Payer Compliance Specialist

Full-time Exempt Direct Hire
Remote in the United States
$24.00 - $27.00 per hour

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 financial clearance team. We are seeking a detail-oriented and proactive billing professional with at least two years of experience in medical claims, specialty billing, and accounts receivable; adept at navigating complex payer requirements, resolving denials and discrepancies, and maintaining accurate documentation across EHR and CRM systems; with strong communication skills, a collaborative mindset, and a commitment to compliance and process improvement.

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).

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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.

Physical Demands and Work Environment

The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job consists of sedentary work that primarily involves sitting/standing. While performing the duties of this job, the employee is regularly required to type on a computer keyboard, read documentation, and communicate via telephone regularly throughout the day. Visual acuity must be high enough to view computer screens and to read technical documentation communicated via electronic transmission such as email, shared drives, and chats.

This job operates in a remote home office utilizing standard office equipment such as computers, tablets, monitors, and telephone.

Why Join Us?

• Exceptional paid time off policies that encourage and support life balance, including a winter break.

• 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

• Remote work environment that strives for connectivity through professional collaboration and personal connections

NOTE

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

More about Expressable
Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone - clients, caregivers, speech-language pathologists, and team members - can achieve their highest potential.

We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.

Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.

Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

E-Verify

Federal law requires all employers to verify the identity and employment eligibility of all person hired to work in the United States. Expressable participates in E-Verify.

E-Verify Participation Poster

E-Verify Right to Work Poster