by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help people get fair outcomes on their medical claims from the comfort of your home. If you’re detail-oriented, love digging into documentation, and want a stable remote role in healthcare benefits, this is in your lane.
About Allied Benefit Systems
Allied Benefit Systems is a national leader in healthcare benefits administration, partnering with employers to design and manage customized benefit plans. The company focuses on improving member experiences, controlling costs, and simplifying the complexity of medical claims. You’ll be joining a team that values accuracy, service, and strong partnerships with clients and vendors.
Schedule
- Full-time, remote position
- Standard business hours (details may vary by team)
- Must have reliable high-speed internet (cable or fiber) with minimum speeds of 100 Mbps download / 25 Mbps upload
- Role requires consistent availability for phone and online communication
What You’ll Do
- Log, track, and monitor all appeals received related to the Allied Advocate program
- Review appeals and supporting documentation to determine appropriateness and next steps
- Analyze Summary Plan Documents to evaluate the validity of appeals
- Compose appeal responses when needed and coordinate final responses with business partners
- Communicate with internal departments, clients, and partners to clarify information and move appeals toward resolution
- Document appeal status and outcomes in the Qiclink system and related databases
- Prioritize incoming referrals to ensure all tasks are completed within required timeframes
- Perform other related duties as assigned to support the appeals process
What You Need
- Bachelor’s degree or equivalent relevant work experience
- At least 2 years of hands-on experience handling medical claims appeals
- Strong knowledge of medical claims processing and ability to analyze complex claim situations
- Proficiency with Microsoft Office Suite and the ability to learn new systems quickly
- Excellent verbal and written communication skills
- Strong analytical, problem-solving, and organizational skills with sharp attention to detail
- Proven time management skills and ability to consistently meet deadlines
- Comfort working in a remote environment and communicating via phone and digital tools
Benefits
- Competitive hourly pay range of $20.00–$21.00, plus Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance coverage
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
Ready to put your claims expertise to work in a fully remote role with real impact? Apply while this opportunity is open.
Your next solid work-from-home move might start here—don’t sit on it.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help keep seniors safe by making sure the clinicians who treat them are properly vetted and approved. This fully remote Credentialing Specialist role lets you work behind the scenes with provider data, compliance standards, and medical leadership to protect patients and reduce risk.
About Curana Health
Curana Health is a fast-growing, value-based care organization focused on radically improving the health, happiness, and dignity of older adults. They partner with senior living communities and skilled nursing facilities across 32 states, offering on-site primary care, ACOs, and Medicare Advantage Special Needs Plans that improve outcomes and stabilize operations. Their teams blend clinicians, operators, analysts, and support staff into one mission-driven ecosystem serving over 200,000 seniors.
Schedule
- Position type: Full-time
- Work arrangement: Fully remote (U.S.)
- Department: Business Operations / Credentialing
- Must be authorized to work in the United States (no visa sponsorship available)
What You’ll Do
- Support the enterprise-wide credentialing process for practitioners and health delivery organizations following Curana Health policies and procedures
- Maintain credentialing software and databases, ensuring all provider data is accurate, complete, and up to date
- Collect, analyze, and prepare provider-specific data for bi-monthly review by the Credentials Committee
- Track inbound and outbound communication on behalf of Medical Directors to providers
- Communicate with health care practitioners to clarify questions and obtain missing or updated information
- Draft and send formal approval letters, requests for additional information, and termination notices based on Credentials Committee decisions
- Compile and summarize provider responses so they are clear, concise, and ready for committee and documentation review
- Coordinate and prepare the bi-monthly Credentials Committee agenda; accurately record and maintain official meeting minutes
- Review and process NPDB Continuous Query reports and ensure appropriate follow-up actions are taken in a timely manner
- Safeguard confidentiality of practitioner information and handle sensitive data with discretion
What You Need
- High school diploma required; Associate degree preferred
- 2–5 years of hospital or insurance plan credentialing experience
- Working knowledge of Joint Commission, NCQA, URAC, and/or HFAP standards
- Certified Provider Credentialing Specialist (CPCS) preferred
- Strong written and verbal communication skills
- High attention to detail and accuracy when handling provider data and committee documentation
- Ability to manage multiple tasks, deadlines, and communication threads in a fast-moving, highly regulated environment
- Comfort working independently in a remote setting while collaborating closely with clinical and operational leadership
Benefits
- Remote role with impact in a high-growth, mission-driven healthcare company
- Opportunity to directly support quality and safety for older adults across 32 states
- Competitive total rewards package (salary, benefits, and growth opportunities)
- Work with experienced Medical Directors, credentialing teams, and operations leaders
- Join a company recognized on the Inc. 5000 list as one of the fastest-growing private healthcare organizations
Healthcare is tightening standards every year. Roles like this are how you stay relevant, in-demand, and close to the decision-makers. If you’ve got credentialing experience and you want your work to actually protect people, this one is worth a move.
Ready to help decide who gets to care for 200,000+ seniors?
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help patients actually get access to the meds and treatments their doctors prescribe. This fully remote reimbursement role lets you work behind the scenes with providers, payers, and pharmacies to clear insurance roadblocks and move prior authorizations forward.
About CareMetx
CareMetx partners with pharmaceutical, biotech, and medical device companies to support patients from intake to outcomes. They provide tech-enabled hub services that handle reimbursement, benefits, and access so patients can start and stay on specialty therapies. The focus is on smoothing out a confusing system and getting people the care they need faster.
Schedule
- Location: Remote (U.S.)
- Hours: Must be flexible on schedule and hours
- Weekends: Willingness to work weekends when needed to meet business demands
- Overtime: May be required at times based on volume and program needs
What You’ll Do
- Collect and review patient insurance benefit information according to program SOPs
- Support provider offices and patients in completing and submitting insurance forms and program applications
- Prepare, submit, and track prior authorization requests with commercial and government payers
- Maintain frequent phone contact with provider reps, payer customer service, and pharmacy staff
- Triage inbound calls, respond to provider account inquiries, and document all interactions in the CareMetx Connect system
- Provide exceptional customer service and escalate complex or unresolved issues appropriately
- Process insurance and patient correspondence tied to reimbursement and prior auth
- Supply complete documentation needed for payer decisions, including demographics, referrals, NPI, and authorization details
- Report reimbursement trends or delays to program leadership
- Coordinate with internal teams to resolve issues and keep cases moving
- Report all Adverse Events (AE) in line with training and SOPs
What You Need
- High school diploma or GED
- At least 1 year of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, or similar
- Strong verbal and written communication skills
- Ability to build productive working relationships with providers, payers, and internal teams
- Solid organizational skills and strong attention to detail
- General knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Comfortable using Microsoft Excel, Outlook, and Word
- Ability to problem solve and use judgment within standard operating procedures
- Strong time management skills and the ability to handle a moderate workload with competing priorities
- Customer-focused mindset and comfort working independently or as part of a team
Benefits
- Salary range: 30,490.45 to 38,960.02 dollars per year
- Fully remote work environment
- Opportunity to build experience in a specialized, high-impact niche of healthcare access and reimbursement
- Work that supports patients getting critical specialty medications and therapies
If you want a remote role where your attention to detail actually helps people get care, this is worth a serious look.
Make your next job one that moves patients forward, not just paperwork.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help individuals and families take their first real step toward recovery in a fully remote or hybrid admissions role. This is a fast paced, high impact behavioral health admissions coordinator position with strong earnings potential and flexible shifts for remote job seekers.
About Sandstone Care
Sandstone Care is a behavioral health treatment provider focused on teens and young adults struggling with substance use and mental health challenges. With locations across several states and a growing remote team, Sandstone Care blends clinical excellence with compassion, helping families navigate some of the hardest moments in their lives. The work is mission driven, outcomes focused, and rooted in empathy.
Schedule
- Work environment: Remote or hybrid from Denver administrative office
- Location preference: Candidates ideally live in CO, MD, or VA
- Shifts: Day and overnight shifts in Mountain Time
- Weekends: At least one weekend day required
- Status: Full time
- Compensation: 22 to 38 dollars per hour depending on experience, plus incentive compensation based on performance and quality metrics
What You Will Do
- Serve as the first point of contact for individuals and families seeking behavioral health treatment
- Build rapport quickly, assess needs, and guide people step by step through the admissions process
- Handle inbound calls, web form inquiries, and live chats with speed, empathy, and professionalism
- Clearly explain treatment options, levels of care, insurance coverage, and financial expectations
- Coordinate professional referrals and support the outreach and business development teams
- Maintain strong relationships with referral partners, clinicians, and community providers
- Verify insurance benefits, discuss financial options, and coordinate payment plans with clients and families
- Collaborate with billing and finance teams to streamline admissions and payment workflows
- Meet and exceed admissions KPIs such as conversion rates, response times, and client satisfaction
- Document all activity accurately in Salesforce, EMR systems, and billing software
What You Need
- Bachelor’s degree in marketing or behavioral health related field preferred
- At least 3 years of behavioral health admissions experience in inpatient, residential, PHP, or IOP settings
- Strong call center, client engagement, or healthcare sales background
- Proven track record of meeting and exceeding monthly KPIs in a fast paced admissions environment
- High level communication skills, including objection handling and relationship building
- Proficiency with CRM tools, especially Salesforce, plus EMRs and Microsoft Office
- Ability to type at least 50 words per minute while actively engaging with clients
- Comfort with difficult emotional conversations and complex family situations
- A data minded, coachable approach and willingness to participate in ongoing training and performance reviews
- Ability to pass a comprehensive background check including criminal and motor vehicle records
Benefits
- Competitive hourly pay with strong incentive and bonus potential
- Flexible paid time off package, including holidays and wellbeing days
- High quality medical, dental, and vision insurance with majority of premiums paid by the company
- Employee Assistance Program with counseling, legal, financial, and wellness resources
- Professional growth opportunities in a rapidly growing behavioral health organization
- Supportive, collaborative team culture with therapists, admissions specialists, and clinical staff
If you want your remote work to actually matter and you thrive in a performance driven admissions environment, this role puts you right at the front door of life changing care.
Take the next step in your behavioral health career and help families find the support they need.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Work from home in a focused, behind the scenes role that directly impacts how members experience their health benefits. If you have medical claims appeals experience and you love getting into the details to make sure things are correct and fair, this is your lane.
About Allied Benefit Systems
Allied Benefit Systems is a third party administrator specializing in self funded group health plans. They partner with employers, brokers, and carriers to design, administer, and support customized health benefit solutions. Allied combines strong industry expertise, technology, and service teams to help clients control costs while taking care of their members.
Schedule
- Position type: Full time
- Work setting: Fully remote (home office)
- Hours: Standard business hours, Monday through Friday (exact schedule set by team)
- Environment: Desk based role with extended computer and phone work
- Tech requirement: Reliable home internet via cable or fiber with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Monitor and track the status of appeals connected to the Allied Advocate program
- Log and track all appeals received in the internal systems
- Review appeals and supporting documentation to determine appropriateness and completeness
- Read and interpret Summary Plan Documents (SPDs) to evaluate the validity of each appeal
- Draft and compose appeal responses when needed
- Document appeal status, actions, and outcomes in Qiclink and related databases
- Coordinate appeal reviews and responses with internal business partners and external stakeholders
- Communicate with other departments and clients to move appeals toward resolution
- Prioritize incoming referrals and manage workload to meet timelines and quality expectations
- Take on additional related tasks and projects as assigned
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of hands on experience handling medical claims appeals
- Strong working knowledge of medical claims processing
- Proficiency with Microsoft Office Suite or similar software
- Ability to analyze claim situations and choose appropriate actions
- Excellent written and verbal communication skills
- Strong analytical and problem solving skills
- High level of organization, accuracy, and attention to detail
- Proven time management skills with the ability to meet deadlines
- Comfort learning and using new systems and tools
- Ability to sit for long periods and communicate via phone in a remote setting
Benefits
- Pay range: 20 to 21 dollars per hour
- Medical, dental, and vision insurance
- Life and disability insurance
- Generous paid time off
- Tuition reimbursement
- Employee Assistance Program (EAP)
- Technology stipend for remote work setup
- Remote friendly culture with support to help you work effectively from home
If you’re ready to use your medical claims appeals experience in a fully remote role where accuracy and follow through really matter, don’t wait.
Step toward a more flexible work life while still doing meaningful, member focused work.
Happy Hunting,
~Two Chicks…
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