Unknown Company

Payer Compliance Specialist

workfromhome • Posted 5 days ago
Remote Contract Healthcare Practitioners and Technical Occupations

Analyzing allowed amounts on claims, the full-time remote Payer Compliance Specialist will review variances, appeal for re-processing, and resolve payer issues to ensure compliance with contracts. Key responsibilities Analyze and validate payer variances in work queues, managing corrective actions as needed Gather and file appeal documentation with payers, following up on results within 45-60 days Collaborate with leadership to identify and report systemic payer issues affecting receivables Required qualifications High school diploma or equivalent required Minimum of 2 years of experience in healthcare revenue cycle Functional knowledge of Excel and Word Basic understanding of managed care programs and healthcare billing requirements Familiarity with medical terminology and coding (CPT, ICD-9, ASA) preferred

Back to Job Search