Remote Payer Compliance Specialist I

US Anesthesia Partners is hiring a Remote Payer Compliance Specialist I to support healthcare reimbursement, payer compliance, appeals management, and revenue cycle operations. This position focuses on analyzing insurance payment variances, identifying underpayments and overpayments, researching payer issues, and helping ensure the organization receives the correct reimbursement according to contractual agreements.

This Remote Payer Compliance Specialist role fits best as a low-to-moderate phone healthcare position. Team members communicate with insurance companies, internal revenue cycle departments, leadership teams, and contract management professionals. However, the majority of daily responsibilities involve analysis, research, documentation review, variance validation, and appeals processing rather than continuous phone work.

Daily responsibilities include reviewing payer variances, validating allowable payment amounts, researching discrepancies, preparing appeals, gathering supporting documentation, tracking appeal outcomes, and escalating unresolved issues when necessary. Specialists also monitor payer trends, investigate systemic reimbursement issues, analyze refund requests, and collaborate with leadership to improve reimbursement accuracy.

The role requires strong analytical skills, attention to detail, problem-solving abilities, and the capacity to identify patterns that affect revenue performance. Team members review payer policies, contractual requirements, and reimbursement activity to ensure claims process correctly and financial variances receive proper resolution.

Additional responsibilities include communicating findings to leadership, supporting contract compliance efforts, documenting account activity, and helping identify operational improvements that reduce reimbursement errors. Strong Excel skills, organizational abilities, and written communication skills support success in this position.

The pay range for this Remote Payer Compliance Specialist position is $16.49 to $26.39 per hour, with eligibility for quarterly performance bonuses. US Anesthesia Partners offers an opportunity to work within a healthcare revenue cycle environment while developing expertise in payer compliance, appeals management, reimbursement analysis, and healthcare operations.

Overall, this position is a strong fit for professionals who enjoy research, discrepancy analysis, documentation review, appeals management, payer investigations, and revenue cycle support within a healthcare-focused environment.