals to support clean claim submission.
- Monitor payer updates and policy changes, assist with implementation and compliance tracking.
📋 Requirements
- Associate’s or Bachelor’s degree in healthcare administration or related field.
- 3+ years of experience in medical billing, revenue cycle, or payer compliance.
- Familiarity with payer contracts, reimbursement policies, and healthcare documentation standards.
- Proficiency with practice management systems and claims processing tools.
✨ Nice to Have
- Experience with EFT/ERA setup and provider enrollment data.
- Strong spreadsheet and document management skills (Google Workspace or Microsoft Office).
🎁 Benefits & Perks
- 🏖️ Exceptional PTO including a winter break
- 💰 401k matching
- 🏥 Health insurance for the whole person and family
- 🛡️ Company-paid life, short-term, and long-term disability
- 🏡 Remote work environment with connectivity and collaboration
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