by Terrance Ellis | Jul 9, 2025 | Uncategorized
(Remote – U.S.)
📘 About the Role
Nira Medical is hiring a Lead Billing Specialist to power precision and performance in its Revenue Cycle Management team. This fully remote, full-time position focuses on accurate claims submission and AR management for physician-administered services—including infusion therapy, imaging, and other ancillary treatments. If you’re a billing pro ready to lead workflows and mentor others, this is your chance to help elevate healthcare from behind the scenes.
✅ Position Highlights
• Full-Time | Remote (U.S.-based)
• Leadership role in Revenue Cycle & Infusion Billing
• Physician and Ancillary Service Focus
• Mission-driven, growth-stage organization
📋 What You’ll Own
• Manage timely and accurate submission of primary and secondary claims
• Troubleshoot claim issues, missing data, and follow-ups
• Interpret medical and practice documentation for billing accuracy
• Provide coaching and guidance to fellow billing team members
• Help ensure billing targets, AR goals, and compliance benchmarks are met
• Use digital tools, payer portals, and escalation systems to secure payment
• Identify billing inefficiencies and report systemic gaps
• Contribute to QA, policy alignment, and documentation reviews
• Support wider billing strategy and operations as needed
🎯 Must-Have Traits
• High school diploma or GED
• Proven experience in physician/infusion billing workflows
• Strong grasp of complex claims processing
• Excellent communication and documentation skills
• Ability to lead peers and ensure billing integrity
• Skilled with healthcare billing systems, EMRs, and digital submission platforms
• Detail-oriented with a proactive, leadership-driven mindset
💻 Remote Requirements
• High-speed internet and distraction-free home setup
• Familiar with secure online billing platforms and payer portals
• Able to collaborate virtually and self-manage deadlines
💡 Why It’s a Win for Remote Job Seekers
• Grow with a forward-thinking healthcare team from anywhere
• Influence billing operations that directly support patient care access
• Take ownership of workflows that matter in a fast-paced environment
• Be part of a mission-first company building smarter, faster systems for better outcomes
✍️ Call to Action
If you’re ready to lead with precision and purpose, apply now and help Nira Medical raise the bar in revenue cycle performance—one claim at a time.
by Terrance Ellis | Jul 9, 2025 | Uncategorized
(Remote – U.S.)
📘 About the Role
Shriners Children’s—ranked by Forbes as a top mid-sized employer—is hiring a Professional Billing Specialist to handle complex billing, denials, and revenue cycle workflows. This mission-driven, full-time remote role supports world-class pediatric specialty care while offering industry-leading benefits. If you’re a revenue cycle expert with Epic experience and a heart for helping kids, this is more than just a job—it’s a calling.
✅ Position Highlights
• Full-Time | Remote
• Pediatric Specialty Care Environment
• Epic PB Resolute Required
• Day-One Medical Coverage
• 403(b) with up to 6% match after 1 year
• FSA/HSA, Tuition Reimbursement, Life Insurance
• Bonus Perks: Pet Insurance, Critical Illness, Home & Auto Discounts
• Professional Certification Support & Career Growth Opportunities
📋 What You’ll Own
• Perform end-to-end professional billing and AR tasks
• Coordinate denial and appeal workflows
• Track payer denials, requests, and claim edits
• Support payer relations teams with insights and issue escalation
• Monitor and report trends to improve reimbursement outcomes
• Ensure compliance with HIPAA, federal regulations, and payor policies
• Help maintain and train users on denial tracking tools (Epic-based)
• Support committee reviews with organized denial data and materials
🎯 Must-Have Traits
• 5+ years in healthcare billing, AR, or revenue cycle (hospital/clinic)
• Strong Epic PB Resolute experience (certified or willing to certify within 12 months)
• Advanced knowledge of managed care billing, CPT/HCPCS, ICD-10, CCI edits, EOBs
• Familiarity with EDI transaction sets (837P and 835)
• Bachelor’s degree or equivalent experience
• Proficient in Excel and database systems
• Organized, analytical, and excellent at payer/stakeholder collaboration
💻 Remote Requirements
• Reliable tech setup for spreadsheet/database work
• Proactive communication and self-directed project follow-through
• Comfortable managing complex workflows independently
💡 Why It’s a Win for Remote Job Seekers
• Work from home while helping children worldwide receive quality care
• Join a respected healthcare team with elite benefits and flexibility
• Use your billing skills for a higher purpose—where every claim supports a child’s journey to healing
• Thrive in a supportive, growth-focused culture rooted in compassion and excellence
✍️ Call to Action
If you know the revenue cycle inside and out and want your work to mean something, apply now to join Shriners Children’s and bring purpose to every claim you touch.
by Terrance Ellis | Jul 9, 2025 | Uncategorized
(Remote – Select U.S. States)
🧾 About the Role
Oscar Health is redefining healthcare with full-stack technology and human-first design. As a Bilingual Care Specialist, you’ll serve as the empathetic, solution-focused voice for both members and providers. You’ll handle escalated cases with precision, care, and a focus on outcomes—bridging gaps in service, access, and communication.
✅ Position Highlights
• $22.00/hour
• Full-Time, Remote (must reside in: AL, AZ, CO, FL, GA, IL, IA, KS, KY, ME, MD, MA, MI, MN, MO, NV, NH, NM, NY, NC, OH, OR, PA, RI, SC, TN, TX, UT, VT, VA, or DC)
• Medical, Dental, Vision, 401(k), Wellness Perks
• 15 PTO Days + 11 Paid Holidays
• Parental Leave, Paid Sick Time, Life & Disability Insurance
📋 What You’ll Own
• Handle complex inbound/outbound calls, secure messages, and emails
• Manage and resolve provider/member escalations within defined SLAs
• Navigate internal dashboards and track case progress
• Coordinate with cross-functional teams and frontline reps
• Spot and escalate process or documentation issues
• Contribute to Oscar’s internal knowledge base
• Ensure full compliance with HIPAA and healthcare regulations
• Clearly communicate resolutions and next steps to all parties
• Identify recurring pain points to improve care delivery flow
🎯 Must-Have Traits
• 1+ year in customer service, healthcare, tech, or related field
• Fluent in Spanish (speak, read, and write)
• 1+ year of claims experience
• 6+ months of provider-facing experience
• Strong problem-solving and dashboard navigation skills
• High school diploma or GED
💡 Why It’s a Win for Remote Job Seekers
• Be a key part of fixing what’s broken in healthcare—starting with empathy
• Work from home while making a measurable impact on real people
• Join a mission-driven, tech-enabled health insurance company
• Be valued not just for your skills, but for your insight and initiative
✍️ Call to Action
Ready to ditch the script and be the voice that actually helps? If you’re bilingual, driven by purpose, and eager to make healthcare more human—apply today and bring real change to the line.
by Terrance Ellis | Jul 9, 2025 | Uncategorized
(Remote – Select U.S. States)
🧾 About the Role
Oscar Medical Group is reimagining healthcare—digitally and humanely. As a Medical Assistant I, you’ll provide vital support to a virtual Care Team, helping ensure a smooth, responsive, and personal healthcare experience. This is a hybrid role blending patient-facing service with behind-the-scenes coordination in a modern, remote-first setting.
✅ Position Highlights
• $21.00/hour
• Full-Time, 40 hours/week
• Schedule: Between 7 AM – 10 PM EST (depending on team needs)
• Remote – Must reside in: AZ, AR, CA, CO, FL, GA, IL, MA, MI, NV, NH, NJ, NY, NC, OH, PA, TX, VA, or Washington D.C.
• 10 Vacation Days + 11 Paid Holidays
• Benefits: Medical, Dental, Vision, 401(k), Parental Leave, Wellness Package
📋 What You’ll Own
• Perform virtual check-ins/check-outs via live video
• Provide phone and message support to patients
• Assist physicians, nurse practitioners, and RNs with admin tasks
• Coordinate referrals, lab requisitions, follow-ups, and appointments
• Communicate with labs, imaging centers, pharmacies, and vendors
• Track patient progress and ensure completion of care steps
• Call providers/facilities to clarify records and resolve cases
• Ensure compliance with healthcare regulations and internal standards
• Support a digital-first, mission-driven care delivery model
🎯 Must-Have Traits
• 1+ year experience as a Medical Assistant in primary care, urgent care, or multi-specialty settings
• Medical Assistant Certification or Diploma
• Spanish fluency (read, write, speak)
• Tech-savvy, detail-oriented, and highly organized
• Strong verbal and written communication
💡 Why It’s a Win for Remote Job Seekers
• Join a healthcare company at the forefront of digital transformation
• Work from home with flexibility and purpose
• Help shape empathetic, innovative care experiences
• Be valued for your input, skills, and background
✍️ Call to Action
Oscar Medical Group isn’t just hiring support—it’s hiring change agents. If you’re a bilingual Medical Assistant with heart and hustle, apply today and help refactor the future of healthcare.
by Terrance Ellis | Jul 9, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Shriners Children’s is seeking a Professional Billing Specialist to join its Revenue Cycle team. In this full-time remote role, you’ll manage accounts receivable, billing workflows, and denial/appeal follow-up for professional claims. The role demands a strong understanding of Epic PB Resolute and medical billing compliance in a hospital or healthcare environment.
✅ Position Highlights
• Full-Time
• 100% Remote (U.S. based)
• Benefits eligible on Day 1
• 403(b) + Roth with up to 6% match after 1 year
• Paid time off + life/disability coverage (FT/PT)
• Tuition reimbursement + optional plans (pet, critical illness, auto, etc.)
• Named Forbes 2025 Best Midsize Employer
📋 What You’ll Own
• Manage A/R tasks and workflows for professional billing claims
• Handle denial management and appeal submissions with third-party payors
• Categorize and escalate appeals appropriately based on payer rules
• Track, analyze, and report denial trends and payer issues
• Coordinate payer documentation requests within a 48-hour window
• Maintain and train others on the denial management software
• Ensure resolution of claim edits and denials through Epic work queues
• Support the Denials Management team in special projects and committee prep
• Build relationships with payer reps and contribute to payer relations strategy
🎯 Must-Have Traits
• 5+ years in healthcare/hospital revenue cycle
• Epic PB Resolute experience (certification or willingness to certify within 12 months)
• Experience with EDI transactions, including 837P and 835 interpretation
• Knowledge of insurance contracts, government billing rules, CPT/HCPCS/ICD-10/CCI
• Strong Excel + general computer/database proficiency
• Bachelor’s degree or equivalent combination of education and experience
✨ Bonus Points
• CRCR credential from HFMA
• Experience with SQL or Crystal Reports
💡 Why It’s a Win for Remote Job Seekers
• Mission-driven pediatric care organization with global impact
• Benefits that start immediately
• High autonomy in a virtual setting
• Deep industry recognition (Forbes, HFMA, etc.)
✍️ Call to Action
Join a compassionate team redefining pediatric care through technology and heart. If you’re an expert in revenue cycle billing with the drive to make a difference, apply today to Shriners Children’s.
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