by Terrance Ellis | Aug 29, 2025 | Uncategorized
Help streamline provider enrollment and maintain compliance from the comfort of your home.
About BroadPath
BroadPath delivers trusted business services for the healthcare industry, specializing in compliance-driven solutions that improve accuracy, efficiency, and provider experience. Our fully remote culture values accountability, innovation, and inclusivity.
Schedule
- Remote (U.S.-based)
- Full-time role
What You’ll Do
- Research, review, and categorize provider enrollment applications (855B, 855I, 855 RSA Reassignments, Reactivations)
- Enter and update provider data in internal systems and claims processing platforms
- Perform quality checks on enrollment data and ensure compliance with CMS guidelines
- Manage inbound/outbound FAX queues and send notification letters
- Handle application returns and acknowledgments, ensuring timely communication
- Provide support with status calls, data entry, and special mailings
- Guide providers through the enrollment process and assist with phone support
- Verify credentialing information and perform fraud detection/prevention
- Appear on camera for operations-related activities if required
What You Need
- High school diploma or equivalent
- Minimum 1 year of Provider Enrollment experience under a Medicare Administrative Contractor (MAC)
- Proficiency in Microsoft Word, Excel, Outlook, and SharePoint
- Advanced multitasking and data entry skills
- Knowledge of provider enrollment definitions, terminology, forms, and regulations
- Required system experience: PECOS and MCS
Benefits
- Competitive pay based on experience and market data
- Equal opportunity employer committed to diversity and inclusion
- Career growth opportunities within a supportive remote-first culture
Be part of a team that values precision, compliance, and innovation in healthcare operations.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 29, 2025 | Uncategorized
Help ensure accurate and timely claims adjudication while working from home.
About BroadPath
BroadPath is a leader in healthcare business services, supporting health plans and providers with compliance-driven solutions that improve accuracy, efficiency, and outcomes. We’ve built a collaborative, fully remote culture that values authenticity, diversity, and innovation.
Schedule
- Remote (U.S.-based)
- Full-time role
Responsibilities
- Process Medicaid insurance claims accurately, ensuring all data is entered and verified
- Review and adjudicate claims based on guidelines, regulations, and best practices
- Use QNXT systems to manage claims and maintain real-time updates
- Adhere to CMS regulations and ensure compliance at every step
- Troubleshoot and resolve discrepancies within claims
- Maintain accurate records, documentation, and reports to track claim status and outcomes
- Communicate with internal teams and external partners to clarify questions or resolve issues
- Stay updated on policy changes, healthcare regulations, and industry standards
- Support process improvements to increase claims accuracy and efficiency
- Perform additional duties as assigned
Requirements
- Minimum 1 year of experience in Medicaid claims processing
- Proficiency in QNXT claims systems
- Strong attention to detail and analytical skills
- Excellent organizational and time management skills
- Effective verbal and written communication abilities
- Ability to work independently in a remote environment
- High school diploma or equivalent required
Compensation & Benefits
- Competitive pay, determined by experience and location
- Equal opportunity employer with a strong commitment to diversity and inclusion
- Supportive, engaging remote culture with career growth opportunities
BroadPath celebrates diversity and fosters an inclusive environment where everyone feels valued and empowered. Join us and make a difference in healthcare from anywhere in the U.S.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 29, 2025 | Uncategorized
Join a trusted leader in healthcare operations and put your coding expertise to work from home.
About BroadPath
BroadPath is a leader in remote healthcare services, supporting health plans and providers with compliance-driven solutions that improve accuracy, efficiency, and patient outcomes. Our connected culture values transparency, authenticity, and collaboration—making remote work engaging and rewarding.
Schedule
- Remote (U.S.-based)
- Full-time role
Responsibilities
- Accurately code insurance claims into the database system
- Ensure compliance with CMS, NCQA, and other regulatory requirements
- Follow up with providers and coordinate with internal teams and vendors
- Complete medical record requests on time to meet departmental goals and deadlines
- Support quality improvement by collecting and analyzing medical record data
- Perform data extraction, financial reconciliation, and ad hoc analysis
- Present findings to senior leaders and contribute to ongoing projects
Requirements
- Valid Medical Coder certification from AHIMA or AAPC (CCS, CCS-P, RAC, CPC, COC, CRC, CIC)
- Minimum 2 years of experience in medical claims coding
- Strong knowledge of Medicare severity adjustment processes and tools
- Experience with claims code editing applications (Optum CES, ClaimsXten, etc.)
- Familiarity with industry coding rules (NCCI, AMA)
- Proficiency in professional and institutional billing claims
- Strong organizational, analytical, and communication skills
Preferred
- Recent coding experience (within the last year)
- Experience working with multiple vendors and/or health plans
Compensation & Benefits
- Competitive pay based on experience and location
- Equal opportunity employer with a strong commitment to diversity and inclusion
- Supportive, engaging remote culture with career growth opportunities
BroadPath celebrates diversity and fosters an inclusive environment where everyone feels valued and empowered. Join our team and make an impact in healthcare from anywhere in the U.S.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 29, 2025 | Uncategorized
Work from the comfort of home while helping patients access the medications they need.
About BroadPath
BroadPath is a leader in remote healthcare services, building strong connected teams with transparency, authenticity, and collaboration. We specialize in healthcare operations support, helping providers, members, and partners with solutions that improve access, efficiency, and patient outcomes. Our culture thrives on connection and on-camera collaboration, creating an engaged and supportive environment for every team member.
Schedule
- Remote (U.S.-based)
- Full-time position
- Must be available for required training with 100% attendance during the first 60 days
What You’ll Do
- Verify eligibility and coverage for prescribed medications
- Assist callers when medications are not covered, including building prior authorizations
- Provide updates on authorization status to members and providers
- Review medication inquiries and follow up with healthcare providers
- Accurately interpret provider documentation and enter data into the database
- Manage multiple priorities with excellent communication and attention to detail
What You Need
- 1+ years of healthcare, claims, or medical administrative experience
- 2+ years of customer service or call center experience
- 1+ years of recent continuous employment with a previous employer
- Knowledge of medical and healthcare terminology
- Strong computer/data entry skills; proficient in Microsoft Office
- High school diploma or equivalent required
- Reliable hardwired internet (minimum 25mbps download / 10mbps upload)
- Must provide your own 19″ monitor or larger with VGA/HDMI, USB wired mouse, ethernet cable, and wired keyboard
- Excellent verbal and written communication skills
Preferred
- Prior experience managing or processing medication prior authorizations
Benefits
- Competitive compensation based on experience and location
- Supportive, engaged remote culture with on-camera collaboration
- Equal opportunity employer with strong diversity and inclusion values
- Growth opportunities within a leader in healthcare operations
BroadPath celebrates diversity and is committed to an inclusive environment where all employees feel valued and empowered.
Join a team where your expertise makes a direct impact on patient care and access to life-changing medications. Apply today!
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 29, 2025 | Uncategorized
Support healthcare operations with precision and compliance.
About BroadPath
BroadPath is a trusted partner in health plan operations. We specialize in delivering innovative solutions that keep provider credentialing accurate, timely, and fully compliant with NCQA, CMS, and state requirements. Our work empowers providers to deliver high-quality care while ensuring regulatory excellence.
Schedule
- Remote (U.S.-based)
- Full-time position
- Must be able to meet deadlines and handle high-volume credentialing tasks
Responsibilities
- Verify provider credentials through approved sources in a timely and accurate manner
- Track and process credentialing and re-credentialing applications
- Enter and update provider information in the credentialing database
- Maintain and update provider demographics
- Monitor and manage data from delegated entities
- Communicate with providers and office staff regarding credentialing status and documentation needs
- Identify and report non-compliance or credentialing issues
- Ensure confidentiality of sensitive data and documents
- Perform other duties as assigned
Requirements
- 1+ years of provider credentialing experience in a health plan setting
- Minimum typing speed: 50 WPM and 135 KSPM on ten keys
- Strong organizational and time management skills
- Ability to meet deadlines in high-volume environments
- Independent worker who thrives in a team setting
- Strong attention to detail and problem-solving skills
- Familiarity with NCQA, CMS, and state credentialing standards
- Excellent written, verbal, and interpersonal communication skills
Benefits
- Competitive compensation
- Supportive, inclusive workplace culture
- Growth and development opportunities
- Equal Employment Opportunity employer
At BroadPath, diversity is our strength. We welcome individuals from all backgrounds, experiences, and perspectives.
Equal Opportunity Employer
BroadPath does not discriminate based on race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other protected status under applicable law.
Ready to join a team where your skills make a direct impact on healthcare quality and compliance? Apply today!
Happy Hunting,
~Two Chicks…
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