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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