Account Investigator, Refunds – Remote

If you love solving puzzles and you’re sharp with medical billing, this role puts you right where the money meets the mission. You’ll help resolve credit balances accurately and on time, making sure patients and carriers get the right refunds or adjustments.

About Zotec Partners
Zotec Partners partners with physicians to simplify the business of healthcare. With 25+ years in the industry and 900+ employees nationwide, they bring innovation, collaboration, and execution to healthcare revenue cycle work. Their teams help streamline complex billing processes so providers and patients can focus on what matters most.

Schedule
Remote, full-time role. Must be able to prioritize workload, meet goals, and collaborate effectively within a team environment while working from home.

What You’ll Do

  • Investigate patient accounts to determine whether refunds and/or adjustments are needed
  • Resolve credit balances through timely, accurate analysis of account activity and documentation
  • Use knowledge of commercial and governmental carrier types during account review
  • Apply medical accounts receivable knowledge with strong attention to detail and problem-solving
  • Complete other duties as assigned

What You Need

  • High school diploma or equivalent
  • Ability to understand, analyze, and interpret medical billing documentation and data
  • Physician billing experience in AR, refunds, and/or payments
  • Strong organizational skills and clear verbal and written communication
  • Strong problem-solving skills with attention to detail and the ability to resolve critical issues
  • Ability to prioritize workload and meet specific goals and objectives
  • Ability to exercise discretion and independent judgment in day-to-day work
  • Ability to collaborate effectively in a team setting

Benefits

  • Remote work opportunity
  • Supportive network of experienced professionals
  • Autonomy in your work with strong team backing and resources

Roles like this move fast when the fit is right, so don’t sit on it.

If you’re ready to bring precision, accountability, and calm problem-solving to a team that values doers, jump in.

Happy Hunting,
~Two Chicks…

APPLY HERE

Educator, Clinical Documentation Improvement – Remote

If you know CDI inside and out and you’re the person people come to when the documentation, queries, and DRG accuracy need to tighten up, this is a true “teach the teachers” kind of role. You’ll own onboarding, education, and quality lift across the CDI team and partner groups.

About Ensemble Health Partners
Ensemble Health Partners provides technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They deliver end-to-end revenue cycle services and point solutions that help keep hospitals healthy.

Schedule
Full-time, remote (nationwide)
May require periodic onsite coverage

What You’ll Do

  • Build and continuously improve onboarding and training for new Clinical Documentation Specialists (CDSs)
  • Lead and coordinate CDI staff education, mentoring, and orientation materials with CDI leadership
  • Deliver customized education to clinical and operational audiences (CDS/coders, providers, APPs, nursing, dietary, quality, leadership, etc.) via 1:1 and group sessions
  • Recommend documentation improvements and compliant queries to accurately capture severity, acuity, risk of mortality, and correct DRG assignment
  • Educate CDI team members on CDI review functions, enterprise goals, SOPs, compliance, and regulatory requirements
  • Maintain and help develop CDI policies and procedures; stay current on CDI guidelines and coding clinic guidance
  • Serve as a resource for accurate and ethical documentation standards and regulatory requirements
  • Draft compliant queries aligned with AHIMA/ACDIS guidance
  • Perform medical record reviews for documentation completeness, severity/risk capture, and clinical validation
  • Determine whether professionally recognized quality-of-care standards are met
  • Audit CDS work as needed; create individualized education plans based on QA outcomes and provide targeted mentoring
  • Coordinate SMART-related education, meetings, and department requirements as directed

What You Need

  • Active Registered Nurse (RN) license (required)
  • 3+ years of CDI experience
  • Strong organization, attention to detail, and self-motivation
  • Excellent speaking and presentation skills
  • Working knowledge of Microsoft tools, including building PowerPoint presentations
  • One or more relevant certifications (required), such as:
    • CCDS and/or CDIP and/or CRCR
    • Coding-related certification(s)
    • Other approved job-relevant certification

Benefits

  • Starting salary: $69,400 (final compensation based on experience)
  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits
  • Career advancement

If you’re built for training, auditing, and elevating CDI practice across teams while keeping everything compliant, this is a strong lane.

Happy Hunting,
~Two Chicks…

APPLY HERE.

Senior Accounts Receivable Specialist – Remote

If you’re good at chasing down claim status, decoding denial reasons, and pushing appeals through without dropping a single detail, this role is built for you. It’s revenue cycle A/R follow-up with a mentoring lane and “get the cash in” urgency.

About Ensemble Health Partners
Ensemble Health Partners provides technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They deliver end-to-end revenue cycle services and point solutions to help keep hospitals healthy.

Schedule
Full-time, remote (nationwide)

What You’ll Do

  • Perform payer follow-up, denial work, and appeal submissions (technical and clinical) to secure timely reimbursement
  • Investigate denied and unpaid claims to identify discrepancies, underpayments, and delays
  • Communicate directly with commercial and government payers to resolve claim issues and payment variances
  • Identify denial trends and payer policy changes, then share recommendations to remediate root causes
  • Follow up on clean claim delays and add issues to escalation tracking/spreadsheets
  • Mentor AR Specialist team members on denials, follow-up strategy, and appeals processes
  • Provide guidance to teammates on resolving complex accounts and filing appeals correctly
  • Take meeting minutes for payer escalation calls and share key takeaways with AR associates
  • Maintain strong understanding of payer requirements and federal/state regulations, acting accordingly
  • Document all activity accurately in host and tracking systems (contacts, phone numbers, notes, outcomes)
  • Support leadership with special projects tied to AR reduction and cash acceleration
  • Meet productivity and quality standards; assist with additional duties/projects as assigned

What You Need

  • High School Diploma, GED, or equivalent experience
  • 1–3 years of experience (preferred: medical collections, AR follow-up, denials/appeals, professional billing, provider relations, compliance, or revenue cycle)
  • Proficiency in Microsoft Excel and basic computer skills
  • Strong verbal communication, critical thinking, and problem-solving skills
  • Ability to review an account, determine a plan of action, and execute it
  • Adaptability in changing procedures and a growing environment
  • Certification: CRCR upon hire or within 9 months (or other approved job-relevant certification)
  • External candidates must meet productivity and quality standards by day 90 (per posting)

Benefits

  • Pay: $18.65–$20.50/hour (based on experience)
  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits
  • Career advancement opportunities

Take action if you’ve done AR follow-up/denials and you like the “hunt it down, fix it, document it” rhythm.

Happy Hunting,
~Two Chicks…

APPLY HERE.

Virtual Utilization Review Specialist – Weekends – Remote

If you’re a licensed nurse who knows how to read a chart fast, apply medical necessity criteria, and keep payors, physicians, and internal teams moving in the same direction, this weekend schedule is a solid setup. It’s clinical review work with a revenue integrity backbone.

About Ensemble Health Partners
Ensemble Health Partners provides technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They deliver end-to-end revenue cycle services and point solutions to support hospitals and communities.

Schedule

  • Part-time, remote (nationwide)
  • Weekend-focused compressed schedule
  • Part-time schedule: Saturday and Sunday, 10-hour shift each day
  • Note: Part-time schedule requires an Illinois license (per posting)

What You’ll Do

  • Conduct medical necessity reviews for admissions and continued stays using approved clinical criteria
  • Determine appropriate patient status and communicate outcomes to care management and relevant partners
  • Provide inpatient and (as indicated) observation clinical reviews for commercial carriers to the Financial Clearance Center within one business day of admission
  • Identify over/under-utilization risks using proactive triggers (diagnoses, cost criteria, complications) and refer to physician advisor as needed
  • Collaborate with interdisciplinary teams to remove barriers to patient progression and support proper resource utilization
  • Coordinate denial management activities including P2P support and appeal documentation when assigned
  • Track denial trends, assist with denial updates and overturned days, and monitor for readmissions
  • Maintain accurate documentation across payor, physician, FCC, and care management communications
  • Manage assigned revenue cycle workflow queues (ConnectCare and ADT work queues)
  • Maintain professional communication via voicemail, Skype, and email; respond within established guidelines and SLAs
  • Support department goals through teamwork, process improvement participation, and backup coverage as needed

What You Need

  • Current, unrestricted LPN or RN license (required); RN compact license preferred
  • Bachelor’s degree in Nursing or related field, or equivalent experience
  • Ability to work a compressed weekend schedule
  • High-speed internet for remote work
  • Strong clinical assessment, organization, and problem-solving skills
  • Strong communication and negotiation skills with physicians, payors, and interdisciplinary teams
  • Preferred: 5 years acute care nursing experience
  • Preferred: utilization review and/or discharge planning experience
  • Preferred: working knowledge of medical necessity review criteria and quality improvement processes

Benefits

  • RN pay scale: $32.65–$35.85/hour (based on experience)
  • LPN pay scale: $24.65–$26.35/hour (based on experience)
  • Shift differential for select shifts
  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits
  • Career advancement opportunities

If you’re not an RN/LPN with the right license, this one’s a hard no. But if you are, and you can handle the pace and the documentation, it’s a strong weekend-only clinical role.

Happy Hunting,
~Two Chicks…

APPLY HERE.

HR Onboarding Specialist – Remote

If you like running point on onboarding and you’re calm when the details get messy (backgrounds, occupational health, compliance, multiple stakeholders), this one is built for that. It’s basically: “Make every new hire’s first impression smooth, accurate, and on time.”

About Ensemble Health Partners
Ensemble Health Partners provides technology-enabled revenue cycle management solutions for health systems, including hospitals and physician groups, with a focus on meaningful service and strong client/patient experiences.

Schedule

  • Full-time
  • Remote (nationwide)

What You’ll Do

  • Manage onboarding, compliance, and occupational health requirements for an assigned book of business
  • Run new client intake discussions, spot bottlenecks, and streamline onboarding workflows
  • Create and maintain SOPs to support peer training and cross-functional consistency
  • Interpret occupational health medical results and determine required vaccinations for client compliance (Joint Commission aligned)
  • Guide new hires and integration associates through onboarding steps to completion, on time and compliant
  • Partner with background/occupational health vendors, HR, Talent Acquisition, and hiring leaders to keep the process moving
  • Review onboarding requirements for accuracy and determine employment eligibility based on findings
  • Handle escalations with TA leadership and proactively reduce onboarding risk
  • Navigate sensitive conversations (rescinds, start-date changes, background findings) with discretion and confidentiality
  • Troubleshoot system/integration gaps and collaborate with IT, Workday, and external partners
  • Run onboarding controls/audits to reduce risk and improve consistency
  • Support additional HR projects as assigned

What You Need

  • 3–5 years of experience in a similar role (talent onboarding preferred)
  • Strong communication and problem-solving skills
  • Bachelor’s degree or equivalent experience
  • Willingness to obtain CRCR certification within 9 months of hire

Benefits

  • Pay: $22.45–$26.35/hour (based on experience)
  • Bonus incentives
  • Paid certifications
  • Tuition reimbursement
  • Comprehensive benefits
  • Career advancement opportunities

If you’ve got the stomach for compliance-heavy onboarding and you’re the type who keeps people calm while you move the process forward, this is a real contender.

Happy Hunting,
~Two Chicks…

APPLY HERE.