Payer Compliance Specialist

A company is looking for a Healthcare Payer Compliance Specialist to ensure adherence to payer requirements and internal compliance standards in a fully remote environment.

Key Responsibilities

Support audit and compliance efforts by assisting with external payer responses and conducting internal reviews

Maintain payer setup and readiness, including fee schedules and portal access

Collaborate cross-functionally on special projects to improve payer compliance and documentation

Required Qualifications

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 and reimbursement policies

Proficiency with practice management systems and claims processing tools

Experience managing EFT / ERA setup and provider enrollment data