Procedure Authorization Specialist- Remote

by twochickswithasidehustle | Jun 30, 2026 | Uncategorized

Job Details

Description

ESSENTIAL FUNCTIONS

• Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
• Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
• Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
• Verifies benefits on all surgical procedures.
• Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
• Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
• Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
• Work with department manager to respond to and reduce complaints timely and professionally.
• Assist surgery schedulers with STAT authorizations.
• Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
• Assists in identifying opportunities for improvement within the daily workflow process.
• Attends department meetings as required.

EDUCATION

• High school diploma/GED or equivalent working knowledge preferred.

EXPERIENCE

• A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred.
• Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.

KNOWLEDGE

• Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
• Federal, state, and HIPAA privacy regulations.
• Knowledge of computer applications.

SKILLS

• Skill in effective organization and billing requirements and authorization processes.
• Skill in using computer programs and applications including Microsoft Excel, Microsoft Word, and Outlook
• Skill in establishing good working relationships with both internal and external customers.

ABILITIES

• Ability to multi-task in a fast-paced environment. Must be detailed oriented with strong organizational skills.
• Ability to understand patient demographic information and determine insurance eligibility.
• Ability to work independently and demonstrate the ability to analyze data.
• Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.

ENVIRONMENTAL WORKING CONDITIONS

• Normal office environment.

PHYSICAL/MENTAL DEMANDS

• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching are required.
• Manual dexterity using a calculator and computer keyboard

ORGANIZATIONAL REQUIREMENTS

• HOPCo Mission, Vision, and Values must be read and signed.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

RCM Support Associate

by twochickswithasidehustle | Jun 30, 2026 | Uncategorized

Job Title: RCM Support Associate

Position Summary

The Business Operations & Payer Access Coordinator is responsible for supporting organizational efficiency and client operations through administrative coordination, documentation management, project tracking, customer support administration, onboarding activities, and payer portal access management.

This role serves as a central point of coordination between clients, payers, leadership, and operational teams, ensuring critical administrative and revenue cycle support functions are completed accurately, documented properly, and executed on schedule. The position focuses on maintaining organization, visibility, follow-through, and compliance while enabling leadership and operational teams to focus on strategic and client-facing activities.

Key Responsibilities

Payer Portal Access Management

• Coordinate payer portal account setup and enrollment for new client implementations.
• Register, activate, maintain, and troubleshoot user access across commercial, government, and regional payer portals.
• Manage user additions, removals, access changes, password resets, and multi-factor authentication requirements.
• Serve as the primary point of contact for portal access requests and issues.
• Maintain accurate records of portal access, ownership, and enrollment status.
• Coordinate with payer support teams to resolve access-related issues and prevent operational disruptions.

Documentation & Administrative Operations

• Maintain company documentation, SOPs, onboarding materials, and operational resources within designated systems.
• Ensure documentation remains accurate, organized, and up to date.
• Coordinate patient statement processing activities and maintain related tracking records.
• Manage incoming and outgoing mail, including receipt, routing, tracking, and administrative correspondence.
• Maintain tracking and documentation for customer, patient, and operational communications.
• Identify documentation gaps and coordinate updates with department leaders and process owners.
• Maintain administrative records, trackers, dashboards, and operational reporting.

Project & Workflow Coordination

• Track projects, milestones, action items, and implementation activities across departments.
• Follow up with internal teams, clients, and stakeholders to ensure commitments are completed on time.
• Escalate overdue tasks, risks, or blockers to appropriate leaders.
• Support special projects and process improvement initiatives.

Client Support & Onboarding Coordination

• Coordinate onboarding activities and track completion of client requirements.
• Collect and validate documentation required for portal enrollment, onboarding, and operational workflows.
• Follow up with clients regarding outstanding forms, documentation, and action items.
• Support scheduling and coordination of onboarding meetings and implementation activities.

Customer Support Administration

• Triage and route incoming customer support requests to the appropriate teams.
• Track escalations through resolution and ensure timely follow-up occurs.
• Maintain visibility into unresolved customer issues and communicate status updates as needed.
• Support customer retention, offboarding, and administrative follow-up activities.

Compliance & Process Improvement

• Ensure compliance with company security policies, HIPAA requirements, and payer-specific protocols.
• Maintain accurate documentation of portal access, customer communications, and operational activities.
• Assist in developing and improving workflows, SOPs, and administrative processes.
• Identify opportunities to increase efficiency, improve visibility, and reduce turnaround times.

Qualifications

Required

• High school diploma or equivalent.
• 2+ years of experience in healthcare administration, customer support, operations, project coordination, revenue cycle management, or related administrative roles.
• Strong organizational, time-management, and follow-through skills.
• Excellent written and verbal communication abilities.
• Ability to manage multiple priorities and deadlines simultaneously.
• Proficiency with Microsoft Office, Google Workspace, and web-based business applications.

Preferred

• Experience working with healthcare payer portals and access management.
• Knowledge of healthcare insurance, revenue cycle management, and provider operations.
• Experience supporting healthcare, RCM, healthcare technology, or professional services organizations.
• Familiarity with Notion, Help Scout, HubSpot, project management platforms, or similar systems.
• Experience maintaining SOPs, documentation, and operational workflows.

Perks – What you can expect:

• Competitive salaries
• Remote/hybrid environment
• Potential equity compensation for outstanding performance
• Flexible PTO
• Company-wide sponsored lunches
• Company paid disability and life insurance benefits
• Company paid family and medical leave
• Medical, dental, and vision insurance benefits
• Discounted pet insurance
• FSA/DCA and commuter benefits
• 401k
• Complimentary subscription to digital fitness classes and wellness content
• Recovery suite at HQ – includes a cold plunge, sauna, and shower

HIPAA Requirements

All associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information. This includes adherence to the organization’s Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.

The specific statements provided in this job description are not exhaustive and may be subject to change based on evolving business needs. Associates may be required to perform additional duties as assigned.

Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer’s explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees.

We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don’t hesitate to reach out to our HR department.

Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employe

ROI Medical Records Specialist – Remote

by twochickswithasidehustle | Jun 30, 2026 | Uncategorized

locationsRemotetime typeFull timeposted onPosted Yesterdayjob requisition idR-101948

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

Job Summary:

This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.

Essential Functions:

• Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
• Date stamps all requests and highlights pertinent data to facilitate processing.
• Validates requests and authorizations for release of medical information according to established procedures.
• Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
• Maintain equipment in excellent operating condition (inside and out).
• Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
• May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
• Maintains a neat, clean, and professional personal appearance and observes the dress code established.
• Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
• Maintains working knowledge of the existing state laws and fee structure
• Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
• Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
• Maintains confidentiality, security and standards of ethics with all information.
• Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.

Qualifications:

• High School Diploma (GED) required
• A minimum of 2 years prior experience in a medical records department or like setting preferred
• Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
• Excellent organizational skills are a must
• Must be able to type 50 wpm
• Must be able to use fax, copier, scanning machine
• Must be willing to learn new equipment and processes quickly.
• Must be self-motivated, a team player
• Must have proven customer satisfaction skills
• Must be able to multi-task

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.

Prior Authorization Specialist I

by twochickswithasidehustle | Jun 30, 2026 | Uncategorized

POSITION SUMMARY:

The Inpatient Verification Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements as outlined in payer-specific guidelines and regulations. The role plays an important dual role by helping to coordinate patient access to care while maximizing BMC hospital reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations. This position reports to the Patient Access Supervisor and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, Boston Medical Center (BMC) practice staff, case management and inpatient financial counselors.

Position: Prior Authorization Specialist I

Department: Insurance Verification

Schedule: Part Time (M-F 10:30A-5P)

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Monitors accounts routed to precertification and prior authorization work queues and clears work queues by obtaining all payer specific financial clearance requirements in accordance with established management guidelines.
• Maintains knowledge of and complies with insurance companies’ requirements for obtaining pre-certifications/prior authorizations/referrals, and completes other activities to facilitate all aspects of financial clearance.
• Acts as subject matter experts in navigating both the BMC Community and the payer world to get the right “permissions” (authorizations, pre-certs, referrals, for example) for the care plan to proceed.
• The Impatient Verification Specialist is an important part of the larger team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services.
• Supports BMC staff at all levels for hands-on help understanding and navigating financial clearance issues.
• Uses appropriate strategies to underscore the most efficient process to obtaining authorizations, including on line databases, electronic correspondence, faxes, and phone calls.
• Obtains and clearly documents all pre-certifications/prior authorizations for scheduled services prior to admission within the Epic environment.
• Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients’ scheduled services.
• Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required pre-certifications/prior authorizations.
• Escalates emergent and elective accounts that have been denied or will not be financially cleared within 3 days of admission as outlined by department policy
• Keeps current on CMS requirements and guidelines.
• Coordinates with patients and Patient Financial Counseling to initiate/process Charity Care applications as needed.
• Maintains confidentiality of patient’s financial and medical records: adheres to the State and Federal laws regulating collection in healthcare, adheres to enterprise and other regulatory confidentiality policies and advises management of any potential compliance issues immediately.
• Participates in educational offerings sponsored by BMC or other development opportunities as assigned/available and complies with all applicable organizational workflows, as well as established policies and procedures.
• Performs other duties as assigned by Management.
• Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations.
• Demonstrates the ability to recognize situations that require escalation to the Supervisor.
• Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with BMC management expectations as outlined.
• Takes opportunity to know and learn other roles and processes, and works together to assist with process improvement initiatives as directed.
• Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities.
• Must adhere to all of BMC’s RESPECT behavioral standards.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

JOB REQUIREMENTS

EDUCATION:

• High School Diploma or GED required, Associates degree or higher preferred.

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

• Case manager and/or coding certification desirable

EXPERIENCE:

• 4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable

KNOWLEDGE AND SKILLS:

• General knowledge of healthcare terminology and CPT-ICD10 codes.
• Complete understanding of insurance is preferred.
• Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
• Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
• Knowledge of and experience within Epic is preferred.
• Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute.
• Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook.
• Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed.
• Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management.

Compensation Range:$25.42- $30.97

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment. 

Application Support Specialist- EMR

by twochickswithasidehustle | Jun 30, 2026 | Uncategorized

We are seeking a Product Specialist II to join our team. The ideal candidate will have a strong background in customer service, technical support, and business application troubleshooting. In this role, you will be responsible for providing application support to Enterprise Health/MIE customers across all product lines. You will serve as the central customer service contact for existing clients, answering questions, escalating priority issues, and providing ongoing training to users.

Company Overview
We provide solutions that make a meaningful difference in healthcare. Founded in 1995, MIE serves as the innovation engine for business units that serve hospitals and health systems, physician practices, Fortune 500 employers, government agencies, and consumers. MIE’s web-based health information technology platform is helping physicians, nurses, and administrators make a meaningful difference in healthcare delivery across the globe.

Key Responsibilities

• Consult with customers on EMR optimization efforts.
• Provide best practices to ensure customer success with the EMR.
• Perform complex configurations to improve workflow efficiencies.
• Provide an exceptional customer experience in every interaction.
• Provide training to client users during deployment to alleviate the training burden from the project team.
• Provide ongoing product education for existing customers.
• Escalate bug fixes to appropriate staff as needed.
• Take initiative to maximize opportunities for personal growth in product knowledge.
• Assist the deployment team with onboarding tasks.
• Requires up to 10% travel.

Required Qualifications

• Education: Must obtain applicable product certifications within 90 days of hire.
• Experience:
  • 2+ years of experience providing customer service/support to commercial clients.
  • Experience using and troubleshooting business applications.
  • Effective written and verbal communication skills.
• Skills:
  • Ability to clearly communicate with professional clients at all levels.
  • Strong organizational skills.
  • Oral presentation, training, and public speaking experience.
  • Proficiency in using MS Office Suite, internet, e-mail, and browser-based applications.

Why Join Us?

At MIE and Enterprise Health, we offer more than just a job. We provide an environment where innovative thinking is encouraged, teamwork is valued, and growth is fostered. Our comprehensive benefits package includes:

• Competitive compensation
• Comprehensive benefits package including medical/dental/vision insurance
• 401k with company match
• Unlimited Paid-Time off
• Quarterly bonus program
• Flexible work schedule
• Remote work

Medical Informatics Engineering and Enterprise Health are equal-opportunity employers. We celebrate diversity and are committed to creating an inclusive environment for all employees.