Reimbursement Specialist – Remote

Full-Time

About CareMetx
From intake to outcomes, CareMetx delivers innovative patient access solutions that support the full treatment journey. We partner with pharmaceutical, biotechnology, and medical device innovators to provide hub services, technology, and data insights that help patients access specialty therapies faster and stay on treatment longer. Our team is dedicated to improving patient outcomes, supporting providers, and ensuring seamless reimbursement processes.

Schedule

  • Full-time, remote role
  • Must be flexible with schedule and hours
  • Overtime may be required occasionally
  • Weekend availability may be needed based on program demand

Responsibilities

  • Conduct benefit investigations and review patient insurance coverage details
  • Assist providers and patients with completing and submitting insurance forms and program applications
  • Submit prior authorizations, track status, and follow up as needed
  • Deliver exceptional customer service, resolving inquiries promptly and escalating issues when appropriate
  • Maintain frequent communication with provider offices, payers, and pharmacy staff
  • Monitor reimbursement trends or delays and report to leadership
  • Process necessary insurance and patient correspondence
  • Provide all required documentation for prior authorization, including demographic and clinical details
  • Collaborate with internal departments to resolve issues and improve workflows
  • Document all interactions in CareMetx Connect system
  • Identify and report any adverse events in compliance with SOP and training

Requirements

  • High school diploma or GED required
  • 1+ year of experience in a specialty pharmacy, medical insurance, physician’s office, or related healthcare setting
  • Strong knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
  • Strong communication and interpersonal skills (oral and written)
  • Negotiation and problem-solving skills with a customer-first mindset
  • Proficiency with Microsoft Excel, Outlook, and Word
  • Excellent time management, organizational skills, and attention to detail
  • Ability to work independently or collaboratively in a fast-paced environment

Salary
$30,490.45 – $38,960.02 annually

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Paid time off and holidays
  • 401(k) retirement savings plan
  • Additional perks including life insurance, disability coverage, and employee assistance program (EAP)
  • Supportive, mission-driven culture with opportunities for growth

Happy Hunting,
~Two Chicks…

APPLY HERE

AP / AR / Payroll Specialist – Remote

Diversify your work experience, accelerate your career, and increase your earning potential by joining ProNexus as an AP / AR / Payroll Specialist. This role gives you flexibility in how you work while expanding your skills across diverse clients and projects.

About ProNexus
ProNexus is a professional services firm delivering consulting and business solutions in finance, accounting, and IT. Our consultants average 7–20+ years of experience, bringing high competency, productivity, and value to clients across industries. With a people-first culture, we emphasize integrity, flexibility, and growth opportunities for our team members.

Schedule

  • Full-time, part-time, remote, hybrid, and on-site options available
  • Choose engagements based on your availability and career goals
  • Flexible workload to support work-life balance

What You’ll Do

Accounts Payable (A/P)

  • Review, code, and process vendor invoices for timely payment
  • Reconcile vendor statements and resolve discrepancies
  • Manage payments via checks, wires, and electronic transfers
  • Maintain accurate vendor records and respond to inquiries

Accounts Receivable (A/R)

  • Generate and distribute accurate customer invoices
  • Monitor receivables and follow up on overdue accounts
  • Process and reconcile customer payments
  • Investigate and resolve billing discrepancies

Payroll

  • Process payroll accurately and in compliance with company/client policies
  • Ensure timely payments and maintain payroll records

Cash Flow & Reporting

  • Monitor cash flow projections and recommend optimizations
  • Assist in preparing monthly, quarterly, and annual financial reports
  • Analyze trends and identify opportunities for process improvements

Collaboration & Process Improvement

  • Partner with internal teams and clients to address issues
  • Implement best practices for efficiency and accuracy
  • Provide excellent customer service to stakeholders

What You Need

  • Bachelor’s degree in Accounting, Finance, or related field preferred
  • Minimum 2 years of experience in A/P, A/R, or related finance roles (all levels encouraged, including 25+ years of experience willing to be hands-on)
  • Proficiency in accounting software/ERP systems (QuickBooks, SAP, Oracle, etc.)
  • Strong attention to detail, organizational skills, and problem-solving abilities
  • Effective communication skills and ability to interact with vendors, customers, and colleagues
  • Experience in client-facing, consulting, or advisory roles a plus

Benefits

  • Flexible work arrangements (remote, hybrid, part-time, or full-time)
  • Competitive compensation based on scope of engagement
  • Exposure to diverse industries and projects to strengthen career marketability
  • Opportunity to control workload and balance professional and personal goals

Advance your career with ProNexus—where integrity, flexibility, and growth define how we work.

Happy Hunting,
~Two Chicks…

APPLY HERE

Credentialing Specialist (Contract) – Remote

Flexible contract opportunity supporting provider credentialing and contracting with top healthcare carriers.

About pMD
At pMD, we hold ourselves to exceptionally high standards to provide unparalleled service to healthcare professionals, their staff, and their patients. Our mission is to reduce medical errors, save patient lives, and empower physicians to remain financially independent. We are a team of courageous, caring healthcare warriors committed to making a lasting impact.

We value discipline, problem-solving, and efficiency while also recognizing the importance of life outside of work. Our mentorship culture develops leaders and ensures every team member embodies our core values so we can thrive together as an enduring great company.

Schedule & Contract Details

  • Contract role, fully remote (US-based)
  • Must be available during insurance carrier business hours: Monday–Friday, 8 AM – 5 PM EST
  • Flexible workload: choose how much work you accept based on availability
  • Compensation is per completed task, allowing ultimate flexibility:
    • Follow-Up Call: $3.98/unit
    • Initial Hospital Privileges: $13.44/unit
    • Address Update: $2.98/unit
    • Roster Update/Initial Request/Link Provider: $5.97/unit
    • Initial Contracting/Credentialing Application: $13.44/unit
    • Re-credentialing/Reappointment Application: $8.96/unit
    • CAQH Attestation: $2.98/unit
    • ERA Enrollment: $5.97/unit
    • EFT Enrollment: $5.97/unit

Responsibilities

  • Complete provider contracting and credentialing applications with insurance carriers.
  • Prepare and submit initial and reappointment applications for privileges at healthcare facilities.
  • Process claims, remittance agreements, ERA enrollments, and EFT enrollments via payer portals and clearinghouse software.
  • Request updates to provider practice demographics and participation status with insurance carriers.
  • Perform outreach to carriers to confirm status of applications and updates.
  • Record and document all communication and instructions clearly in task management software.
  • Collaborate with the Credentialing Department on urgent matters and provide weekly availability updates.

Requirements

  • Experience completing credentialing/contracting applications and payer outreach.
  • Exposure to EDI agreements and EFT agreements preferred.
  • Knowledge of basic medical credentialing and administrative terminology.
  • Exceptional attention to detail with the ability to work independently.
  • Strong communication and problem-solving skills.
  • Must reside in the U.S. and be authorized to work.

Why Contract with pMD?

  • 100% remote with complete flexibility to set your own workload.
  • Paid per task, allowing you to maximize earnings on your own schedule.
  • Work with a mission-driven team making a real difference in healthcare.

pMD is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, national origin, sexual orientation, age, disability, genetic information, or any other status protected by law.

If you have credentialing experience and want the flexibility to work from home while supporting healthcare providers nationwide, we encourage you to apply.

Happy Hunting,
~Two Chicks…

APPLY HERE

Provider Enrollment Specialist – Remote

Support healthcare providers by ensuring accurate and compliant enrollment with payers, helping improve reimbursements and patient care.

About Infinx
Infinx is a fast-growing company delivering innovative technology solutions to healthcare providers, including physician groups, hospitals, pharmacies, and dental groups. We leverage automation and intelligence to solve revenue cycle challenges and maximize reimbursements. Diversity and inclusivity are at the core of our values, creating a workplace where every team member feels valued, supported, and heard. Infinx is proud to be recognized as a 2025 Great Place to Work® in both the U.S. and India.

Schedule

  • Full-time, remote role
  • Hours: Monday–Friday, 8:30 AM – 5:00 PM CT

Responsibilities

  • Complete provider payer enrollment/credentialing and recredentialing for all identified payers on time.
  • Resolve enrollment issues by collaborating with physicians, non-physicians, office staff, management, and insurers.
  • Guide providers and practice managers on credentialing/recredentialing requirements to ensure compliance.
  • Gather updated provider information from licensing boards, malpractice insurers, training programs, and other sources.
  • Identify and resolve issues with primary source verification by researching and analyzing data.
  • Proactively update provider credentialing data before expiration; maintain and update databases or departmental software.
  • Support new provider onboarding with enrollment functions.
  • Communicate updated payer enrollment information, including provider numbers, to practice operations.
  • Maintain and track provider databases for executive and operational reporting.
  • Continuously identify and recommend process improvements for accuracy and efficiency.
  • Perform additional duties as assigned.

Requirements

  • High school diploma or equivalent required.
  • 3+ years of experience in a physician practice, payer credentialing, or provider enrollment.
  • Experience with payer billing requirements, claims processing, auditing, and quality assurance.
  • Experience with California Medicaid enrollments preferred.
  • Proficiency with Microsoft Word, Excel, Outlook, and PDF tools.
  • Strong organizational, multitasking, and project management skills.
  • Excellent written and verbal communication skills with attention to detail.
  • Knowledge of healthcare contracts preferred.

Benefits

  • Competitive pay
  • Medical, dental, and vision coverage
  • 401(k) retirement savings plan
  • Paid time off and holidays
  • Company-covered life insurance and disability
  • Pet care coverage, Employee Assistance Program (EAP), and other perks

If you are an experienced Provider Enrollment Specialist ready to make an impact and join an inclusive, mission-driven organization, we encourage you to apply today.

Happy Hunting,
~Two Chicks…

APPLY HERE

Billing Representative II – Remote

Join a growing team where your work directly impacts providers, patients, and the future of healthcare. R1 RCM is seeking a Billing Representative II to support revenue cycle operations through claim review, error resolution, and patient account support.

About R1 RCM
R1 RCM is a leading provider of technology-enabled revenue cycle management services for hospitals, health systems, and physician practices. With over 22,000 global associates, R1 partners with providers to simplify the healthcare experience through innovation, technology, and expertise. Headquartered in Salt Lake City, UT, R1 is publicly traded and rapidly expanding.

Schedule

  • Full-time, remote role
  • Standard U.S. business hours
  • Pay range: $16.39 – $24.29 per hour (based on experience, location, and skills)

What You’ll Do

  • Review patient accounts to ensure claims are accurate and compliant
  • Identify and resolve claim denials, applying payer guidelines and requirements
  • Proactively fix claim errors and resubmit as needed
  • Respond to inquiries from external sources and assist patients with billing questions
  • Maintain quality and efficiency standards while handling account resolutions

What You Need

  • Strong attention to detail and ability to execute processes accurately
  • Proven problem-solving skills and ability to identify and communicate issues
  • Computer literacy, including Excel and Microsoft Office
  • Strong communication and customer service skills
  • Self-motivation and ability to work independently

Preferred

  • Experience with medical billing or claim processing
  • Familiarity with payer guidelines and denial management

Benefits

  • Competitive hourly pay ($16.39 – $24.29)
  • Comprehensive medical, dental, and vision plans
  • 401(k) with company contributions and employee stock purchase plan
  • Paid time off, flexible scheduling, and family leave options
  • Wellness programs, financial coaching, tuition assistance, and more

R1 is committed to diversity, equity, and inclusion, and offers equal opportunity employment in a workplace free from discrimination or harassment.

This is your chance to build a career with an industry leader in healthcare revenue cycle management.

Happy Hunting,
~Two Chicks…

APPLY HERE