by Terrance Ellis | Nov 25, 2025 | Uncategorized
Start your health insurance career with a fully remote role that actually trains you and keeps the work straightforward. As a COB Claims Specialist I, you’ll process claims behind the scenes so members get the right coverage and providers get paid correctly.
About WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicaid, Medicare, and Individual & Family plans. Founded as Boston Medical Center HealthNet Plan more than 25 years ago, WellSense focuses on delivering health coverage that works for real people, no matter their circumstances. The organization is known for its community-minded approach, strong benefits, and long-term stability in the regional health insurance market.
Schedule
Full-time, fully remote position.
Standard office hours with the ability to work overtime during peak periods.
Role is computer-based and performed in a typical home office environment with regular, reliable attendance expected.
What You’ll Do
- Review and process claims that involve Coordination of Benefits (COB), ensuring they adhere to COB rules and payment order.
- Update and maintain member coverage records in claims systems and COB databases.
- Process Medicaid claims in alignment with COB protocols, federal, and state regulations.
- Communicate with healthcare providers to resolve claim issues and answer processing questions.
- Collaborate with internal teams to address claims-related discrepancies and support overall operational effectiveness.
- Perform other claims-related duties as assigned under close daily supervision.
What You Need
- High school diploma or GED.
- At least 2 years of claims processing experience.
- At least 2 years of health insurance experience with familiarity in industry terminology.
- Basic understanding of health insurance COB rules, including Commercial, Medicaid, and Medicare guidelines.
- Ability to navigate multiple computer systems and work comfortably with Microsoft Office tools.
- Strong attention to detail, accuracy, and ability to follow written instructions.
- Clear, professional oral and written communication skills.
- Ability to work independently while functioning as part of a team.
- Preferred: Two consecutive years of work history and one year of Cognizant claims processing experience (Facets, QNXT).
Benefits
- Compensation range: $16.35–$22.84 per hour, depending on experience, skills, and location.
- Fully remote position with long-term stability at an established nonprofit health plan.
- Comprehensive benefits package including medical, dental, vision, and pharmacy coverage.
- 403(b) savings plan with employer match and potential merit increases.
- Flexible Spending Accounts, paid time off, and career advancement opportunities.
- Resources to support employee and family well-being, plus a strong focus on diversity and inclusion.
Remote-friendly claims roles at reputable nonprofit health plans don’t stay on the market long.
If you’ve got claims experience and want a stable, fully remote position with real benefits, this is a solid move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home while helping medically fragile patients get the supplies they need on time. This remote Change Order role is perfect if you’re organized, detail-driven, and comfortable working behind the scenes in a fast-paced healthcare environment.
About Aveanna Healthcare
Aveanna Healthcare is one of the largest providers of home care services in the United States, serving thousands of patients and families nationwide. Their mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time. Aveanna is built on core values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
- Full-time, 100% remote position.
- Role is based on Mountain Time; applicants in Mountain Time region are prioritized.
- Standard weekday schedule with performance expectations tied to accuracy and productivity.
What You’ll Do
- Review and process change requests on existing patient orders.
- Enter demographics and other key details into the digital system, ensuring all change order paperwork is complete.
- Verify insurance coverage, explain benefits to patients and case managers, and collect/process payments when needed.
- Confirm prescription validity, authorization validity, insurance requirements, and patient needs before shipping medical supplies.
- Handle authorization submissions and follow-up, meeting daily expectations for turnaround and accuracy.
- Use payer portals and insurance platforms to research and confirm coverage details.
- Identify patient issues, clarify information, research problems, and provide practical solutions.
- Meet daily, monthly, and quarterly productivity and quality goals set by management.
- Communicate effectively with other departments to address patient concerns and keep orders moving.
- Perform clerical tasks such as faxing, scanning, and copying to support documentation.
- Ensure all work meets internal and external compliance standards, including HIPAA requirements.
What You Need
- High school diploma or equivalent.
- At least 2 years of proven experience in an office, administrative, healthcare, or related role.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong attention to detail with the ability to stay accurate while managing multiple tasks.
- Ability to maintain confidentiality and adhere to professional boundaries at all times.
- Strong organization skills, time management, and a sense of urgency.
- Clear written and verbal communication skills.
- Ability to work independently and as part of a collaborative team.
- Comfort adapting to change and prioritizing multiple tasks to meet deadlines.
- Preferred: Home Health or DME-related experience, and knowledge of insurance processes.
- Preferred: Education or experience equivalent to a bachelor’s degree in a related field.
Benefits
- Pay range: $17.50–$18.00 per hour, depending on experience.
- Health, Dental, Vision, Life, and other insurance options for eligible full-time employees.
- 401(k) Savings Plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote opportunity with thorough training provided.
- Tuition reimbursement, advancement opportunities, and weekly pay with multiple payment options.
Remote healthcare admin roles with steady pay, benefits, and clear responsibilities don’t stay open long.
If you’re detail-oriented, dependable, and ready to work from home in a mission-driven environment, now is the time to jump on this.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help medically fragile patients get the respiratory supplies they need without ever stepping into an office. This remote intake role lets you combine patient-facing compassion with behind-the-scenes detail work that actually keeps care moving.
About Aveanna Healthcare
Aveanna Healthcare is one of the nation’s largest providers of home care for medically fragile children and adults. Their mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time. Aveanna is built on core values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
Full-time, 100% remote position.
Standard hours: 8:00 a.m. – 5:00 p.m. Central Time (Central time zone candidates are prioritized).
Requires a quiet, secure home workspace and reliable internet access.
What You’ll Do
- Admit new respiratory patients by entering demographics and all required information into the digital system.
- Verify insurance coverage, explain benefits to patients and case managers, and collect/process payments when needed.
- Review prescriptions, authorizations, and insurance requirements for accuracy and validity before orders ship.
- Identify patient needs, clarify information, research issues, and provide clear solutions.
- Answer incoming intake calls and assist with overflow call groups as necessary.
- Meet daily, monthly, and quarterly intake and performance metrics set by management.
- Communicate effectively with other departments to resolve patient concerns and keep orders moving.
- Perform general clerical tasks such as faxing, scanning, and copying to complete account files.
- Ensure all work meets internal and external compliance requirements and HIPAA regulations.
- Support Aveanna’s mission and culture by modeling the company’s core values in day-to-day work.
What You Need
- High school diploma or GED.
- At least 2 years of related experience; medical office or customer service experience preferred.
- Knowledge of insurances and respiratory care is a plus.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong organization skills, attention to detail, and the ability to juggle multiple tasks.
- Ability to exercise sound judgment, adapt to change, and maintain confidentiality at all times.
- Excellent written and verbal communication skills.
- Proven ability to work independently at times and also collaborate effectively with team members.
Benefits
- Starting pay of $18.00 per hour.
- Health, Dental, Vision, Life, and additional insurance options for eligible full-time employees.
- 401(k) Savings Plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote opportunity with thorough training provided.
- Tuition reimbursement, advancement opportunities, and weekly pay with multiple payment options.
Remote intake roles with set hours, benefits, and room to grow don’t stay open long.
If you’re detail-oriented, patient-focused, and ready to work from home in healthcare, this is your cue to move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home while helping families get critical in-home healthcare covered and paid. If you know medical insurance collections and want a stable, remote role with clear goals and support, this one is right in your lane.
About Aveanna Healthcare
Aveanna Healthcare is one of the largest providers of home care services in the country, serving thousands of medically fragile patients and their families. The company’s mission is to revolutionize pediatric healthcare, one patient at a time, through compassionate, high-quality home-based care. Aveanna is built on values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
Full-time, remote position based out of Chandler, Arizona (and surrounding areas).
Standard weekday schedule with performance expectations tied to claims volume and collection goals.
Work from a secure home office environment with consistent internet access.
What You’ll Do
- Follow up on medical insurance invoices that have been sent to payers but have not yet been paid.
- Process at least 5 claims per hour while maintaining accuracy and compliance.
- Manage a portfolio of payers, ensuring collections, aging, and denials are handled in a timely manner.
- Research, correct, and resubmit denied or rejected claims.
- Help reduce denials by keeping payer rules and billing details up to date.
- Perform month-end reconciliations and assist other departments as needed.
- Meet daily, monthly, and quarterly collection goals set by management.
- Ensure all work meets internal and external compliance standards, including Medicare and Medicaid requirements.
What You Need
- High school diploma or GED.
- At least 2 years of recent experience in Medical Insurance Collections (required).
- Background in healthcare, medical office, or related customer service setting.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong basic math and accounting skills.
- Proven ability to work in a high call-volume environment with accuracy and efficiency.
- Strong time management, attention to detail, and organization skills.
- Professional communication skills and the ability to remain calm and courteous in stressful situations.
- Commitment to confidentiality, ethics, and excellence in patient and payer interactions.
Benefits
- Pay range from $19.00 to $22.00 per hour, based on experience and qualifications.
- Health, Dental, Vision, and Life insurance options.
- 401(k) savings plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote work opportunity.
- Thorough training and ongoing support.
- Tuition reimbursement and advancement opportunities.
- Weekly pay with multiple payment options.
Remote-friendly medical collections roles like this don’t sit open for long, especially with full benefits and clear growth paths.
If you’ve got the collections experience and want to work from home for a mission-driven healthcare company, this is your sign to move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help keep patient data secure and work at the crossroads of healthcare, IT, and client services. As a Client Access Administrator, you will be the go-to person making sure Jorie employees can access client systems safely, efficiently, and in line with strict security standards.
About Jorie AI
Jorie AI helps healthcare organizations streamline operations with automation, smart workflows, and secure technology. The company focuses on reducing administrative friction so providers can focus more on patient care. Jorie AI stands out for blending healthcare know-how with modern tech and a strong commitment to data protection and compliance.
Schedule
Full-time, remote position based out of Oak Brook, Illinois.
Standard Monday through Friday schedule aligned with U.S. business hours.
Collaboration with IT, security, compliance, and client services teams in a virtual environment.
What You’ll Do
- Create, issue, manage, and revoke access credentials for client payer portals, EMRs, and other software platforms used by Jorie employees.
- Monitor and regulate how employees access client systems to ensure alignment with security policies and service agreements.
- Act as the primary point of contact for access-related issues and questions from both clients and Jorie employees.
- Provide training and guidance on using client portals and healthcare-related platforms so users can work confidently and correctly.
- Perform regular audits of access and activity across client payor portals, EMRs, and other applications to ensure compliance with data protection regulations and internal policies.
- Troubleshoot and resolve access-related issues, including technical problems affecting login or user permissions.
- Maintain clear, accurate records of access permissions, changes, and interactions for auditing and reporting.
- Partner with IT, security, healthcare compliance, and customer service teams to support a secure and seamless client experience.
What You Need
- At least 3 years of experience in healthcare access administration.
- Strong understanding of IT systems, cybersecurity basics, and healthcare IT environments.
- Knowledge of regulatory requirements related to client data, system access, and healthcare industry standards.
- Excellent problem-solving and analytical skills.
- High attention to detail with the ability to stay accurate while handling multiple tasks.
- Strong communication and interpersonal skills for working with both technical and non-technical users.
- Proven ability to handle sensitive and confidential information with integrity.
Benefits
- Full-time, remote role with a stable workload and clear responsibilities.
- Competitive compensation (TBD by employer, based on experience and qualifications).
- Opportunity to work closely with IT, security, and healthcare teams and grow your expertise in access management and compliance.
- A role that directly supports secure, high-quality service delivery for healthcare clients.
If you are detail-driven, comfortable in healthcare tech environments, and serious about secure access, this role is built for you.
Put your experience to work in a position where accuracy and accountability really count.
Happy Hunting,
~Two Chicks…
Recent Comments