Healthcare Payer Compliance Specialist - 100% Remote

Job Title: Healthcare Payer Compliance Specialist
Status: Full-Time Non-Exempt Direct Hire
Pay: $24.00-$27.00 per hour

Location: 100% Remote (anywhere in the US)

We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our team. We are seeking a Payer Compliance Specialist who will be responsible for ensuring adherence to payer requirements and internal compliance standards by supporting a claim-ready environment across operational teams; driving audit readiness, reducing denials, and improving claim resolution through proactive communication, process review, and cross-functional collaboration for clients entering treatment with Expressable.

About Expressable

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.

The Payer Compliance Specialist ensures adherence to payer requirements and internal compliance standards by supporting a claim-ready environment across operational teams; driving audit readiness, reducing denials, and improving claim resolution through proactive communication, process review, and cross-functional collaboration.

WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.

What You Would Be Doing at Expressable

• 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.

What You Bring to Expressable

• 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).
  

Core Competencies
In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Payer Compliance Specialist should possess the following key competencies.

• Analytical - Strong analytical and critical thinking skills to interpret payer policies and identify operational impacts.

• Communication - Effective verbal and written communication skills, including the ability to deliver training and simplify complex topics.

• Collaboration - Ability to collaborate cross-functionally with billing, clinical, and compliance teams in a fully remote environment.

• Adaptability - Adaptability to evolving payer requirements and healthcare regulations.
  

Physical Demands & Work Environment

The physical demands and work environment described here are represen