Payer Compliance Specialist

We're seeking a Payer Compliance Specialist who will manage payer setup and policy updates while supporting internal training, clean claims, and cross-functional compliance projects.

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 its inception in late 2019. 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.

What You Would Be Doing

• 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.
• 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.
• Support audit and compliance efforts by assisting with external payer responses, conducting internal reviews, and ensuring required training is completed.
• Maintain up-to-date reference materials and serve as a resource to internal teams on payer rules and workflows.
• Collaborate cross-functionally on special projects to improve payer compliance, documentation, and training systems.

What You Bring to Expressable

Education and Experience

• 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.
• Experience working within a healthcare setting is required.
• Familiarity with payer contracts, reimbursement policies, and healthcare documentation standards.
• Medical Billing/Coding Certification not required, but a plus.

Technical Skills

• 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

• 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.

Why Join Us?

• Exceptional paid time off policies that encourage and support life balance.
• 401k matching to ensure our staff have what they need to enjoy their retirement.
• Health insurance options that ensure well-being for the whole person and their family.
• Company paid life, short-term disability, and long-term disability coverage.
• A remote work environment that strives for connectivity through professional collaboration and personal connection.