by Terrance Ellis | Nov 27, 2025 | Uncategorized
Lead the team that makes sure high-dollar medical claims are handled right, on time, and in line with strategy. In this role, you own the day to day operations of the Stop Loss department while driving efficiency, accuracy, and process improvement across the board.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible, self funded health plans. The company focuses on smarter plan design, cost control, and responsive service that supports both clients and members. As a Stop Loss leader, you will help protect client dollars and strengthen Allied’s reputation for disciplined, high quality operations.
Schedule
- Full time, fully remote role
- Standard business hours (specific schedule may vary by team)
- Remote friendly culture with a focus on accountability, communication, and performance
- Requires reliable cable or fiber internet with at least 100 Mbps download and 25 Mbps upload speeds
What You’ll Do
- Manage the day to day operations of the Stop Loss department, including workflow, staffing, systems, procedures, and reporting
- Monitor all claim filings, specific and aggregate, to ensure timely and accurate processing and reimbursements
- Track stop loss claim filings, reimbursements, and advance funding claims to keep audit metrics and department performance on target
- Assess and refine processes for efficiency, quality, and alignment with corporate directives and strategy
- Design and implement policies and procedures that support consistent, compliant, and effective operations
- Collaborate with cross functional teams to meet business objectives and performance standards
- Perform weekly audits of specific claims to confirm proper filing and reimbursement
- Coordinate reprocessing of claims based on carrier negotiations and handle aggregate claim filings and reimbursements
- Oversee adjustments for claims that should be applied to prior contracts
- Lead, coach, and develop your team, including one on one meetings, performance appraisals, growth planning, and hiring new talent
- Set clear expectations, provide training and resources, and deliver timely, constructive feedback
- Troubleshoot daily operational issues and drive a sense of urgency and ownership across the team
- Work on special projects and other duties as assigned
What You Need
- Bachelor’s degree or relevant work experience
- At least 5 years of stop loss experience at a TPA or stop loss carrier
- At least 3 years in a supervisory or management role with demonstrated leadership success
- Intermediate experience with Microsoft Word, Excel, and PowerPoint
- Group health insurance or benefits experience preferred
- Excellent written and verbal communication skills
- Strong decision making, problem solving, and analytical skills
- Proven ability to manage teams, set direction, and hold people accountable
- Comfortable working in a fast paced environment with evolving priorities
Benefits
- Salary range of 70,000 to 75,000 dollars, based on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you are ready to move from individual stop loss expertise into leading the entire function, this is a strong next step.
Give your leadership and stop loss experience a bigger stage and a fully remote setup that actually works for your life.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
If you like numbers, tracking details, and making sure money lands where it should, this role is your sweet spot. As a Stop Loss Data Specialist, you’ll help keep large medical claims and reimbursements in check so clients and members aren’t left hanging.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator partnering with employers to design and manage flexible, self-funded health plans. The company focuses on smarter plan design, cost control, and strong service for both clients and members. As part of the Operations team, you’ll support the behind-the-scenes financial and claims processes that keep everything running smoothly.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture designed to support productivity and balance
- Must have reliable cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Perform monthly audits to confirm all stop loss claims have been filed and reimbursements received
- Update and maintain stop loss tracking tools and specific logs to monitor members over specific deductibles
- Review and accurately record stop loss reimbursements in internal systems
- Gather and prepare data needed to file Rx stop loss claims
- Request and track Actively at Work forms from clients
- Manage the cash advance process, including selecting claims for cash advances and mailing checks when reimbursements arrive
- Support the Stop Loss Claim Specialists with administrative, organizational, and auditing tasks
- Handle other related duties as assigned to support the stop loss and operations teams
What You Need
- High school diploma or equivalent; some college or equivalent work experience preferred
- 1–2 years of experience in an office environment
- Strong organizational skills and sharp attention to detail
- Strong analytical and problem-solving skills
- Excellent verbal and written communication skills
- Proven time management skills with the ability to meet deadlines
- Comfort functioning in a high-paced, sometimes stressful environment
- Proficiency with Microsoft Office Suite or related software
- Medical claims experience preferred; accounting, finance, TPA, or insurance experience a plus
Benefits
- Competitive hourly pay range of $23.00–$24.00, depending on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to put your data skills to work in a fully remote, detail-driven role with real impact on claim dollars, this is a solid next move.
Don’t wait on it—roles like this go fast when the right candidates see them.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help members get fair outcomes on their medical claims without ever stepping into an office. In this role, you’ll own the appeals process behind the scenes, making sure claims are reviewed accurately, documented clearly, and moved toward resolution.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible health plans. The company focuses on smarter plan design, responsive service, and customized solutions that improve member experiences while managing costs. As part of the Claims team, you’ll help uphold that standard when claims are challenged.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong focus on communication and reliability
- Must have cable or fiber internet with at least 100 Mbps download / 25 Mbps upload speeds
What You’ll Do
- Log, track, and monitor all appeals received under the Allied Advocate program
- Review appeals and supporting documentation to determine appropriateness and next steps
- Review Summary Plan Documents to assess the validity of each appeal
- Compose appeal responses when needed and route documentation to business partners for review and resolution
- Communicate with internal departments, clients, and partners regarding appeal status and required information
- Document appeal status and outcomes in Qiclink and related databases
- Coordinate appeal responses with business partners and follow up on aging appeals
- Prioritize incoming referrals and tasks to ensure deadlines and turnaround times are met
- Perform other duties as assigned to support the appeals workflow
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of comprehensive experience handling medical claims appeals
- Strong working knowledge of medical claims processing
- Proficiency with Microsoft Office Suite and ability to learn new systems
- Excellent verbal and written communication skills
- Strong analytical and problem-solving skills
- High level of organization and attention to detail
- Proven time management skills with the ability to meet deadlines consistently
Benefits
- Competitive hourly pay range of $20.00–$21.00, based on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to put your claims and appeals experience to work in a fully remote, detail-driven role, this is a strong fit.
The right candidates won’t wait on a role like this—get your application in while it’s open.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
If you’re fast on the keyboard, love clean data, and want a stable remote role in healthcare operations, this one is built for you. As an EDI Coordinator, you’ll keep critical eligibility and claims files moving so people actually get paid and covered on time.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible group health plans. The company focuses on smarter benefits, better service, and customized solutions that support both clients and members. As part of the Operations team, you’ll be a key player behind the scenes making sure the data that powers everything is accurate and on time.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong focus on accuracy, communication, and reliability
- Must have cable broadband or fiber internet with at least 100 Mbps download / 25 Mbps upload speeds
What You’ll Do
- Receive, upload, and download daily EDI files to and from various vendors and internal systems
- Process 837 files and convert them into .txt files for internal use
- Prepare files to be loaded into internal systems for claims processing and payment workflows
- Conduct eligibility checks by matching enrollee and member demographics to the internal master database
- Perform data entry and monitor EDI databases for accuracy and completeness
- Document processing workflows and maintain daily file counts and batch audit records
- Process failed transactions, resolve missing acknowledgements, and route completed claims to the correct internal mailboxes
- Provide EDI support to external trading partners and internal staff
- Handle multiple tasks simultaneously while meeting timelines and accuracy standards
- Perform other duties as assigned to support the EDI and operations teams
What You Need
- High school diploma or GED
- Data entry experience; ability to type at least 6,000 keystrokes per hour with accuracy
- Basic knowledge of Word, Excel, and Access (additional experience with Access and Excel is a plus)
- Strong attention to detail and commitment to accuracy
- Good problem-solving skills and a motivated, self-directed work style
- Ability to handle multiple tasks at once and prioritize effectively
- Comfortable working independently and as part of a remote team
- Able to work in a computer-based, desk-focused environment for extended periods
Benefits
- Competitive hourly pay range of $20.00–$21.00, based on qualifications and experience
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to turn your data entry and EDI skills into a reliable, fully remote role, now’s the time to move.
Your next work-from-home win could start with this application—don’t let it pass.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Support members through complex health journeys while working from home. In this role, you help connect people to the right care, manage benefit partners, and make a real impact on health outcomes and costs.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible, self-funded health plans. The company focuses on delivering smarter, more personalized benefits solutions that improve member experiences and manage costs. As part of the Medical Management team, you’ll help drive better clinical and financial outcomes for members and clients.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong emphasis on communication and collaboration
- Must have reliable cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Review clinical information, claims, and baseline case details for a variety of health scenarios (Behavioral Health, Wellness, Specialty Rx, Maternity, and more)
- Develop strategic care plans that connect members with specialized vendor partners and Allied Care Clinicians
- Implement care plans by coordinating with members, clients, internal Allied staff, and external partners
- Partner closely with the Clinical Case Management team and other Case Managers to gather clinical information, present cases, and troubleshoot escalated issues
- Communicate with CMS and other entities to obtain essential member information
- Facilitate and maintain relationships with prescription drug vendors, including managing member setup, negotiating pricing when needed, and providing ongoing support
- Document case impacts to highlight cost savings and improved member health outcomes
- Perform weekly and monthly administrative tasks related to Enhanced Case Management
- Act as a liaison between clients, brokers, members, Allied Executives, and various internal departments
- Help identify, troubleshoot, and optimize internal processes across Enhanced Case Management and related teams
- Perform other duties as assigned to support the ECM strategy and operations
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of experience with Group Health Insurance and Self-Funded Health Plans
- Excellent verbal and written communication skills
- Strong interpersonal and customer service skills
- Exceptional organizational skills and attention to detail
- Proven time management skills with the ability to meet deadlines
- Ability to review information, assess issues, and propose viable solutions
- Strong analytical and problem-solving skills
- Experience with Medicare, Medicaid, Case Management, or prescription drug benefits preferred
- Experience in a clinical, social work, or hospital system role is a plus
- Life and Health Insurance Producer License preferred, but not required
- Proficiency with Microsoft Office Suite and comfort learning new software
Benefits
- Salary range of $48,000–$55,000, depending on experience and qualifications
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to use your healthcare benefits expertise to guide members toward better outcomes in a fully remote role, this is a strong next step.
Give your skills a promotion—step into a case management role where your coordination actually changes lives.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help people get their health benefits handled right, without sitting in a call center all day. In this role, you’re the behind-the-scenes problem solver making sure claims move, issues get resolved, and members actually feel taken care of.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator partnering with employers to design and manage group health plans. The company focuses on flexibility, service, and customized solutions that help clients control costs while supporting their members. You’ll be part of an operations team that keeps things moving and makes the claims experience smoother for everyone involved.
Schedule
- Full-time, fully remote role
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with strong focus on communication and responsiveness
- Must have reliable cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Serve as a liaison between members, internal administrative teams, and clients to ensure smooth claim handling
- Use Outlook and internal systems to communicate claim status and responses to members, agents, and partners
- Investigate open claims to ensure timely processing of payments and advocate for members throughout the process
- Manage and facilitate multiple claim functions, including HRA RX claim reviews, RRTs, special claim requests, and escalations
- Push failed claims over $10K through the IPAO process and track them until completion
- Support the Administrator team as needed and help resolve claim issues across departments
- Process fee claims for Case Management, Enhanced Case Management, HRA Pharmacy claims, and other vendor-related fees
- Demonstrate strong understanding of workflows and business processes to support BPO client service strategy
- Help foster a sense of urgency and accountability so customer expectations are met or exceeded
- Assist with escalations and various ad hoc projects as assigned
What You Need
- Bachelor’s degree or equivalent work experience
- 2+ years of experience in an administrative or data entry role
- Group health insurance/benefits or medical claims experience preferred
- Strong analytical and problem-solving skills, with the ability to prioritize and follow through
- Excellent verbal and written communication skills
- Strong organizational skills and attention to detail
- Proven ability to manage time effectively and meet deadlines in a high-paced environment
- Comfortable working remotely in a computer-based, desk-focused role
- Proficiency with Microsoft Office Suite and ability to learn new systems quickly
Benefits
- Competitive hourly pay range of $23.00–$25.00, based on qualifications and experience
- Comprehensive Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
If you’re ready to bring your detail skills and follow-through to a remote role where operations actually matter, this is your cue to jump in.
Strong candidates move fast on roles like this—don’t overthink it.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help people get fair outcomes on their medical claims from the comfort of your home. If you’re detail-oriented, love digging into documentation, and want a stable remote role in healthcare benefits, this is in your lane.
About Allied Benefit Systems
Allied Benefit Systems is a national leader in healthcare benefits administration, partnering with employers to design and manage customized benefit plans. The company focuses on improving member experiences, controlling costs, and simplifying the complexity of medical claims. You’ll be joining a team that values accuracy, service, and strong partnerships with clients and vendors.
Schedule
- Full-time, remote position
- Standard business hours (details may vary by team)
- Must have reliable high-speed internet (cable or fiber) with minimum speeds of 100 Mbps download / 25 Mbps upload
- Role requires consistent availability for phone and online communication
What You’ll Do
- Log, track, and monitor all appeals received related to the Allied Advocate program
- Review appeals and supporting documentation to determine appropriateness and next steps
- Analyze Summary Plan Documents to evaluate the validity of appeals
- Compose appeal responses when needed and coordinate final responses with business partners
- Communicate with internal departments, clients, and partners to clarify information and move appeals toward resolution
- Document appeal status and outcomes in the Qiclink system and related databases
- Prioritize incoming referrals to ensure all tasks are completed within required timeframes
- Perform other related duties as assigned to support the appeals process
What You Need
- Bachelor’s degree or equivalent relevant work experience
- At least 2 years of hands-on experience handling medical claims appeals
- Strong knowledge of medical claims processing and ability to analyze complex claim situations
- Proficiency with Microsoft Office Suite and the ability to learn new systems quickly
- Excellent verbal and written communication skills
- Strong analytical, problem-solving, and organizational skills with sharp attention to detail
- Proven time management skills and ability to consistently meet deadlines
- Comfort working in a remote environment and communicating via phone and digital tools
Benefits
- Competitive hourly pay range of $20.00–$21.00, plus Total Rewards package
- Medical, Dental, and Vision insurance
- Life and Disability insurance coverage
- Generous Paid Time Off
- Tuition Reimbursement
- Employee Assistance Program (EAP)
- Technology stipend to support your remote work setup
Ready to put your claims expertise to work in a fully remote role with real impact? Apply while this opportunity is open.
Your next solid work-from-home move might start here—don’t sit on it.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help keep seniors safe by making sure the clinicians who treat them are properly vetted and approved. This fully remote Credentialing Specialist role lets you work behind the scenes with provider data, compliance standards, and medical leadership to protect patients and reduce risk.
About Curana Health
Curana Health is a fast-growing, value-based care organization focused on radically improving the health, happiness, and dignity of older adults. They partner with senior living communities and skilled nursing facilities across 32 states, offering on-site primary care, ACOs, and Medicare Advantage Special Needs Plans that improve outcomes and stabilize operations. Their teams blend clinicians, operators, analysts, and support staff into one mission-driven ecosystem serving over 200,000 seniors.
Schedule
- Position type: Full-time
- Work arrangement: Fully remote (U.S.)
- Department: Business Operations / Credentialing
- Must be authorized to work in the United States (no visa sponsorship available)
What You’ll Do
- Support the enterprise-wide credentialing process for practitioners and health delivery organizations following Curana Health policies and procedures
- Maintain credentialing software and databases, ensuring all provider data is accurate, complete, and up to date
- Collect, analyze, and prepare provider-specific data for bi-monthly review by the Credentials Committee
- Track inbound and outbound communication on behalf of Medical Directors to providers
- Communicate with health care practitioners to clarify questions and obtain missing or updated information
- Draft and send formal approval letters, requests for additional information, and termination notices based on Credentials Committee decisions
- Compile and summarize provider responses so they are clear, concise, and ready for committee and documentation review
- Coordinate and prepare the bi-monthly Credentials Committee agenda; accurately record and maintain official meeting minutes
- Review and process NPDB Continuous Query reports and ensure appropriate follow-up actions are taken in a timely manner
- Safeguard confidentiality of practitioner information and handle sensitive data with discretion
What You Need
- High school diploma required; Associate degree preferred
- 2–5 years of hospital or insurance plan credentialing experience
- Working knowledge of Joint Commission, NCQA, URAC, and/or HFAP standards
- Certified Provider Credentialing Specialist (CPCS) preferred
- Strong written and verbal communication skills
- High attention to detail and accuracy when handling provider data and committee documentation
- Ability to manage multiple tasks, deadlines, and communication threads in a fast-moving, highly regulated environment
- Comfort working independently in a remote setting while collaborating closely with clinical and operational leadership
Benefits
- Remote role with impact in a high-growth, mission-driven healthcare company
- Opportunity to directly support quality and safety for older adults across 32 states
- Competitive total rewards package (salary, benefits, and growth opportunities)
- Work with experienced Medical Directors, credentialing teams, and operations leaders
- Join a company recognized on the Inc. 5000 list as one of the fastest-growing private healthcare organizations
Healthcare is tightening standards every year. Roles like this are how you stay relevant, in-demand, and close to the decision-makers. If you’ve got credentialing experience and you want your work to actually protect people, this one is worth a move.
Ready to help decide who gets to care for 200,000+ seniors?
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help patients actually get access to the meds and treatments their doctors prescribe. This fully remote reimbursement role lets you work behind the scenes with providers, payers, and pharmacies to clear insurance roadblocks and move prior authorizations forward.
About CareMetx
CareMetx partners with pharmaceutical, biotech, and medical device companies to support patients from intake to outcomes. They provide tech-enabled hub services that handle reimbursement, benefits, and access so patients can start and stay on specialty therapies. The focus is on smoothing out a confusing system and getting people the care they need faster.
Schedule
- Location: Remote (U.S.)
- Hours: Must be flexible on schedule and hours
- Weekends: Willingness to work weekends when needed to meet business demands
- Overtime: May be required at times based on volume and program needs
What You’ll Do
- Collect and review patient insurance benefit information according to program SOPs
- Support provider offices and patients in completing and submitting insurance forms and program applications
- Prepare, submit, and track prior authorization requests with commercial and government payers
- Maintain frequent phone contact with provider reps, payer customer service, and pharmacy staff
- Triage inbound calls, respond to provider account inquiries, and document all interactions in the CareMetx Connect system
- Provide exceptional customer service and escalate complex or unresolved issues appropriately
- Process insurance and patient correspondence tied to reimbursement and prior auth
- Supply complete documentation needed for payer decisions, including demographics, referrals, NPI, and authorization details
- Report reimbursement trends or delays to program leadership
- Coordinate with internal teams to resolve issues and keep cases moving
- Report all Adverse Events (AE) in line with training and SOPs
What You Need
- High school diploma or GED
- At least 1 year of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, or similar
- Strong verbal and written communication skills
- Ability to build productive working relationships with providers, payers, and internal teams
- Solid organizational skills and strong attention to detail
- General knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Comfortable using Microsoft Excel, Outlook, and Word
- Ability to problem solve and use judgment within standard operating procedures
- Strong time management skills and the ability to handle a moderate workload with competing priorities
- Customer-focused mindset and comfort working independently or as part of a team
Benefits
- Salary range: 30,490.45 to 38,960.02 dollars per year
- Fully remote work environment
- Opportunity to build experience in a specialized, high-impact niche of healthcare access and reimbursement
- Work that supports patients getting critical specialty medications and therapies
If you want a remote role where your attention to detail actually helps people get care, this is worth a serious look.
Make your next job one that moves patients forward, not just paperwork.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help individuals and families take their first real step toward recovery in a fully remote or hybrid admissions role. This is a fast paced, high impact behavioral health admissions coordinator position with strong earnings potential and flexible shifts for remote job seekers.
About Sandstone Care
Sandstone Care is a behavioral health treatment provider focused on teens and young adults struggling with substance use and mental health challenges. With locations across several states and a growing remote team, Sandstone Care blends clinical excellence with compassion, helping families navigate some of the hardest moments in their lives. The work is mission driven, outcomes focused, and rooted in empathy.
Schedule
- Work environment: Remote or hybrid from Denver administrative office
- Location preference: Candidates ideally live in CO, MD, or VA
- Shifts: Day and overnight shifts in Mountain Time
- Weekends: At least one weekend day required
- Status: Full time
- Compensation: 22 to 38 dollars per hour depending on experience, plus incentive compensation based on performance and quality metrics
What You Will Do
- Serve as the first point of contact for individuals and families seeking behavioral health treatment
- Build rapport quickly, assess needs, and guide people step by step through the admissions process
- Handle inbound calls, web form inquiries, and live chats with speed, empathy, and professionalism
- Clearly explain treatment options, levels of care, insurance coverage, and financial expectations
- Coordinate professional referrals and support the outreach and business development teams
- Maintain strong relationships with referral partners, clinicians, and community providers
- Verify insurance benefits, discuss financial options, and coordinate payment plans with clients and families
- Collaborate with billing and finance teams to streamline admissions and payment workflows
- Meet and exceed admissions KPIs such as conversion rates, response times, and client satisfaction
- Document all activity accurately in Salesforce, EMR systems, and billing software
What You Need
- Bachelor’s degree in marketing or behavioral health related field preferred
- At least 3 years of behavioral health admissions experience in inpatient, residential, PHP, or IOP settings
- Strong call center, client engagement, or healthcare sales background
- Proven track record of meeting and exceeding monthly KPIs in a fast paced admissions environment
- High level communication skills, including objection handling and relationship building
- Proficiency with CRM tools, especially Salesforce, plus EMRs and Microsoft Office
- Ability to type at least 50 words per minute while actively engaging with clients
- Comfort with difficult emotional conversations and complex family situations
- A data minded, coachable approach and willingness to participate in ongoing training and performance reviews
- Ability to pass a comprehensive background check including criminal and motor vehicle records
Benefits
- Competitive hourly pay with strong incentive and bonus potential
- Flexible paid time off package, including holidays and wellbeing days
- High quality medical, dental, and vision insurance with majority of premiums paid by the company
- Employee Assistance Program with counseling, legal, financial, and wellness resources
- Professional growth opportunities in a rapidly growing behavioral health organization
- Supportive, collaborative team culture with therapists, admissions specialists, and clinical staff
If you want your remote work to actually matter and you thrive in a performance driven admissions environment, this role puts you right at the front door of life changing care.
Take the next step in your behavioral health career and help families find the support they need.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Work from home in a focused, behind the scenes role that directly impacts how members experience their health benefits. If you have medical claims appeals experience and you love getting into the details to make sure things are correct and fair, this is your lane.
About Allied Benefit Systems
Allied Benefit Systems is a third party administrator specializing in self funded group health plans. They partner with employers, brokers, and carriers to design, administer, and support customized health benefit solutions. Allied combines strong industry expertise, technology, and service teams to help clients control costs while taking care of their members.
Schedule
- Position type: Full time
- Work setting: Fully remote (home office)
- Hours: Standard business hours, Monday through Friday (exact schedule set by team)
- Environment: Desk based role with extended computer and phone work
- Tech requirement: Reliable home internet via cable or fiber with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Monitor and track the status of appeals connected to the Allied Advocate program
- Log and track all appeals received in the internal systems
- Review appeals and supporting documentation to determine appropriateness and completeness
- Read and interpret Summary Plan Documents (SPDs) to evaluate the validity of each appeal
- Draft and compose appeal responses when needed
- Document appeal status, actions, and outcomes in Qiclink and related databases
- Coordinate appeal reviews and responses with internal business partners and external stakeholders
- Communicate with other departments and clients to move appeals toward resolution
- Prioritize incoming referrals and manage workload to meet timelines and quality expectations
- Take on additional related tasks and projects as assigned
What You Need
- Bachelor’s degree or equivalent work experience
- At least 2 years of hands on experience handling medical claims appeals
- Strong working knowledge of medical claims processing
- Proficiency with Microsoft Office Suite or similar software
- Ability to analyze claim situations and choose appropriate actions
- Excellent written and verbal communication skills
- Strong analytical and problem solving skills
- High level of organization, accuracy, and attention to detail
- Proven time management skills with the ability to meet deadlines
- Comfort learning and using new systems and tools
- Ability to sit for long periods and communicate via phone in a remote setting
Benefits
- Pay range: 20 to 21 dollars per hour
- Medical, dental, and vision insurance
- Life and disability insurance
- Generous paid time off
- Tuition reimbursement
- Employee Assistance Program (EAP)
- Technology stipend for remote work setup
- Remote friendly culture with support to help you work effectively from home
If you’re ready to use your medical claims appeals experience in a fully remote role where accuracy and follow through really matter, don’t wait.
Step toward a more flexible work life while still doing meaningful, member focused work.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Work from home in a steady, detail focused role helping a fast growing finance company keep deals clean and compliant. If you are organized, good with paperwork, and comfortable talking to dealers on the phone and by email, this one fits right in your lane.
About Foundation Finance Company
Foundation Finance Company (FFC) is a consumer finance company that partners with home improvement contractors across the country. They provide flexible financing so homeowners can complete needed projects, while contractors close more sales. It is a fast paced, growth oriented environment with room to move up and solid support for remote employees.
Schedule
- Status: Full time
- Work environment: Remote
- Work style: Office style work with heavy computer and phone use
- Location requirement: Must reside in an approved FFC remote state
- Eligible states include AL, AR, AZ, CO, FL, GA, IL, IN, KY, LA, MD, MI, MN, MO, MS, NC, NJ, NV, NY, OH, OK, OR, SC, TN, TX, UT, VA, WA, and WI
What You’ll Do
- Process stipulation documents and check them against company requirements
- Review documentation and know when to escalate to a supervisor for review
- Communicate with dealers by phone and email to answer questions and resolve issues
- Help verify loan terms with new customers and handle some customer service calls
- Take customer payments over the phone when needed
- Support other teams by answering inbound dealer and customer calls and entering credit applications
- Maintain and grow dealer relationships through consistent, professional communication
- Meet volume goals while keeping accuracy and quality high
- Handle other assigned tasks while staying calm under deadlines and changes
What You Need
- Associate degree in business, finance, communication, marketing or a related field, or at least 1 year of experience in underwriting or lending
- Strong written and verbal communication skills
- Comfort interacting with dealers, customers, and internal teams
- Ability to read and work with basic financial and legal documents
- Solid math skills, including percentages, interest, and basic algebra
- Ability to solve practical problems with limited standard procedures
- Proficiency with Microsoft Office, including Word, Excel, PowerPoint, Outlook, and internet use
- Strong attention to detail and the ability to multitask under time pressure
- Reliable, positive attitude and a genuine desire to help the organization succeed
Benefits
- Pay range: 18.50 to 20 dollars per hour
- Medical, dental, and vision benefits
- 401(k) with company match
- Casual dress work environment
- Growth opportunities in a fast growing finance company
- Other competitive benefits and perks shared during onboarding
If you want a remote role where your accuracy, people skills, and follow through are valued every day, this is a solid move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Work from home in a stable, full-time role handling billing, invoicing, and collections for a growing benefits/health-focused organization. If you’re detail-oriented, numbers-savvy, and want a remote job where your accuracy actually matters, this one’s worth a serious look.
About Allied Benefit Systems
Allied Benefit Systems partners with employers to administer health benefit plans and related services nationwide. They blend customer service, technical accuracy, and compliant processes to keep claims and billing running smoothly. As a remote-friendly company, they focus on giving employees flexibility, solid training, and the tools needed to succeed from home.
Schedule
- Position type: Full-time
- Work environment: Fully remote (home office)
- General hours: Standard business hours, Monday–Friday (exact schedule set by employer)
- Internet requirement: Cable or fiber internet with minimum speeds of 100 Mbps download / 25 Mbps upload
What You’ll Do
- Process and submit accurate, timely invoices to clients
- Follow up on outstanding payments and resolve billing discrepancies
- Communicate with clients regarding billing inquiries and payment status
- Maintain detailed, accurate records of all billing and collection activity
- Assist with month-end closing and reporting
- Collaborate with other departments to ensure accurate and timely billing
- Set up new accounts for a growing book of business
- Update and change existing client accounts as needed
- Audit account setups/changes to confirm they were allocated correctly
- Create and maintain Excel spreadsheets to track services and activity for multiple clients
- Maintain Access databases to track services and activity
- Perform other related billing and reporting duties as assigned
What You Need
- High school diploma or equivalent
- At least 2 years of experience in billing and collections
- Strong written and verbal communication skills
- Solid problem-solving skills and comfort resolving billing issues
- Proficiency with Microsoft Office (especially Excel) and accounting software
- Ability to work independently and as part of a team
- Strong attention to detail and high accuracy in data entry and documentation
Benefits
- Hourly pay: 20 dollars per hour
- Fully remote work environment
- Medical, dental, and vision insurance
- Life and disability coverage
- Generous paid time off
- Tuition reimbursement
- Employee Assistance Program (EAP)
- Technology stipend
- Additional total-rewards benefits determined by the company
Remote medical billing roles with clear responsibilities and solid benefits do not stay open long—especially at a steady 20 dollars per hour.
If you’re organized, reliable, and comfortable living in spreadsheets and numbers, this could be your next secure work-from-home move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 26, 2025 | Uncategorized
Help monitor risk, performance, and compliance for a fast-growing home improvement finance company – all from a fully remote role. This is a great fit if you like digging into data and documents, spotting patterns, and protecting the business from risk while still working a stable, full-time job from home.
About Foundation Finance Company
Foundation Finance Company (FFC) is one of the fastest-growing consumer finance companies in the U.S. They partner with home improvement contractors nationwide to help customers afford projects through flexible financing plans. With a full-spectrum lending approach and billions in originations, FFC is investing heavily in both infrastructure and talent as they scale. The culture is fast-paced, team-oriented, and built around growth, accountability, and solid benefits.
Schedule
- Position type: Full-time, remote
- Location: Must reside in one of these states: AL, AR, AZ, CO, FL, GA, IL, IN, KY, LA, MD, MI, MN, MO, MS, NC, NJ, NV, NY, OH, OK, OR, SC, TN, TX, UT, VA, WA, or WI
- Work setting: Home office (significant time sitting, typing, and on the phone)
- General expectations: Be able to work reliably, meet deadlines, handle change productively, and collaborate with cross-functional teams
Pay
- Hourly range: 23.50 to 26.00 dollars per hour
What You’ll Do
- Review dealer files and supporting documentation to identify potential risks at the dealer level
- Analyze and coordinate dealer reviews for reactivation, termination, or changes to special handling/stipulation programs
- Conduct reviews on selected dealer accounts for possible termination or program changes (e.g., Pre/Full VAP, P+, Stage Funding)
- Present complex summaries and recommendations on special internal dealer programs to department managers
- Update internal platforms and reports so all teams have accurate, up-to-date information on dealer account changes
- Assist with quarterly audits on special program dealer accounts as directed
- Support escalated dispute resolution by organizing documents and contacting dealers and customers as needed
- Handle escalated dealer issues and coordinate with internal teams to ensure clear communication and resolution
- Communicate with dealers by phone and email regarding verifications, files, and supporting documents
- Perform other performance and compliance support tasks as assigned
What You Need
- Associate degree in business, finance, communications, or a similar field with 1+ year of related experience
- OR 3+ years of experience in a comparable field without a degree
- Comfortable working with Word processing, spreadsheet, and internet software (Microsoft Office or equivalent)
- Ability to read and interpret rules, operating instructions, and procedure manuals
- Strong written skills for drafting routine reports and correspondence
- Confident speaking with groups of customers or employees when needed
- Solid common-sense judgment and ability to follow detailed written or verbal instructions
- High attention to detail, accuracy, and the ability to work under deadlines
- Consistent, reliable attendance and willingness to adapt to changing priorities
Benefits
- Competitive pay (23.50–26.00 dollars per hour)
- Medical, dental, and vision insurance
- 401(k) with company match
- Generous paid time off
- Tuition reimbursement
- Technology stipend
- Casual dress work environment
- Room to advance in a fast-growing company
Positions like this fill quickly, especially fully remote roles with solid benefits and growth potential—don’t overthink it too long.
If you’ve got the detail-orientation and curiosity to spot risk and keep programs tight, this could be a strong work-from-home move.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Nov 25, 2025 | Uncategorized
Remote
Operations /
Full-time /
Remote
Sana’s vision is simple yet bold: make healthcare easy.
We all know navigating healthcare in the U.S. is confusing, costly, and frustrating — and our members are used to feeling that pain. That’s why we’re building something different: affordable health plans designed around Sana Care, our integrated care model connecting members with unlimited primary care and expert care navigation at no additional cost to them.
Whether it’s a quick prescription refill or guidance through a complex medical journey, Sana Care makes it feel effortless to get the right care at the right time. And for employers and brokers, we’ve built intuitive tools to make managing health benefits just as seamless.
If you love solving hard problems that make people’s lives easier, come build with us.
We’re currently seeking a Claims Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction.
We are building a distributed team and encourage all applicants to apply, regardless of location.
What you will do:
- Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed.
- Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.
- Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.
- Identify operational issues and escalate them to the appropriate internal team.
- Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.
- Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.
What you will do:
- Two-year degree and/or two years of claims adjudication and processing experience
- Unparalleled attention to detail. You love getting into the weeds to get things done.
- Excellent written and verbal communication skills.
- Ability to work independently and as part of a team.
- Fast learner. Entrepreneurial. Self-directed.
- Ability to meet deadlines and work under pressure.
- Experience in claims processing, knowledge of insurance principles and procedures is a plus.
Benefits:
- Remote company with a fully distributed team – no return-to-office mandates
- Flexible vacation policy (and a culture of using it)
- Medical, dental, and vision insurance with 100% company-paid employee coverage
- 401(k), FSA, and HSA plans
- Paid parental leave
- Short and long-term disability, as well as life insurance
- Competitive stock options are offered to all employees
- Transparent compensation & formal career development programs
- Paid one-month sabbatical after 5 years
- Stipends for setting up your home office and an ongoing learning budget
- Direct positive impact on members’ lives – wait until you see the positive feedback members share every day
$24 – $26.44 an hour
Our cash compensation amount for this role is targeted at $24.00/hr – $26.44/hr (40 hours/week) for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help patients get access to the therapies they need, without ever stepping into an office. This remote Reimbursement Specialist role lets you use your healthcare and insurance knowledge to guide providers and patients through the coverage maze so treatment is not delayed or denied.
About CareMetx
From Intake to Outcomes, CareMetx partners with pharmaceutical, biotechnology, and medical device companies to support patients through every step of their access journey. The company provides hub services, innovative technology, and data-driven solutions that help make specialty therapies more reachable and affordable. CareMetx is mission focused, growing, and committed to doing right by both patients and employees.
Schedule
- Remote position
- Full-time role
- Must be flexible with schedule and hours
- Overtime may be required at times
- May include occasional weekend work to meet program or client demands
What You’ll Do
- Collect and review patient insurance benefit information according to program SOPs
- Complete and submit all required insurance forms and program applications for benefit investigations and prior authorizations
- Track and follow up on prior authorization requests, ensuring timely and accurate processing
- Provide exceptional customer service to providers, office staff, payers, and patients by phone and in writing
- Maintain frequent contact with provider reps, third-party customer service reps, and pharmacy staff
- Document all interactions with providers, payers, and clients in the CareMetx Connect system
- Report reimbursement trends, delays, or issues to your supervisor
- Coordinate with internal departments to resolve access, reimbursement, or documentation issues
- Communicate clearly with payors to complete accurate, timely benefit investigations
- Report all Adverse Events in alignment with training and Standard Operating Procedures
- Handle other related duties as assigned while working independently within established SOPs
What You Need
- High school diploma or GED
- At least 1 year of experience in a specialty pharmacy, medical insurance, physician’s office, healthcare setting, or similar environment
- Strong verbal and written communication skills
- Ability to build productive working relationships with internal teams and external partners
- Solid organizational skills, attention to detail, and strong time management
- General knowledge of pharmacy and medical benefits; understanding of commercial and government payers preferred
- Ability to problem solve and work through issues with minimal supervision
- Proficiency with Microsoft Excel, Outlook, and Word
- Comfortable working both independently and as part of a team
- Customer satisfaction focused, with a professional and patient mindset
Benefits
- Salary range: 30,490.45 to 38,960.02 USD annually
- Opportunity to grow in a niche, in-demand field of healthcare reimbursement
- Mission-driven work directly supporting patients’ access to specialty therapies
Roles like this do not sit open for long, especially fully remote reimbursement positions, so if this sounds like you, get your application in soon.
If you are looking for a remote healthcare role where your attention to detail genuinely helps patients get care, this is a strong next step.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help home improvement customers get the financing they need, all from your home office. As a remote Stipulation Specialist, you will review documents, support dealers, and keep loans moving so projects can actually happen, not just stay on paper.
About Foundation Finance Company
Foundation Finance Company (FFC) is one of the fastest-growing consumer finance companies in the U.S. We partner with home improvement contractors nationwide to offer flexible financing plans to their customers. Our full-spectrum lending model has driven billions in originations and helped homeowners complete important projects. FFC is investing heavily in technology and talent, creating a fast-paced environment with real room to grow.
Schedule
- Full-time, remote role
- Must reside in one of these states: AL, AR, AZ, CO, FL, GA, IL, IN, KY, LA, MD, MI, MN, MO, MS, NC, NJ, NV, NY, OH, OK, OR, SC, TN, TX, UT, VA, WA, or WI
- Standard business-hour schedule with the need to meet deadlines and support dealers and customers by phone and email
What You’ll Do
- Process and review stipulation documents to ensure they meet company requirements
- Apply company stipulation policies and identify items that need supervisor review
- Communicate with dealers by phone and email to answer questions, resolve issues, and provide clear information
- Assist with entering credit applications and help achieve volume and quality goals
- Verify loan terms with new customers and handle customer service and payment calls as needed
- Support cross-department needs by answering customer and payment calls and helping with related tasks
- Maintain and grow business by building strong relationships with dealers
- Perform other duties as assigned while staying accurate, focused, and productive under deadlines
What You Need
- Associate’s degree in business, finance, communication, marketing, or a related field OR at least 1 year of experience in underwriting or lending
- Reliable, positive team player with a strong “can-do” attitude and solid judgment
- Strong written and verbal communication skills and a sociable, professional phone presence
- High attention to detail and the ability to multi-task while working under deadlines
- Comfort working with numbers, including percentages, interest, and basic financial math
- Ability to interpret written, verbal, and diagrammed instructions and solve practical problems
- Working knowledge of Microsoft Office (Word, Excel, PowerPoint, Outlook) and internet navigation
- Strong desire to help the organization succeed and grow
Benefits
- Hourly pay range: 18.50 to 20.00 USD per hour
- Medical, dental, and vision benefits
- 401(k) with company match
- Casual dress work environment
- Fast-paced, growth-oriented culture with room for advancement
- Additional benefits and details provided during onboarding
Roles like this fill quickly, so if you meet the requirements and want a remote role in consumer finance, do not wait to throw your hat in the ring.
If you are ready to grow your career with a remote team that values accuracy, service, and dealer relationships, this could be your next move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Step into a fully remote underwriting operations role where your accuracy, speed, and problem solving actually move the needle. This position is ideal if you know commercial insurance, thrive in fast-paced back-end work, and want to own the processing side of the workers’ compensation policy lifecycle.
About Pie Insurance
Pie Insurance helps small businesses thrive by making workers’ compensation and commercial insurance more affordable and easier to manage. The team uses data, technology, and a customer-first mindset to simplify quoting, billing, and policy servicing for small business owners. Pie is a fast-growing, values-driven company focused on modernizing how small businesses buy and experience commercial insurance.
Schedule
- Full-time, remote position within the United States (territories excluded)
- Standard weekday business hours, with flexibility based on team needs
- Requires reliable high-speed internet and a quiet, professional home workspace
- Collaboration with product, compliance, underwriting, and operations teams
What You’ll Do
- Process policy servicing tasks for workers’ compensation policies, including policy issuance, endorsements, cancel/rewrites, and other midterm changes
- Handle entity changes and other updates across direct and partner accounts
- Coordinate with renewal teams to flag significant in-term changes and support accurate renewal reviews
- Complete rate verification and functionality testing in various policy rating platforms
- Support batch processing for book rolls and large-volume quoting and submission work
- Work with product and compliance teams to test rating and system functionality, identifying issues and providing feedback
- Process corrective endorsements based on workers’ comp bureau error reports
- Assist Underwriting Assistants and Underwriters with data entry, file prep, and other process-driven tasks as needed
What You Need
- High school diploma or GED required
- At least 3 years of experience in commercial insurance (workers’ compensation strongly preferred)
- Strong problem solving skills with the ability to work through tasks and issues with minimal direction
- Proven self-direction and ownership of workload, deliverables, and deadlines
- Ability to multitask, manage multiple deliverables, and stay organized in a fast-paced environment
- High attention to detail with strong data entry and transcription accuracy
- Developing leadership skills and experience leading work groups or task-based projects is a plus
- Clear written and verbal communication skills, with the ability to adapt messaging to different audiences
- Comfortable with cloud-based systems and tools such as Microsoft Office, Google Workspace, Slack, Salesforce, and Adobe, with the ability to learn new platforms quickly
Benefits
- Base compensation range of 25.25 to 30 dollars per hour, depending on experience and location
- Competitive cash compensation plus equity so you receive a piece of the pie
- Comprehensive health plans
- Generous paid time off
- Future focused 401k match
- Generous parental and caregiver leave
- Remote-first culture with tools and support to help you succeed from home
If you want a remote underwriting operations role where your precision and processing skills directly support small businesses, this is a strong next move.
Ready to level up your insurance career from home? Throw your hat in the ring.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Support payroll partners and small business customers in a fully remote role where your customer service skills actually matter. This mid-level position is all about solving real issues in real time so payroll partners can keep their clients covered and compliant without the drama.
About Pie Insurance
Pie Insurance helps small businesses thrive by making workers’ compensation and commercial insurance more affordable and easier to manage. The team blends technology, data, and human support to simplify coverage and billing so owners can focus on running their business. Pie has a values-driven culture and a growing national footprint in the small business insurance space.
Schedule
- Full-time, remote role within the United States (territories excluded)
- Standard weekday business hours with responsiveness to partner requests
- Must be able to respond to payroll partner requests within 24 hours or less
- Requires reliable high speed internet and a consistent, professional home work setup
What You’ll Do
- Handle phone, email, and platform-based communication with payroll partners and internal teams to provide high quality customer service
- Maintain service level agreements set by the Payroll Partner Operations team in a consistent and efficient way
- Process policy issuance, renewals, cancellations, and general questions for payroll partner accounts
- Manage follow up communication and ensure timely responses to partner requests and escalations
- Apply advanced workers’ compensation knowledge to policy, billing, and agency questions
- Build and maintain strong relationships with payroll partners and internal stakeholders
- Identify issues, drive resolution, and anticipate ways to prevent similar problems in the future
- Advocate for payroll partners and insureds by clearly voicing their needs and perspectives
- Support onboarding and training for new hires and teams, including process walkthroughs and feedback
- Help maintain and update SOPs, training materials, and resources for the Payroll Pod
- Assist in testing and training for new processes and systems as they are rolled out
What You Need
- High school diploma or GED required; associate degree, trade or technical certificate, or bachelor’s degree preferred
- At least 1 year experience in a high volume customer contact environment
- At least 1 year insurance customer service, administrative, or sales experience
- Payroll partner customer service experience is preferred
- Strong problem solving skills with the ability to handle simple to moderately complex issues with minimal guidance
- Ability to navigate and solve advanced issues across multiple internal platforms
- Clear, professional verbal and written communication skills, with a focus on relationship building
- Proven ability to work with speed, accuracy, and consistency while reducing unnecessary handoffs
- Developed self-direction and ownership of tasks, deliverables, and timelines
- Comfortable working in a collaborative team environment and considering stakeholder needs
- Experience with G Suite, Salesforce, payment processing systems, and Slack is highly preferred
Benefits
- Base compensation range of 23.50 to 28 dollars per hour, depending on experience and location
- Competitive cash compensation plus equity so you get a piece of the pie
- Comprehensive health plans
- Generous paid time off
- Future focused 401k match
- Generous parental and caregiver leave
- Remote first culture with tools and support to work from home successfully
If you are ready to grow your insurance career while working remotely and supporting payroll partners who rely on you, this role is worth jumping on.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Support key partners, own complex policy lifecycles, and be the go to problem solver in a fully remote role. If you enjoy deep dive customer service, billing, and audit work in a structured environment, this Partner Specialist position with Pie Insurance is built for you.
About Pie Insurance
Pie Insurance is a technology driven commercial insurance company focused on helping small businesses thrive by making coverage affordable and easy to manage. The team uses data, automation, and a customer first mindset to simplify workers compensation and commercial insurance so owners can focus on running their business instead of fighting paperwork.
Schedule
- Full time, remote role within the United States (territories excluded)
- Standard weekday business hours with regular collaboration across operations, billing, and partner teams
- Requires reliable high speed internet and a professional, distraction free home workspace
What You Will Do
- Serve as a subject matter expert for customer service, billing, and audit processes tied to partner policies
- Manage the full partner policy lifecycle, including policy setup, changes, billing adjustments, audits, and renewals
- Build and maintain strong relationships with assigned partners and internal teams to ensure consistent, clear communication
- Proactively identify, investigate, and resolve issues at any stage of the policy lifecycle and prevent repeat problems where possible
- Deliver high quality support that meets or exceeds established service level agreements and partner expectations
- Own escalations from internal customer service and cross functional teams, including root cause review and resolution updates
- Partner with internal stakeholders to refine workflows and reduce escalations over time
- Support elite partners with a high level of independence, tailoring solutions to their business needs while staying aligned with company policies
- Maintain accurate documentation, notes, and tracking for policy actions, escalations, and outcomes
- Show dependable attendance and punctuality to support team coverage and service commitments
What You Need
- High school diploma or GED required, some college coursework or a bachelor’s degree preferred
- At least 2 years of customer service experience, ideally supporting customers in a structured, metrics driven environment
- At least 1 year of experience providing operational support in a fast paced environment is highly preferred
- Experience with data analysis and a working understanding of workers compensation operational practices required
- Familiarity with insurance products, policy administration, or similar operational roles is a plus
- Comfortable using G Suite tools, Salesforce, collaboration tools such as Slack, and standard office software
- Strong written and verbal communication skills, with the ability to clearly explain issues and close the loop on conversations
- Proven ability to own your workload, manage timelines, and follow through on deliverables without heavy supervision
- Problem solving mindset with the ability to use data, judgment, and creativity to design win win solutions
- Collaborative, team focused approach with the ability to build trust across partners and internal departments
Benefits
- Base pay range of 23.50 to 28 dollars per hour, depending on experience and location
- Competitive cash compensation plus equity, so you truly get a piece of the pie
- Comprehensive health plans
- Generous paid time off
- Future focused 401k match
- Generous parental and caregiver leave
- Mission driven, values based culture where small business customers come first
Roles that combine remote work, subject matter ownership, and direct impact on partner relationships are in demand and move quickly. If you want to grow in insurance operations while staying fully remote, this is a strong option to pursue.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help small businesses bounce back faster by recovering money on complex workers’ compensation and commercial auto claims. This fully remote subrogation role lets you own a focused caseload, drive recoveries, and directly impact claim cost containment.
About Pie Insurance
Pie Insurance is a tech driven commercial insurance company on a mission to make coverage affordable and as easy as pie for small businesses. They use data, automation, and a customer first mindset to rethink how small businesses buy and experience insurance. As part of the claims team, you’ll help protect those businesses by identifying, pursuing, and securing subrogation recoveries that keep costs under control.
Schedule
- Full time, remote role based anywhere in the United States (territories excluded).
- Standard weekday business hours with collaboration across claims and internal partners.
- Requires reliable, high speed internet and a dedicated, professional home workspace.
What You’ll Do
- Investigate subrogation opportunities by securing new evidence and information across all applicable lines of business.
- Determine potential subrogation recovery amounts and build a clear recovery strategy for each assigned file.
- Evaluate liability and conduct additional investigation as needed to reach optimal settlements.
- Collaborate with front line adjusters to align on case strategy, share new facts, and reassess liability and settlement options.
- Issue subrogation notices in line with state specific regulations and company standards.
- Maintain proactive contact with insureds, claimants, carriers, attorneys, adverse parties, and internal adjusters to move recovery efforts forward.
- Document action plans, investigations, negotiations, and recovery status clearly in claim notes and systems.
- Negotiate workers’ compensation and commercial auto subrogation claims with carriers and other responsible parties, including attorneys and legal reps.
- Assist with the recovery of claim overpayments and negotiate lien/settlement amounts based on case facts.
What You Need
- At least 2 years of experience handling workers’ compensation and/or commercial auto claims subrogation.
- Strong understanding of insurance claim procedures and subrogation workflows.
- Strong written and verbal communication skills with a professional, clear style.
- Confident decision making and critical thinking skills in a fast paced environment.
- Strong negotiation skills with experience settling or resolving disputed liability and damages.
- Ability to learn quickly, take ownership of new responsibilities, and manage a steady caseload.
- Comfort working both independently and as part of a collaborative claims team.
- Experience with G Suite tools, Microsoft Office, and common collaboration platforms.
- High school diploma or GED required; bachelor’s degree preferred.
Benefits
- Base salary range of 70,000 to 90,000 dollars per year, depending on experience and location.
- Competitive cash compensation plus equity so you truly get “a piece of the pie.”
- Comprehensive health plans.
- Generous paid time off.
- Future focused 401k match.
- Generous parental and caregiver leave.
Subrogation roles that blend autonomy, impact on claim outcomes, and fully remote flexibility are not common.
If you’re ready to own your recoveries and help small businesses thrive, this one deserves serious consideration.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help small business owners stay protected by keeping their commercial insurance billing clean, accurate, and stress free. This mid level remote billing role lets you handle more complex issues while still staying close to customers and agency partners every day.
About Pie Insurance
Pie Insurance is a tech forward commercial insurance company focused on making coverage affordable and as easy as pie for small businesses. They use data and automation to simplify how workers’ comp and other commercial policies are quoted, billed, and serviced. The team is made up of builders and problem solvers who care about doing right by small business owners and each other.
Schedule
- Full time, remote role based anywhere in the United States (territories excluded).
- Standard business hours with some flexibility based on team needs.
- Requires reliable, high speed internet and a quiet, professional home workspace.
What You’ll Do
- Handle Tier II phone, email, and platform based billing communication with customers, agency partners, and internal teams.
- Manage mid level technical billing inquiries, resolving issues accurately and with strong customer service.
- Monitor and maintain service level agreements while staying compliant with federal and state regulations.
- Meet or exceed production goals tied to Billing Tier II work volume and quality.
- Build relationships with agency partners and internal stakeholders to keep communication clear and consistent.
- Research and resolve complex billing issues while looking for ways to prevent similar problems in the future.
- Advocate for the customer’s perspective and help voice customer needs to internal teams.
- Stay current on billing policies, procedures, and system workflows through ongoing training.
- Support onboarding and training of new Tier I billing hires, including shadow sessions and knowledge sharing.
- Complete other billing and operations duties as assigned.
What You Need
- High school diploma or GED required; college coursework or a bachelor’s degree preferred.
- At least 2 years of experience in financial services, collections, or banking.
- At least 1 year of customer service experience in a fast paced, high volume environment.
- Familiarity with Pie’s internal systems and standards is highly preferred (for internal candidates).
- Strong verbal and written communication skills with a professional, customer focused tone.
- Demonstrated problem solving skills and comfort challenging the status quo to improve processes.
- Self directed, proactive, and able to complete work with strong speed, accuracy, and consistency.
- Ability to work well in a team environment and build collaborative relationships across departments.
- Experience with G Suite tools, Salesforce, payment processing systems, and collaboration tools such as Slack.
Benefits
- Base compensation range of 21 to 25 dollars per hour, depending on experience and location.
- Competitive cash compensation plus equity so you truly get a piece of the pie.
- Comprehensive health plans.
- Generous paid time off.
- Future focused 401k match.
- Generous parental and caregiver leave.
Roles where you can grow from Tier II work into deeper ownership while staying fully remote do not sit around long.
If you like solving billing problems, talking to people, and helping small businesses thrive, this one is worth your energy.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home as the go-to treasury expert who keeps client money clean, reconciled, and moving. This role is ideal if you like structure, numbers, and building better processes instead of just following them.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based benefits administrator that partners with employers nationwide to design and manage self funded health plans. The Treasury Services team supports that mission by making sure client accounts are set up correctly, reconciled on time, and handled with tight financial controls. Allied offers a remote friendly culture where detail focused finance pros can grow.
Schedule
Full time, fully remote role based out of Chicago, Illinois.
Standard weekday business hours in a computer based environment.
Requires a dedicated home workspace and reliable high speed internet via cable or fiber (at least 100 Mbps download and 25 Mbps upload).
What You’ll Do
- Complete monthly reconciliations of client accounts in Great Plains.
- Process new business banking setups (BPO and ASO) and make banking changes for existing business.
- Maintain vendor records for print fulfillment and support VCC/EFT implementation.
- Complete check tracer processes and submit Positive Pay files to help prevent fraud.
- Upload, track, and troubleshoot treasury related transactions and file movements.
- Create, document, and improve Treasury Services processes as operational needs evolve.
- Provide day to day support to the Treasury Services team on issues, questions, and process gaps.
- Lead training for new hires and existing team members as needed.
- Handle other treasury and operations duties as assigned.
What You Need
- Bachelor’s degree in accounting or equivalent work experience.
- At least 2 years of experience as a Treasury Analyst.
- Strong attention to detail, accuracy, and follow through.
- Excellent written and verbal communication skills.
- Strong organizational and time management skills with a track record of meeting deadlines.
- Proficiency with Microsoft Office Suite, especially Excel and Word.
- Experience with financial management systems such as Great Plains or similar.
- Solid computer skills with tools like Excel, Access, and Power BI.
- Strong analytical and problem solving skills with solid financial and math abilities.
- Ability to work independently in a remote environment and collaborate with a broader team.
Benefits
- Hourly pay in the range of 23 to 24 dollars per hour, depending on experience and qualifications.
- Fully remote role with a supportive, remote friendly culture.
- Medical, Dental, and Vision insurance.
- Life and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
Remote treasury roles that blend hands on reconciliations, process ownership, and team support do not sit open forever.
If you are ready to be the subject matter expert the team relies on, this is your next move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Use your benefits knowledge and bilingual skills to own a book of business from home. This fully remote Account Manager role lets you be the go-to partner for employers and brokers while serving clients in both English and Spanish.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded group health plans. They’re known for flexible, cost-effective benefit solutions, strong client relationships, and a remote-friendly culture where people who communicate well and take ownership can thrive.
Schedule
Full-time, fully remote position (Chicago, IL home base).
Standard weekday business hours, with occasional flexibility for client or broker meetings and virtual presentations.
Requires a dedicated home workspace and reliable high-speed internet (cable or fiber, at least 100 Mbps download / 25 Mbps upload).
What You’ll Do
- Serve as the primary day-to-day contact for an assigned book of Allied clients and their brokers, in both English and Spanish.
- Act as the liaison between clients/brokers and Allied executives and internal departments involved in administering self-funded health plans.
- Provide ACA compliance updates, resolve claim issues, and share industry and legislative information in clear, client-friendly language.
- Conduct quarterly performance meetings to review reporting, strengthen relationships, and ensure overall client satisfaction and retention.
- Lead new client implementations, including internal implementation meetings, tracking open items, and driving installation to completion.
- Communicate plan design changes, contract details, accounting/billing updates, and vendor partner changes to internal teams.
- Prepare and deliver employee presentations, administrative procedures training, website training, and reporting reviews in English and Spanish.
- Produce and analyze ad hoc reports for clients, brokers, and Account Executives as requested.
- Support renewals by managing claim reviews, coordinating stop-loss marketing, and aligning on service expectations.
- Identify opportunities to cross-sell additional Allied services to existing clients.
What You Need
- Bachelor’s degree or equivalent work experience.
- 2–4 years of experience in an Account Manager role.
- Ability to read, write, comprehend, and present confidently in both English and Spanish.
- Working knowledge of employee medical benefit plans; experience with group health and self-funded plans preferred.
- Excellent verbal and written communication skills and strong customer service instincts.
- Comfortable with public speaking and presenting benefits and compliance information in both languages.
- Proficiency with Microsoft Office Suite (Word, Excel, PowerPoint; Access a plus).
- Strong organizational skills, attention to detail, and time management with a track record of meeting deadlines.
- Ability to prioritize tasks, delegate when appropriate, and function well in a fast-paced environment.
- Life and Health Insurance Producer license preferred (or willingness to pursue).
Benefits
- Salary range of $70,000–$75,000 per year, depending on experience and qualifications.
- Fully remote role within a supportive, remote-first culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
Bilingual account management roles that are fully remote, client-facing, and benefits-focused don’t stay open long.
If you’re ready to be the trusted voice for your clients in both English and Spanish, this is your move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Own a portfolio of employer health plans from your home office. As an Account Manager with Allied, you’ll be the main point of contact for clients and brokers, driving retention, solving escalations, and shaping how self-funded benefits are delivered.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based third party administrator that partners with employers nationwide to design and manage self funded group health plans. They focus on flexible, cost effective benefit solutions backed by strong client service, clinical programs, and smart use of data. Allied has a remote friendly culture where relationship builders, problem solvers, and benefits experts can thrive from anywhere.
Schedule
- Full time, fully remote role based out of Chicago, Illinois.
- Standard weekday business hours with some flexibility for client meetings and occasional travel.
- Home office setup with reliable high speed internet (at least 100 Mbps download / 25 Mbps upload) required.
What You’ll Do
- Serve as the primary day to day contact for an assigned book of Allied self funded employer groups and their brokers.
- Act as the liaison between employers, brokers, Client Executives, and internal Allied departments.
- Communicate industry and legislative updates, including ACA and compliance requirements, in a way clients can actually use.
- Manage and resolve escalated employee issues tied to benefits, claims, and plan administration.
- Conduct quarterly meetings to review plan performance, build relationships, and drive client satisfaction and retention.
- Communicate benefit plan design changes, financial updates, and vendor partner changes to internal teams.
- Prepare and deliver employee presentations, employer portal trainings, and executive level summary reviews.
- Produce and analyze ad hoc reports for clients, brokers, and Client Executives.
- Support renewals by managing claims review, updating plan documents, and project managing open enrollment for existing groups.
- Cross sell Allied solutions and value add services to deepen relationships and expand partnerships.
What You Need
- BA or BS degree, or equivalent work experience.
- At least 3 years of experience in an account management role.
- Strong working knowledge of employee medical benefit plans.
- Experience with group health insurance and self funded health plans preferred.
- Excellent written and verbal communication skills, including comfort with public speaking and benefits presentations.
- Intermediate skills with Microsoft Word, Excel, Access, and PowerPoint.
- Highly organized with strong time management, follow through, and attention to detail.
- Life and Health Insurance Producer license preferred, but not required.
Benefits
- Salary range of 70,000 to 75,000 dollars per year, depending on experience and qualifications.
- Fully remote work with a supportive, remote first culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
Client facing remote roles that blend strategy, relationships, and real impact on employer health plans do not stay open long.
If you are ready to be the go to partner for your clients instead of just “the vendor,” this is your lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Lead a specialized stop loss team from your home office while owning high impact claims operations. This role is built for a seasoned stop loss leader who can balance strategy, audit oversight, and day-to-day coaching without losing the details.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded health plans. The company focuses on flexible, cost-effective benefit solutions backed by strong operational performance and responsive client service. Allied’s remote-friendly culture lets experienced leaders drive results from anywhere while still feeling connected and supported.
Schedule
Full-time, fully remote position based out of Chicago, Illinois.
Standard weekday business hours in a computer-based environment.
Requires reliable high-speed internet via cable or fiber (at least 100 Mbps download / 25 Mbps upload) to support collaboration, reporting, and system access.
What You’ll Do
- Manage the day-to-day operations of the Stop Loss department, including workflow, staffing, systems, and reporting.
- Work closely with the Director of Stop Loss to set expectations, meet business goals, and drive innovation.
- Oversee all stop loss filings (specific and aggregate), reimbursements, and advance funding claims to ensure timely, accurate handling.
- Perform and oversee weekly audits of specific claims to confirm filings and reimbursements are correct.
- Maintain and improve tracking tools and logs for members over specific deductibles and stop loss activity.
- Coordinate reprocessing of claims based on carrier negotiations and contract details.
- Lead the filing of aggregate claims and secure corresponding reimbursements.
- Manage the cash flow impact of advance funding by selecting appropriate claims and monitoring paybacks.
- Request and review reporting for mid-year takeover stop loss policies.
- Assess existing processes and design/implement policies and procedures that improve efficiency and align with corporate strategy.
- Troubleshoot issues across teams and remove obstacles to keep operations running smoothly.
- Directly manage team members, including assignments, performance goals, one-on-ones, coaching, and performance reviews.
- Set clear expectations, provide training, and ensure quality standards and audit metrics are met.
- Attract, develop, and retain talent while fostering a culture of urgency, accountability, and collaboration.
- Take on special projects and additional duties as needed.
What You Need
- Bachelor’s degree or equivalent relevant work experience.
- At least 5 years of stop loss experience at a TPA or stop loss carrier.
- At least 3 years in a supervisory or management role with proven leadership results.
- Intermediate proficiency with Microsoft Word, Excel, and PowerPoint.
- Strong knowledge of group health insurance/benefits (preferred).
- Excellent written and verbal communication skills.
- Proven ability to manage operations, drive process improvements, and meet deadlines.
- Strong decision-making, problem-solving, and relationship-building skills.
- Comfortable leading in a fully remote environment with clear expectations and accountability.
Benefits
- Salary range of $70,000 to $75,000 per year, based on experience and qualifications.
- Fully remote role within a supportive, remote-first culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
If you’re already the “go-to” stop loss expert and ready to step into (or level up in) leadership with full remote flexibility, this is one to take seriously.
Step into a role where your decisions shape operations, protect clients, and develop a high-performing team.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Use your medical claims experience to solve real problems instead of watching claims bounce back and forth. This fully remote Appeals Specialist role lets you own the appeals process from start to finish, making sure members and clients get clear, accurate outcomes.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded health plans. They focus on flexible, cost-effective benefits backed by strong operational support, clinical programs, and client service. Allied runs a remote-friendly culture where detail-oriented, accountable people can thrive from anywhere.
Schedule
Full-time, fully remote position based out of Chicago, Illinois.
Standard weekday business hours in a computer-based/home office environment.
Requires reliable high-speed internet via cable or fiber (at least 100 Mbps download / 25 Mbps upload) for systems access and virtual collaboration.
What You’ll Do
- Log and track all appeals received under the Allied Advocate program.
- Review appeals and supporting documentation to assess completeness and appropriateness.
- Review Summary Plan Documents (SPDs) to determine the validity of appeals.
- Document claim specifics and appeal details in internal systems (including Qiclink and databases).
- Route appeal documentation to internal business partners for review and resolution.
- Coordinate and follow up with business partners on aging appeals to keep cases moving.
- Compose appeal responses when necessary and communicate outcomes clearly.
- Communicate with other departments and clients as needed to clarify information and support resolution.
- Prioritize incoming referrals to complete all tasks within required timelines.
- Perform other appeals-related duties as assigned.
What You Need
- Bachelor’s degree or equivalent work experience.
- At least 2 years of comprehensive experience handling medical claims appeals.
- Proficiency with Microsoft Office Suite or similar software.
- Ability to analyze claim situations and take appropriate, informed actions.
- Strong verbal and written communication skills.
- Solid analytical and problem-solving skills.
- Excellent organizational skills, attention to detail, and time management.
- Ability to learn new systems and adapt to process changes.
- Comfort sitting for long periods and communicating by phone in a remote environment.
Benefits
- Hourly pay in the range of $20.00–$21.00, based on experience and qualifications.
- Fully remote work with a supportive, remote-friendly culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
Appeals roles that let you specialize in medical claims, stay fully remote, and build a real career path don’t stay open forever.
If you’re confident with claims, love digging into details, and want to be the person who gets appeals over the finish line, this is your move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home in a numbers-driven role that actually matters to the bottom line. As a Stop Loss Data Specialist, you’ll be the person making sure big dollar claims are filed, tracked, and reimbursed correctly so plans stay protected and claims stay on track.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago-based third-party administrator that partners with employers nationwide to design and manage self-funded health plans. The company focuses on flexible, cost-effective benefit solutions backed by smart operations, data, and strong client service. Allied runs a remote-friendly culture where organized, detail-oriented people can thrive from anywhere.
Schedule
Full-time, fully remote role based out of Chicago, Illinois.
Standard weekday business hours in a computer-based/home office environment.
Requires reliable high-speed internet via cable or fiber (minimum 100 Mbps download / 25 Mbps upload) to support file work and system access.
What You’ll Do
- Perform monthly audits to confirm all stop loss claims have been filed and all reimbursements have been received.
- Update and manage stop loss tracking tools and specific logs to monitor members over the specific deductible.
- Review, record, and reconcile stop loss reimbursements with accuracy and clarity.
- Gather and prepare data required to file Rx stop loss claims.
- Request and track Actively at Work forms from clients.
- Manage the cash advance process, including identifying claims for cash advance and mailing cash advance checks once reimbursements are received.
- Work closely with Stop Loss Claim Specialists on administrative, organizational, and auditing tasks.
- Handle assorted operational duties as assigned to keep the stop loss department running efficiently.
What You Need
- High school diploma or equivalent (some college or equivalent work experience preferred).
- 1–2 years of experience in an office environment.
- Strong organizational skills and meticulous attention to detail.
- Solid analytical and problem-solving skills.
- Clear verbal and written communication skills.
- Proficiency with Microsoft Office Suite or similar software.
- Strong time management skills and a proven ability to meet deadlines.
- Ability to function well in a fast-paced, sometimes high-pressure environment.
- Preferred: Medical claims experience, accounting or finance background, and/or experience with a TPA or other insurance company.
Benefits
- Hourly pay in the range of $23.00–$24.00, depending on experience and qualifications.
- Fully remote work with a supportive, remote-friendly culture.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to support your home office setup.
If you’re detail-obsessed, steady under deadlines, and ready to own a high-impact operational role from home, this deserves a spot at the top of your list.
Lock in a remote position where your accuracy and follow-through directly protect clients and their plans.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home in a role that actually keeps the whole operation moving. As an EDI Coordinator, you’ll be the person making sure critical data files get where they need to go, on time, clean, and ready for payment and processing.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based benefits administrator that partners with employers nationwide to deliver flexible, self-funded health plan solutions. The company focuses on efficient operations, client service, and smart use of data to manage costs and improve the member experience. Allied embraces a remote friendly culture where strong communicators and detail driven problem solvers can thrive from anywhere.
Schedule
Full-time, fully remote role based out of Chicago, Illinois.
Standard weekday office hours with extended computer work in a home office environment.
Requires reliable high speed internet via cable or fiber (minimum 100 Mbps download / 25 Mbps upload) to support file transfers and system access.
What You’ll Do
- Receive and submit daily files to and from various vendors.
- Process 837 files and convert them into .txt files for use in internal systems.
- Prepare files to be loaded into internal processing systems for claims, eligibility, and payment workflows.
- Conduct eligibility checks by matching enrollee and member demographics to the internal master database.
- Accurately route completed claims to the correct internal mailboxes and departments.
- Perform data entry and monitor EDI databases for any issues or anomalies.
- Document processing workflows and support internal staff and external trading partners with EDI related questions.
- Upload outbound files and download inbound files each day, recording file counts and batch audits.
- Identify and resolve failed transactions, including missing acknowledgements.
- Perform other related duties as assigned.
What You Need
- High school diploma or GED.
- Data entry experience; ability to type at least 6,000 keystrokes per hour with accuracy.
- Basic knowledge of Word, Excel, and Access; prior experience with Access and Excel is a plus.
- Strong attention to detail and accuracy in all data handling.
- Ability to handle multiple tasks at once and stay organized.
- Good problem solving skills and a self motivated mindset.
- Ability to work both independently and as part of a team in a remote environment.
- Clear, professional communication skills.
Benefits
- Hourly pay in the range of 20 to 21 dollars per hour, depending on experience.
- Fully remote role with a remote friendly culture and support to set you up for success.
- Medical, Dental, Vision, Life, and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement and Employee Assistance Program (EAP).
- Technology stipend to help cover remote work needs.
If you’re detail obsessed, comfortable living in spreadsheets and systems, and want a stable remote role in the benefits world, this is a strong option.
Lock in a work from home job where accuracy, consistency, and quiet focus really matter.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Use your health insurance and case management experience to actually change member outcomes, not just push paperwork. This fully remote Case Manager I role lets you weave together vendors, clinicians, and members to build care plans that improve health and control costs.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based benefits administrator that partners with employers nationwide to design and manage self funded group health plans. They specialize in flexible, cost effective benefit solutions backed by strong client service and clinical programs like Enhanced Case Management. Allied’s remote friendly culture is built on accountability, communication, and helping members navigate complex healthcare with confidence.
Schedule
Full time, fully remote position based out of Chicago, Illinois.
Standard weekday business hours with occasional flexibility needed to meet deadlines and member or client needs.
Home office setup with reliable high speed internet (minimum 100 Mbps download / 25 Mbps upload) required for systems access and virtual collaboration.
What You’ll Do
- Review clinical notes, claims data, and baseline case information for members across multiple health scenarios, including behavioral health, wellness, specialty prescriptions, and maternity.
- Develop strategic care plans that connect members to specialized vendor partners and Allied Care Clinicians who can best support their needs.
- Implement care plans by coordinating with members, clients, internal Allied teams, and vendor partners to keep services aligned and moving.
- Work closely with the Clinical Case Management team and other Case Managers to obtain clinical information, present cases, and collaboratively troubleshoot escalated issues.
- Communicate with the Centers for Medicare & Medicaid Services (CMS) and other carriers to obtain essential member information.
- Facilitate and maintain prescription drug vendor relationships, including member setup, ongoing support, and pricing negotiations when needed.
- Document the impact of casework to highlight both cost savings and improved member health outcomes tied to the care plan.
- Complete weekly and monthly administrative tasks to keep reporting, documentation, and workflow current.
- Serve as a liaison between clients, brokers, members, Allied executives, and internal departments to keep everyone aligned on case status and strategy.
- Identify opportunities to improve internal processes within Enhanced Case Management and across Allied departments, and collaborate on solutions.
What You Need
- Bachelor’s degree or equivalent work experience.
- At least 2 years of experience with group health insurance and self funded health plans.
- Excellent verbal and written communication skills with strong customer service instincts.
- Strong organizational skills, attention to detail, and the ability to manage multiple cases and deadlines at once.
- Demonstrated ability to review information, assess problems, and propose realistic, effective solutions.
- Solid analytical and problem solving skills.
- Proficiency with Microsoft Office Suite or similar software.
- Preferred: Experience with Medicare, Medicaid, case management, and prescription drug benefits.
- Preferred: Background in a clinical role, social work, or hospital system environment.
- Preferred: Life and Health Insurance Producer License (not required).
Benefits
- Salary range of $48,000 to $55,000 per year, based on experience and qualifications.
- Remote first culture with support to set you up for success at home.
- Medical, Dental, and Vision insurance.
- Life and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement.
- Employee Assistance Program (EAP).
- Technology stipend to support your remote work setup.
If you know your way around self funded health plans and want a remote role where case management actually drives outcomes, this is worth a serious look.
Put your experience to work for members who truly need an advocate on their side.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home while keeping the numbers clean and the cash flow steady. This remote Medical Billing Specialist role is built for someone who loves invoices, accuracy, and getting accounts right the first time.
About Allied Benefit Systems
Allied Benefit Systems is a Chicago based benefits administrator that partners with employers to deliver flexible, cost effective health benefit solutions. The company supports clients across the country with customized plan designs, strong service, and a focus on efficient administration. Allied values accountability, customer focus, and technical excellence in a fully remote friendly culture.
Schedule
Full time, fully remote role based out of Chicago, Illinois.
Standard office hours with extended computer work in a home office environment.
Requires reliable high speed internet (minimum 100 Mbps download and 25 Mbps upload via cable or fiber) to stay connected and productive.
What You Will Do
- Process and submit accurate and timely invoices to clients.
- Follow up on outstanding payments and resolve billing discrepancies.
- Communicate with clients about billing questions, payment status, and account updates.
- Maintain detailed, accurate records of all billing and collection activity.
- Assist with month end closing and reporting tasks.
- Collaborate with internal departments to ensure accurate and timely billing.
- Set up new client accounts for the new book of business and update existing accounts as needed.
- Audit accounts to confirm that setups and changes were allocated correctly.
- Create and maintain Excel spreadsheets and Access databases to track services and activity for multiple clients.
- Assist with file imports using multiple systems, state reporting calculations and filings, and client invoicing and audits.
- Perform other related duties as assigned.
What You Need
- High school diploma or equivalent.
- At least 2 years of experience in billing and collections.
- Strong communication and problem solving skills.
- Proficiency with Microsoft Office and familiarity with accounting or billing software.
- Strong attention to detail and accuracy in all work.
- Ability to work independently and as part of a team.
- Comfort working in a computer based role with extended periods of sitting.
Benefits
- Hourly pay of 20 dollars per hour.
- Remote first work environment and culture.
- Medical, Dental, and Vision insurance.
- Life and Disability insurance.
- Generous Paid Time Off.
- Tuition Reimbursement.
- Employee Assistance Program.
- Technology stipend to support remote work.
Remote billing roles with stable pay and real benefits are not on the market forever.
If you are organized, numbers focused, and ready to work from home for a growing benefits company, this is your sign to move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help build a smoother, safer care experience for women and families from anywhere with Wi-Fi. This role is perfect for a credentialing pro who loves tracking details, managing moving pieces, and making sure clinicians are fully set up to serve patients.
About Pomelo Care
Pomelo Care is a technology-driven virtual care company focused on improving outcomes for women and children across pregnancy, postpartum, perimenopause, and menopause. Their multi-disciplinary team of clinicians, engineers, and problem solvers delivers evidence-based, compassionate care at scale. Pomelo Care stands out by using data and technology to reduce preterm births, NICU admissions, c-sections, maternal mortality, and long-term health risks while lowering healthcare costs.
Schedule
Full-time, remote role.
Work closely with the New Ventures, licensing, credentialing, and clinical teams across time zones.
Requires reliable internet, strong availability for cross-functional collaboration, and comfort working independently in a virtual environment.
What You’ll Do
- Complete group and individual practitioner credentialing with commercial health plans for Pomelo’s telehealth clinic and care team.
- Manage credentialing applications end-to-end, tracking progress from submission through approval, contracting, and agreement execution.
- Maintain visibility into key milestones and timelines, keeping New Ventures and other teams updated on status.
- Proactively identify, mitigate, and resolve application delays and denials, including rigorous follow-up with health plans.
- Collaborate with licensing, credentialing, and enrollment teams to ensure clinician licensure is current and CAQH profiles are complete and accurate.
- Work closely with nurses, nurse practitioners, physicians, therapists, and registered dietitians to answer questions and support navigation of credentialing requirements.
- Continuously refine workflows and processes to improve efficiency, reduce bottlenecks, and accelerate health plan credentialing.
What You Need
- 2–4 years of experience in a high-volume provider credentialing specialist role.
- Deep expertise with commercial health plan credentialing processes, including plan portals and CAQH.
- Strong organizational skills with excellent attention to detail and documentation habits.
- Proven ability to operate in a fast-paced, ambiguous environment while independently seeking answers and solutions.
- A proactive, resourceful problem-solver mindset with strong follow-through on commitments.
- Clear, confident written and verbal communication skills for cross-functional and external collaboration.
- Exceptional prioritization and time management skills, including the ability to set and communicate realistic timelines and flag roadblocks early.
Benefits
- Competitive salary range of $55,000–$75,000 per year, depending on experience, location, and skillset.
- Generous equity compensation with flexibility to balance cash and equity based on your preferences.
- Competitive healthcare benefits and supportive resources for employee well-being.
- Unlimited vacation policy within a culture that values ownership and balance.
- Membership in the First Round Network, providing access to events, guides, Q&A resources, and mentorship opportunities.
- Opportunity to join a well-funded, mission-driven startup at the ground floor and have a direct impact on the patients served.
This is a strong fit if you’re already “the credentialing person” on your team and want to bring that expertise to a mission-led, fully remote environment.
If you’re ready to grow your career while helping clinicians deliver better care at scale, this is your moment.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Start your health insurance career with a fully remote role that actually trains you and keeps the work straightforward. As a COB Claims Specialist I, you’ll process claims behind the scenes so members get the right coverage and providers get paid correctly.
About WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicaid, Medicare, and Individual & Family plans. Founded as Boston Medical Center HealthNet Plan more than 25 years ago, WellSense focuses on delivering health coverage that works for real people, no matter their circumstances. The organization is known for its community-minded approach, strong benefits, and long-term stability in the regional health insurance market.
Schedule
Full-time, fully remote position.
Standard office hours with the ability to work overtime during peak periods.
Role is computer-based and performed in a typical home office environment with regular, reliable attendance expected.
What You’ll Do
- Review and process claims that involve Coordination of Benefits (COB), ensuring they adhere to COB rules and payment order.
- Update and maintain member coverage records in claims systems and COB databases.
- Process Medicaid claims in alignment with COB protocols, federal, and state regulations.
- Communicate with healthcare providers to resolve claim issues and answer processing questions.
- Collaborate with internal teams to address claims-related discrepancies and support overall operational effectiveness.
- Perform other claims-related duties as assigned under close daily supervision.
What You Need
- High school diploma or GED.
- At least 2 years of claims processing experience.
- At least 2 years of health insurance experience with familiarity in industry terminology.
- Basic understanding of health insurance COB rules, including Commercial, Medicaid, and Medicare guidelines.
- Ability to navigate multiple computer systems and work comfortably with Microsoft Office tools.
- Strong attention to detail, accuracy, and ability to follow written instructions.
- Clear, professional oral and written communication skills.
- Ability to work independently while functioning as part of a team.
- Preferred: Two consecutive years of work history and one year of Cognizant claims processing experience (Facets, QNXT).
Benefits
- Compensation range: $16.35–$22.84 per hour, depending on experience, skills, and location.
- Fully remote position with long-term stability at an established nonprofit health plan.
- Comprehensive benefits package including medical, dental, vision, and pharmacy coverage.
- 403(b) savings plan with employer match and potential merit increases.
- Flexible Spending Accounts, paid time off, and career advancement opportunities.
- Resources to support employee and family well-being, plus a strong focus on diversity and inclusion.
Remote-friendly claims roles at reputable nonprofit health plans don’t stay on the market long.
If you’ve got claims experience and want a stable, fully remote position with real benefits, this is a solid move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home while helping medically fragile patients get the supplies they need on time. This remote Change Order role is perfect if you’re organized, detail-driven, and comfortable working behind the scenes in a fast-paced healthcare environment.
About Aveanna Healthcare
Aveanna Healthcare is one of the largest providers of home care services in the United States, serving thousands of patients and families nationwide. Their mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time. Aveanna is built on core values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
- Full-time, 100% remote position.
- Role is based on Mountain Time; applicants in Mountain Time region are prioritized.
- Standard weekday schedule with performance expectations tied to accuracy and productivity.
What You’ll Do
- Review and process change requests on existing patient orders.
- Enter demographics and other key details into the digital system, ensuring all change order paperwork is complete.
- Verify insurance coverage, explain benefits to patients and case managers, and collect/process payments when needed.
- Confirm prescription validity, authorization validity, insurance requirements, and patient needs before shipping medical supplies.
- Handle authorization submissions and follow-up, meeting daily expectations for turnaround and accuracy.
- Use payer portals and insurance platforms to research and confirm coverage details.
- Identify patient issues, clarify information, research problems, and provide practical solutions.
- Meet daily, monthly, and quarterly productivity and quality goals set by management.
- Communicate effectively with other departments to address patient concerns and keep orders moving.
- Perform clerical tasks such as faxing, scanning, and copying to support documentation.
- Ensure all work meets internal and external compliance standards, including HIPAA requirements.
What You Need
- High school diploma or equivalent.
- At least 2 years of proven experience in an office, administrative, healthcare, or related role.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong attention to detail with the ability to stay accurate while managing multiple tasks.
- Ability to maintain confidentiality and adhere to professional boundaries at all times.
- Strong organization skills, time management, and a sense of urgency.
- Clear written and verbal communication skills.
- Ability to work independently and as part of a collaborative team.
- Comfort adapting to change and prioritizing multiple tasks to meet deadlines.
- Preferred: Home Health or DME-related experience, and knowledge of insurance processes.
- Preferred: Education or experience equivalent to a bachelor’s degree in a related field.
Benefits
- Pay range: $17.50–$18.00 per hour, depending on experience.
- Health, Dental, Vision, Life, and other insurance options for eligible full-time employees.
- 401(k) Savings Plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote opportunity with thorough training provided.
- Tuition reimbursement, advancement opportunities, and weekly pay with multiple payment options.
Remote healthcare admin roles with steady pay, benefits, and clear responsibilities don’t stay open long.
If you’re detail-oriented, dependable, and ready to work from home in a mission-driven environment, now is the time to jump on this.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help medically fragile patients get the respiratory supplies they need without ever stepping into an office. This remote intake role lets you combine patient-facing compassion with behind-the-scenes detail work that actually keeps care moving.
About Aveanna Healthcare
Aveanna Healthcare is one of the nation’s largest providers of home care for medically fragile children and adults. Their mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time. Aveanna is built on core values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
Full-time, 100% remote position.
Standard hours: 8:00 a.m. – 5:00 p.m. Central Time (Central time zone candidates are prioritized).
Requires a quiet, secure home workspace and reliable internet access.
What You’ll Do
- Admit new respiratory patients by entering demographics and all required information into the digital system.
- Verify insurance coverage, explain benefits to patients and case managers, and collect/process payments when needed.
- Review prescriptions, authorizations, and insurance requirements for accuracy and validity before orders ship.
- Identify patient needs, clarify information, research issues, and provide clear solutions.
- Answer incoming intake calls and assist with overflow call groups as necessary.
- Meet daily, monthly, and quarterly intake and performance metrics set by management.
- Communicate effectively with other departments to resolve patient concerns and keep orders moving.
- Perform general clerical tasks such as faxing, scanning, and copying to complete account files.
- Ensure all work meets internal and external compliance requirements and HIPAA regulations.
- Support Aveanna’s mission and culture by modeling the company’s core values in day-to-day work.
What You Need
- High school diploma or GED.
- At least 2 years of related experience; medical office or customer service experience preferred.
- Knowledge of insurances and respiratory care is a plus.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong organization skills, attention to detail, and the ability to juggle multiple tasks.
- Ability to exercise sound judgment, adapt to change, and maintain confidentiality at all times.
- Excellent written and verbal communication skills.
- Proven ability to work independently at times and also collaborate effectively with team members.
Benefits
- Starting pay of $18.00 per hour.
- Health, Dental, Vision, Life, and additional insurance options for eligible full-time employees.
- 401(k) Savings Plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote opportunity with thorough training provided.
- Tuition reimbursement, advancement opportunities, and weekly pay with multiple payment options.
Remote intake roles with set hours, benefits, and room to grow don’t stay open long.
If you’re detail-oriented, patient-focused, and ready to work from home in healthcare, this is your cue to move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home while helping families get critical in-home healthcare covered and paid. If you know medical insurance collections and want a stable, remote role with clear goals and support, this one is right in your lane.
About Aveanna Healthcare
Aveanna Healthcare is one of the largest providers of home care services in the country, serving thousands of medically fragile patients and their families. The company’s mission is to revolutionize pediatric healthcare, one patient at a time, through compassionate, high-quality home-based care. Aveanna is built on values like Compassion, Integrity, Accountability, Trust, Innovation, Compliance, and Fun.
Schedule
Full-time, remote position based out of Chandler, Arizona (and surrounding areas).
Standard weekday schedule with performance expectations tied to claims volume and collection goals.
Work from a secure home office environment with consistent internet access.
What You’ll Do
- Follow up on medical insurance invoices that have been sent to payers but have not yet been paid.
- Process at least 5 claims per hour while maintaining accuracy and compliance.
- Manage a portfolio of payers, ensuring collections, aging, and denials are handled in a timely manner.
- Research, correct, and resubmit denied or rejected claims.
- Help reduce denials by keeping payer rules and billing details up to date.
- Perform month-end reconciliations and assist other departments as needed.
- Meet daily, monthly, and quarterly collection goals set by management.
- Ensure all work meets internal and external compliance standards, including Medicare and Medicaid requirements.
What You Need
- High school diploma or GED.
- At least 2 years of recent experience in Medical Insurance Collections (required).
- Background in healthcare, medical office, or related customer service setting.
- Proficiency with Microsoft Outlook, Word, and Excel.
- Strong basic math and accounting skills.
- Proven ability to work in a high call-volume environment with accuracy and efficiency.
- Strong time management, attention to detail, and organization skills.
- Professional communication skills and the ability to remain calm and courteous in stressful situations.
- Commitment to confidentiality, ethics, and excellence in patient and payer interactions.
Benefits
- Pay range from $19.00 to $22.00 per hour, based on experience and qualifications.
- Health, Dental, Vision, and Life insurance options.
- 401(k) savings plan with employer match.
- Employee Stock Purchase Plan (ESPP).
- 100% remote work opportunity.
- Thorough training and ongoing support.
- Tuition reimbursement and advancement opportunities.
- Weekly pay with multiple payment options.
Remote-friendly medical collections roles like this don’t sit open for long, especially with full benefits and clear growth paths.
If you’ve got the collections experience and want to work from home for a mission-driven healthcare company, this is your sign to move.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help keep patient data secure and work at the crossroads of healthcare, IT, and client services. As a Client Access Administrator, you will be the go-to person making sure Jorie employees can access client systems safely, efficiently, and in line with strict security standards.
About Jorie AI
Jorie AI helps healthcare organizations streamline operations with automation, smart workflows, and secure technology. The company focuses on reducing administrative friction so providers can focus more on patient care. Jorie AI stands out for blending healthcare know-how with modern tech and a strong commitment to data protection and compliance.
Schedule
Full-time, remote position based out of Oak Brook, Illinois.
Standard Monday through Friday schedule aligned with U.S. business hours.
Collaboration with IT, security, compliance, and client services teams in a virtual environment.
What You’ll Do
- Create, issue, manage, and revoke access credentials for client payer portals, EMRs, and other software platforms used by Jorie employees.
- Monitor and regulate how employees access client systems to ensure alignment with security policies and service agreements.
- Act as the primary point of contact for access-related issues and questions from both clients and Jorie employees.
- Provide training and guidance on using client portals and healthcare-related platforms so users can work confidently and correctly.
- Perform regular audits of access and activity across client payor portals, EMRs, and other applications to ensure compliance with data protection regulations and internal policies.
- Troubleshoot and resolve access-related issues, including technical problems affecting login or user permissions.
- Maintain clear, accurate records of access permissions, changes, and interactions for auditing and reporting.
- Partner with IT, security, healthcare compliance, and customer service teams to support a secure and seamless client experience.
What You Need
- At least 3 years of experience in healthcare access administration.
- Strong understanding of IT systems, cybersecurity basics, and healthcare IT environments.
- Knowledge of regulatory requirements related to client data, system access, and healthcare industry standards.
- Excellent problem-solving and analytical skills.
- High attention to detail with the ability to stay accurate while handling multiple tasks.
- Strong communication and interpersonal skills for working with both technical and non-technical users.
- Proven ability to handle sensitive and confidential information with integrity.
Benefits
- Full-time, remote role with a stable workload and clear responsibilities.
- Competitive compensation (TBD by employer, based on experience and qualifications).
- Opportunity to work closely with IT, security, and healthcare teams and grow your expertise in access management and compliance.
- A role that directly supports secure, high-quality service delivery for healthcare clients.
If you are detail-driven, comfortable in healthcare tech environments, and serious about secure access, this role is built for you.
Put your experience to work in a position where accuracy and accountability really count.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help veterans get the care they deserve while working from home. This role is all about owning the VA Community Care Network (CCN) claims process from end to end, making sure providers get paid and nothing falls through the cracks.
About Jorie AI
Jorie AI streamlines healthcare operations through automation, technology, and smart workflows. The company partners with healthcare organizations to improve billing, reduce administrative headaches, and support better patient outcomes. Jorie AI stands out for combining healthcare expertise with modern tech to support providers and the patients they serve.
Schedule
Full-time, remote role for U.S.-based candidates only.
Standard weekday schedule aligned with U.S. business hours.
Requires a secure, quiet workspace and adherence to all privacy and security standards.
What You’ll Do
- Submit, track, and manage VA Community Care Network (CCN) medical claims through the VA portal.
- Review claims for accuracy, completeness, and compliance with VA requirements.
- Correct and resubmit denied or rejected claims while maintaining clear documentation.
- Maintain detailed claim records, notes, and follow-up activity in an organized, traceable way.
- Perform timely accounts receivable (A/R) follow-up on outstanding VA CCN claims.
- Investigate delayed payments, discrepancies, and processing issues, and work toward resolution.
- Communicate professionally with VA representatives to resolve pending items.
- Monitor and manage A/R aging categories to ensure steady progress across high-volume workloads.
- Ensure all work aligns with VA CCN rules, federal guidelines, HIPAA, and internal policies.
- Generate reports on claim status, aging, and resolution timelines as needed.
- Collaborate with billing, credentialing, patient services, and clinical teams to gather missing claim information.
- Escalate systemic issues or trends to leadership with clear supporting documentation.
What You Need
- U.S.-based residency and a valid Social Security Number (required for VA portal access).
- 2+ years of experience in VA CCN billing, medical claims processing, or healthcare revenue cycle management.
- Solid understanding of medical terminology, CPT/HCPCS/ICD-10 coding, and claims workflows.
- Experience working in high-volume claims environments.
- Strong organizational skills and attention to detail.
- Clear written and verbal communication skills.
- Ability to work independently, manage deadlines, and prioritize multiple tasks.
- Preferred: Prior experience managing large VA claims A/R volumes.
- Preferred: Familiarity with EMR systems, clearinghouses, TriWest, OptumServe, or other Community Care processes.
- Preferred: Experience with platforms such as eCW, Meditech, Medent, and Rycan (TruBridge).
- Preferred: Experience generating operational or A/R reporting.
Benefits
- Competitive hourly pay in the range of $26–$27 per hour, depending on experience.
- Remote U.S.-based position with tools, training, and portal credentials provided.
- Full benefits available depending on employment classification.
- Opportunity to specialize in VA CCN claims and become a go-to expert in a growing space.
If you’re experienced with VA claims and ready to put your skills to work helping veterans and providers, this is your lane.
Level up your remote healthcare career and step into a role where your accuracy and follow-through really matter.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Help shape how healthcare uses AI and cloud technology while keeping sensitive data locked down and compliant. This fully remote Compliance Specialist role lets you own FedRAMP and HITRUST programs that truly matter in the real world, not just on paper.
About Jorie AI
Jorie AI transforms healthcare operations through intelligent automation, secure cloud solutions, and data-driven insights. The company helps healthcare organizations streamline workflows, reduce manual work, and protect sensitive patient information. Jorie AI stands out by combining cutting-edge AI with a strong commitment to security, privacy, and regulatory compliance.
Schedule
Full-time, remote position based out of Oak Brook, Illinois.
Standard Monday–Friday schedule aligned with US business hours.
Collaboration with IT, security, DevOps, and audit teams across time zones.
What You’ll Do
- Support the implementation and ongoing maintenance of Jorie’s FedRAMP authorization program in line with agency and customer requirements.
- Develop and maintain FedRAMP documentation, including System Security Plans (SSPs), POA&Ms, and other supporting artifacts.
- Partner with internal IT and cloud engineering teams to ensure continuous compliance for systems hosted in AWS, Azure, or other cloud service providers.
- Coordinate with 3PAOs and government stakeholders during audits, assessments, and authorization activities.
- Align FedRAMP Moderate/High, HITRUST CSF, and NIST 800-53 controls across multiple frameworks and regulatory programs.
- Maintain evidence, control mappings, and compliance matrices for HITRUST, SOC 2, HIPAA, PCI, and related standards.
- Participate in HITRUST recertification cycles, including control review, policy updates, and evidence validation.
- Collaborate with internal and external auditors to ensure accurate reporting and visibility into Jorie’s compliance posture.
- Assist with continuous monitoring of security controls and remediation of POA&M findings.
- Conduct risk assessments for cloud systems, vendors, and integrations that impact the FedRAMP boundary.
- Coordinate vulnerability scans, incident response activities, and configuration management documentation to meet FedRAMP and HITRUST expectations.
- Develop, update, and enforce policies tied to data security, cloud compliance, and regulatory reporting.
- Provide guidance and training to engineering, DevOps, and IT teams working in the FedRAMP/HITRUST environments.
- Support internal readiness reviews, gap assessments, and long-term compliance roadmap initiatives.
What You Need
- Bachelor’s degree in Information Security, Computer Science, Compliance, or a related field.
- 3–6 years of experience in compliance, information security, or risk management.
- At least 2 years of direct experience supporting FedRAMP programs or similar government compliance frameworks.
- Hands-on experience with HITRUST CSF processes, including evidence collection and auditor coordination.
- Background working in cloud environments such as AWS, Azure, or GCP, with familiarity using continuous monitoring tools (for example Splunk, Qualys, Nessus).
- Experience in healthcare, AI, or SaaS environments strongly preferred.
- Strong understanding of NIST 800-53, FedRAMP Moderate/High baselines, HITRUST CSF, and related control mapping.
- Solid working knowledge of HIPAA, SOC 2, and ISO 27001.
- Excellent documentation and writing skills, especially for formal compliance deliverables like SSPs, POA&Ms, and risk assessments.
- Strong analytical, organizational, and communication skills, with the ability to work across technical and non-technical teams.
- HITRUST Certified CSF Practitioner (CCSFP) required.
- One or more of the following is preferred: CISA, CRISC, CISSP, FedRAMP (3PAO) assessor experience, Security+, or CCSP.
Benefits
- Competitive salary in the range of $120,000 to $150,000, based on experience and qualifications.
- Fully remote role with the backing of a growing, tech-forward healthcare company.
- Chance to own and shape FedRAMP and HITRUST programs at scale in a highly visible position.
- Daily impact at the intersection of AI, cloud security, and healthcare innovation.
If you’re serious about FedRAMP, HITRUST, and building real-world security programs, don’t sit on this one.
Take the next step in your compliance career and throw your hat in the ring.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Use your detail skills to keep providers paid accurately in a fully remote RCM role.
About Jorie AI
Jorie AI sits at the center of the healthcare billing ecosystem, using AI infused robotic process automation to power end to end Revenue Cycle Management. They support healthcare providers with practice and financial management services that improve collections, reduce errors, and drive smarter, faster reimbursement.
Schedule
- Position type: Full time, remote
- Location: Remote in the United States (company based in Oak Brook, Illinois)
- Travel: None expected
- Department: Finance
Responsibilities
- Accurately post all insurance and patient payments, adjustments, and denials into client practice management systems.
- Review and reconcile deposits, EFTs, and lockbox reports to confirm complete and accurate posting.
- Identify posting discrepancies and work with team members to resolve issues quickly.
- Ensure all payments follow payer contracts and client specific rules.
- Maintain high productivity while consistently meeting 99 percent or higher accuracy standards.
- Partner with denial management and A R teams to handle underpayments, overpayments, and unapplied cash.
- Monitor and process Electronic Remittance Advice (ERA) and Explanation of Benefits (EOB) files from multiple sources.
- Escalate recurring payer issues or payment variances to management for review and correction.
- Follow HIPAA and all internal compliance and documentation protocols.
Requirements
- Experience:
- Minimum 3 years of payment posting experience in healthcare or Revenue Cycle Management.
- Proven experience reading and interpreting EOBs, ERAs, and payer remittance statements.
- Experience working in multiple EMR or Practice Management systems. PhyGeneSys EMR experience is a plus.
- Skills:
- Strong numerical and data entry skills with high accuracy and speed.
- Comfortable working in a high volume environment with clear productivity targets.
- Able to identify posting errors and resolve them independently or with the team.
- Solid written and verbal communication skills.
- Collaborative mindset with the ability to work cross functionally with A R, denial management, and leadership.
- Remote readiness:
- Reliable high speed internet and a quiet, dedicated workspace at home.
- Able to stay organized, focused, and self directed while working independently.
Benefits
- Pay range: Approximately 22 to 24 dollars per hour (based on experience).
- 401(k) with up to 4 percent employer match.
- Medical, dental, and vision insurance.
- Employer paid life insurance (about 25,000 dollars) and short and long term disability.
- PTO: about 2 weeks, plus 10 and a half paid holidays.
- Fully remote role with a flexible, growth friendly environment.
- Clear path for advancement inside a tech forward revenue cycle organization.
If you are the type of person who gets satisfaction from a clean ledger, tight reconciliations, and posting runs that hit 99 percent accuracy or better, this is your lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 25, 2025 | Uncategorized
Work from home in a stable, growing healthcare RCM role focused on Medicare A/R follow up and denials resolution.
About Jorie AI
Jorie AI sits at the center of the healthcare billing ecosystem, using AI-infused robotic process automation to power end-to-end Revenue Cycle Management. They provide practice and financial management services to hospitals and physician groups, helping clients improve collections, reduce denials, and streamline the entire reimbursement process.
Schedule
- Employment type: Full-time, remote (WFH)
- Hours: Monday–Friday, 8:00 a.m. – 5:00 p.m. CST
- Location: Remote within the United States (company based in Oak Brook, IL)
- Flexibility may be required based on business needs
Responsibilities
- Perform accounts receivable follow-up on outstanding claims for hospital, physician, inpatient, outpatient, and ambulatory settings.
- Work Medicare A/R with a strong focus on denials, appeals, claim edits, rejections, and rebilling.
- Research and resolve claims on hold, underpaid, incorrectly paid, or rejected.
- Ensure Medicare compliance and proper handling of guidelines and payer rules.
- Work claims across other payors as needed (commercial, Medicaid, etc.).
- Use Meditech and Waystar to track, review, and manage claim status and actions.
- Investigate and resolve discrepancies by collaborating with internal teams, external payors, and providers.
- Generate and maintain reports, tracking trends in A/R and denial patterns using Excel and MS Office.
- Meet productivity, quality, and timeliness targets while working independently in a remote environment.
Requirements
- 5+ years of A/R follow-up experience in healthcare, focused on denials, appeals, claim edits, rejections, and rebilling.
- 5+ years of Medicare (Mcare) experience – this is required, non-negotiable.
- Strong working knowledge of hospital and physician billing across inpatient, outpatient, and ambulatory services.
- Hands-on experience with Meditech and Waystar.
- Experience with other payors is a plus; familiarity with Novitas is preferred but not required.
- Solid proficiency with Microsoft Excel and Office Suite.
- Proven ability to work from home effectively with minimal supervision, meeting deadlines and performance goals.
- Strong analytical and problem-solving skills, with high attention to detail.
- Clear written and verbal communication skills and a professional, accountable work style.
- Must be legally authorized to work in the United States (no C2C, no contractors, no visa sponsorship).
Benefits
- Pay range: Approximately $20–$25 per hour (mid-level, based on experience).
- 401(k) with up to 4% employer match.
- Medical, dental, and vision insurance.
- Employer-paid life insurance (around $25,000) and short/long-term disability.
- PTO: About 2 weeks, plus 10.5 paid holidays.
- Fully remote role with a flexible, work-life balance oriented environment.
- Growth and advancement opportunities within a tech-forward RCM organization.
- Collaborative, friendly culture with an emphasis on autonomy and performance.
If you’re a Medicare A/R beast who lives in the denial/appeal trenches and wants a remote, stable role where your RCM skills actually matter, this one is worth a serious look.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Nov 24, 2025 | Uncategorized
remote typeRemote (Pre-Approved)locationsUSA-TX-Remotetime typeFull timeposted onPosted 5 Days Agojob requisition id25103670
Data Entry Specialist (Remote)
Illingworth Research Group provides a range of patient focused clinical services to the pharmaceutical, healthcare, biotechnology and medical device industries. These include mobile research nursing, patient concierge, medical photography and clinical research services. Illingworth are experts with experience across all study phases and in a diverse range of therapeutic areas.
Illingworth Research Group is a global organization operating in over 45 countries, bringing clinical research directly into the home of the patient, to improve the experience of patients involved in clinical trials and the quality of their lives.
Job Responsibilities
- Performs accurate and timely data tracking, entry, verification, and QC checks of the PreRISK
- database as governed by the Data Entry Instruction Manuel, team communications, and clinical
- trial and organization lessons learned.
- Makes accurate corrections to the database as requested by the Data Curation Work Group
- Lead.
- Identifies any technical system and data issues encountered during entry and routes
- appropriately (to other team members, internal resources etc.).
- Handles information in a confidential manner.
- Assists with routine data surveillance and system improvements as part of the ongoing up-keep
- and maintenance of the PreRISK library.
- Participates with the development of innovative strategies and efficiencies for PreRisk system
- improvement with a focus on design, metrics analysis, process support and reporting.
- Maintains and provides on-going input and updates to the Data Entry Instruction Manuel.
- Assists with other data system needs, team projects and initiatives as assigned.
- May assist with preparation and maintenance of end-user training materials and job aids.
- Experience with taking electronic source data and entering it into electronic data capture systems such as Medidata Rave, Veeva EDC, Inform, Medrio to be able to be successful in this role.
Qualifications
Experience in a successful data entry role for a clinical research trial.
4+ years’ experience in clinical research
Educational Background
- High School Diploma or Associate Degree (minimum requirement).
- Bachelor’s degree in life sciences, health, or related fields preferred for clinical research settings.
Technical Skills
- Proficiency in Electronic Data Capture (EDC) systems (e.g., Medidata Rave, Oracle Clinical).
- Basic computer skills: MS Excel, Word, and database management.
- Understanding of Clinical Data Management (CDM) principles and Good Clinical Practice (GCP) guidelines.
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
Salary Range:$35,600.00 – $60,400.00
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role.
by twochickswithasidehustle | Nov 24, 2025 | Uncategorized
Remote – United States, Australia, Canada, United Kingdom, New Zealand, Ireland
APPLY NOW
Earn up to $15/hour + performance bonuses. Work remotely and flexibly.
Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you’re passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact.
What You’ll Do
- Adopt a “user mindset” to produce natural data to meet the realistic needs you have or would use AI for.
- Evaluate AI outputs by reviewing and ranking responses from large language models.
- Contribute across projects depending on your specific skillset and experience.
What We’re Looking For
- Analytical and Problem-Solving Skills: Ability to develop complex, professional-level prompts and evaluate nuanced AI reasoning.
- Strong Writing: Clear, concise, and engaging writing to explain decisions or critique responses.
- Attention to Detail: Commitment to accuracy and ability to assess technical aspects of model outputs.
Nice to Have
- Experience in fields like literature, creative writing, history, philosophy, theology, etc.
- Prior writing or editorial experience (content strategist, technical writer, editor, etc.).
- Interest or background in AI, machine learning, or creative tech tools.
Pay & Logistics
- Base Rate: Up to $15/hour USD, depending on experience.
- Bonuses: Additional pay available based on project performance.
- Type: Freelance/1099 contract — not an internship.
- Location: 100% remote
- Schedule: Flexible hours — you choose when and how much to work.
- Payouts: Weekly via our secure platform.
This is a freelance position that is paid on a per-hour basis. We don’t offer internships as this is a freelance role. You also must be authorized to work in your country of residence, and we will not be providing sponsorship since this is a 1099 contract opportunity. However, if you are an international student, you may be able to sign up if you are on a visa. You should contact your tax/immigration advisor with specific questions regarding your circumstances. We are unable to provide any documentation supporting employment at this time. Please be advised that compensation rates may differ for non-US locations.
by twochickswithasidehustle | Nov 24, 2025 | Uncategorized
- Administrative Assistant (part time)
- Medical Billing Specialist
- Amazon Product Specialist
- RevOps Associate
- Post Submission Specialist
- Classroom Assessment Scoring System (CLASS®) Reviewer Consultant
- COI Processor (Veterinary-Focused)
- Medical Scribe
- Project & Administrative Coordinator
- Real Estate Virtual Assistant
- Associate Accounts Receivable Representative
- Cash Posting Specialist
- Insurance Verification Specialist
- Payment Posting and Accounts Receivable Specialist
- Receipt Reviewer
by twochickswithasidehustle | Nov 23, 2025 | Uncategorized
The Application Processor is responsible for monitoring mail queues, maintaining accurate customer data on CRM records and processing sales leads and insurance applications in a timely manner.
This role has an anticipated hire date of March 2026.
Your Impact:
- Monitor mail queue and create/update CRM records with accurate demographic information; input sales leads into CRM.
- Input incoming insurance applications and premium estimate forms into internal systems and databases; ensure completeness of required data.
- Sort mail and index scanned mail; distribute to appropriate parties as necessary
- Maintain accurate account information and documentation in various systems and databases.
- Meet production quotas and quality standards as set forth by management.
Successful Candidates Will Have:
- High School diploma or equivalent.
- 0-1 year of experience in a professional office, administrative, clerical, or similar work environment.
- Proficient in data entry with high typing accuracy, speed, and high attention to detail.
One80 Intermediaries is a privately held firm with offices throughout the US and Canada. As a leading insurance wholesaler and program manager, One80 offers placement services and binding authority for property and casualty, life, travel/accident and health, affinity and administrative services, and warranty business. Launched just four years ago, One80 Intermediaries has grown to be one of the largest intermediaries in the United States. In 2024, One80 Intermediaries was ranked the 14th largest broker in the U.S. by Business Insurance. In 2025, One80 Intermediaries earned the Great Place To Work® Certification™ for the second consecutive year.
Pay Range:$15.48 – $18.77 Hourly
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for this role.
by twochickswithasidehustle | Nov 22, 2025 | Uncategorized
Who we are…
Verra Mobility is a global leader in smart mobility. We develop technology-enabled solutions that help the world move safely and easily. We are fostering the development of safe cities, working with police departments and municipalities to install over 4,000 red-light, speed, and school bus stop arm safety cameras across North America. We are also creating smart roadways, serving the world’s largest commercial fleets and rental car companies to manage tolling transactions and violations for over 8.5 million vehicles. And we are a leading provider of connected systems, processing nearly 165 million transactions each year across 50+ individual tolling authorities.
Culture:
Verra Mobility Corporation is a rapidly growing, entrepreneurial company that operates with a people-first philosophy and approach. The company lives by its core values—Do What’s Right, Lead with Grace, Win Together, and Own It—in everything it does for its customers and team members. The company seeks to grow aggressively, both organically and through acquisition, to continue to be the undisputed market leader with these five core competencies: bias for action, customer focus, teamwork, drive for results, and commitment to excellence.
Position Overview:
This position involves the review and processing of photo enforcement events, which is a clerical and data entry-based task. Candidates must be able to follow basic procedures and scripts to function in the role. The position requires strong attention to detail, a high level of quality, strong problem-solving skills, dependability, and a demonstrated ability to document and report issues as needed. This position reports within the Operations Group and will report to the Operations Supervisor.
Essential Responsibilities:
- Review, assess, and perform data entry tasks for photo enforcement program events using web-based tools.
- Align processing determinations and escalated actions to written instructions that are client specific.
- Adapt processing behaviors based on feedback or rules documentation changes.
- Achieve production and quality goals as assigned by the Processing Department.
- Utilize basic computer skills to access and interpret performance reporting.
- Other office/clerical duties as assigned.
Qualifications:
- High School diploma or GED.
- Strong communication skills, both verbal and written, and the ability to determine the proper medium of communication based on issues at hand.
- Professionalism and the ability to work well with different groups of people.
- Self-motivated, quality driven individual with a strong attention to detail.
- Demonstrated ability to multi-task and meet all assigned deadlines in a productivity driven environment.
- Familiarity with basic computer skills such as Outlook, Teams, and web browsers with the ability to learn and navigate a variety of computer systems/software.
- Ability to sit for long periods of time for data entry/event processing.
- Successful completion of the Nlets fingerprinting background assessment.
Verra Mobility Values
An ideal candidate for this role naturally works in alignment with the Verra Mobility Core Values:
- Own It. We focus on high performance and drive toward breakthrough outcomes. Our employees ensure accountability, optimize and align work, focus on the customer, and cultivate innovation.
- Do What’s Right. We champion integrity and good character. Our team members model ethical behavior, demonstrate good judgment and are courageous.
- Lead with Grace. We express humility and compassion, and we are authentic and candid. Our employees demonstrate self-awareness, care for others, instill trust, and communicate effectively.
- Win Together. We believe in growing and inspiring people together. We seek people who collaborate, value differences, think and act globally, foster an engaging work environment, and recognize and develop others.
With your explicit consent which you provided as part of the application process, we will retain candidate personal data solely for the business purpose for which it was collected. In no event will we retain such data more than two (2) years following the closure of the recruitment process relating to the role for which you applied or in the event other related job opportunities arise within the company. Verra Mobility Applicant Privacy Notice
Verra Mobility is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
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- Social Media Community Moderator
- Moderator
by Terrance Ellis | Nov 21, 2025 | Uncategorized
A strong opportunity for an experienced RN who loves teaching, thrives in high-acuity clinical environments, and wants predictable remote hours with long-term career growth.
About CorroHealth
CorroHealth helps hospitals improve financial performance through expert clinical insight, denials management, and revenue cycle innovation. Their clinician-led teams support health systems nationwide and are committed to professional development, operational excellence, and meaningful impact on the communities their clients serve.
Schedule
• Full-time, remote within the United States
• Monday through Friday, 8 AM to 5 PM EST
• Must be able to work entirely within US borders
• Training period follows a structured weekday schedule
• Requires heavy multitasking across multiple digital systems
Responsibilities
• Lead onboarding and training for new clinicians, including 2–4+ weeks of intensive instruction
• Deliver education aligned with Corro Clinical workflows, documentation standards, and operational procedures
• Navigate and teach multiple digital platforms, including EMRs and internal systems
• Review EMRs to identify critical clinical information and ensure accurate documentation within internal tools
• Provide real-time coaching, feedback, and support to clinicians during onboarding
• Collaborate with physicians, team leads, and operations to refine training processes
• Maintain detailed documentation of training activities and learner progress
• Contribute to training content and support cross-department training needs
• Uphold clinical and compliance standards, including HIPAA
• Work independently in a structured virtual training environment
Requirements
• Active, unrestricted RN license in any US state
• 2–3 years of recent acute care experience (ED, Trauma, ICU, or other high-acuity inpatient settings)
• Teaching, precepting, or onboarding experience strongly preferred
• High-level computer proficiency and ability to move between multiple systems quickly
• Experience reviewing EMRs and entering clinical data accurately
• Excellent communication, collaboration, and documentation skills
• Strong attention to detail and comfort managing virtual training environments
• Utilization Management experience preferred
• Proficient with EMRs and Microsoft Office applications
Benefits
• Salary: $70,000 annually (firm)
• Medical, dental, and vision insurance
• Equipment provided
• 401(k) with up to 2 percent match
• 120 hours of PTO per year
• 9 paid holidays
• Tuition reimbursement
• Professional development and growth opportunities
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
A strong role for experienced inpatient coders who want stability, remote flexibility, and consistent work with major healthcare systems.
About CorroHealth
CorroHealth supports hospitals nationwide by improving financial performance across the entire reimbursement cycle through expert coding, clinical insight, and smart automation. Their teams work with leading health systems, helping providers stay compliant, reduce denials, and capture accurate revenue. CorroHealth invests heavily in training, development, and long-term career growth.
Schedule
• Full-time, remote
• Must be able to work independently from home
• Standard weekday business hours
• Occasional support tasks or special projects may be assigned
What You’ll Do
• Perform full inpatient coding using ICD-10-CM, ICD-10-PCS, CPT and HCPCS
• Review and analyze medical records to assign accurate and compliant codes
• Recognize high-acuity and critical care cases
• Apply coding guidelines to specialty areas and surgical procedures
• Maintain 95%+ productivity and quality standards
• Communicate professionally with clients and internal teams
• Assist with reports, documentation needs, or preliminary auditing when asked
• Follow AHIMA Standards of Ethical Coding and company compliance policies
• Participate in ongoing training and maintain required credentials
What You Need
• Active coding certification: CPC, COC, CCS, or CCS-P (CCS preferred)
• Minimum 2 years of inpatient coding experience
• Strong working knowledge of EMRs, billing systems, and Microsoft Excel/Outlook
• Ability to perform basic Excel functions including formulas and pivot tables
• Current CPT and ICD-10 coding reference materials
• Ability to maintain 95%+ accuracy and productivity
• Clear, professional written and verbal communication skills
• Strong decision-making, organization, and deadline management
• Reliable remote work setup and adherence to privacy/security standards
Benefits
• Sign-on bonus
• Medical, dental, and vision insurance
• 401(k)
• PTO and paid holidays
• Training, education, and ongoing development
• Long-term career growth within coding and auditing tracks
If you’re looking for a remote role with stability and room to grow, this is a solid next step.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Non-clinical physician role with predictable hours and strong work-life balance.
About CorroHealth
CorroHealth helps hospitals improve financial performance across the entire reimbursement cycle through expert clinical review, automation, and analytics. Their physician-led approach supports hospitals facing complex regulatory shifts and payer challenges, allowing clinicians to focus on patient care while CorroHealth safeguards compliance and revenue integrity. CorroHealth invests in long-term professional development, training, and career growth.
Schedule
• Full-time, remote, Monday through Friday
• First 3–4 weeks: Training schedule is 9:00 AM – 5:00 PM ET
• After training: Shifts run between 8:00 AM – 5:00 PM ET or 10:00 AM – 7:00 PM ET
• Nine-hour shifts with a one-hour break
• Hardware and software provided
Compensation
• Around $225,000+ total compensation (salary + uncapped bonus)
• CME/license renewal allowance
Responsibilities
• Conduct clinical reviews of inpatient hospitalizations in hospital EMRs
• Establish appropriate admission status using clinical judgment and regulatory criteria
• Perform Peer-to-Peer discussions with payer medical directors
• Identify inefficiencies, documentation gaps, and process improvement opportunities
• Deliver clear written and verbal recommendations to hospital clients
• Support compliance and appropriate reimbursement for care delivered
• Participate in ongoing training and review related duties as assigned
Requirements
• MD or DO with unrestricted US medical license (at least one state)
• Specialties accepted: Internal Medicine, Hospitalist, Emergency Medicine, Nephrology, Hem/Onc, General Surgery, Family Practice, Critical Care, Infectious Disease
• Board certification preferred
• Minimum one year of acute adult hospital experience in the past five years OR recent/utilization review/physician advisor experience
• Strong clinical reasoning and documentation review skills
• Comfort with EMRs and remote work technology
• Excellent communication and problem-solving abilities
• Team-oriented mindset
Benefits
• Remote, predictable schedule with improved quality of life
• Comprehensive onboarding and training
• Medical, dental, vision, and 401(k)
• PTO, paid holidays, disability insurance, and life insurance
• CME/license reimbursement
• Long-term career paths within physician advisor and UR/UM leadership
This is a strong fit for physicians who want to transition out of shift-based or bedside clinical work and move into a stable, non-clinical role with meaningful impact on hospital operations and compliance.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
$7,000 Sign-On Bonus for experienced inpatient coders supporting a major hospital system.
About CorroHealth
CorroHealth helps hospitals and healthcare organizations exceed financial performance goals through scalable revenue cycle solutions, clinical expertise, and automation. Their coding teams support hospitals nationwide, with strong training, professional development, and long-term career opportunities. CorroHealth emphasizes accuracy, ethical coding, and a positive work-life balance.
Schedule
• Full-time, 100 percent remote
• Must be able to work independently in a home environment
• Regular, predictable attendance required
• Ongoing productivity and quality benchmarks apply
Responsibilities
• Perform inpatient facility coding for Level 1 trauma hospitals and large health systems
• Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes with accuracy and adherence to official guidelines
• Review medical records to determine sequencing, specificity, and documentation needs
• Identify critical care cases and apply appropriate coding
• Maintain quality and productivity at or above 95 percent
• Communicate professionally with clients to support coding needs and workflows
• Follow AHIMA Standards of Ethical Coding and company compliance policies
• Participate in training, maintain certifications, and stay current with guidelines
• Support leadership with reporting or auditing as needed
• Protect all PHI and maintain HIPAA compliance
Requirements
• AHIMA or AAPC certification required (CCS strongly preferred; CPC, COC, CCS-P accepted)
• Minimum 2 years of inpatient coding experience
• Strong working knowledge of ICD-10-CM/PCS, CPT, HCPCS, EMR systems, and billing workflows
• Proficiency in Microsoft Excel and Outlook (basic formulas, pivot tables, meeting scheduling)
• Access to current CPT and ICD-10 reference materials
• Ability to analyze records, make decisions, and meet deadlines
• Strong verbal and written communication skills
• Must meet ongoing productivity and accuracy standards of 95 percent+
Benefits
• $7,000 sign-on bonus
• Medical, dental, and vision insurance
• 401(k) with match
• PTO and paid holidays
• Remote equipment provided
• Training, education, and advancement opportunities
If you’re a certified inpatient coder ready to work independently in a Level 1 Trauma setting, this role offers competitive pay, stability, and long-term growth.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Support physicians, hospitals, and healthcare partners by coordinating Peer-to-Peer (P2P) reviews and helping resolve payer-related issues in a fast-paced revenue cycle environment.
About CorroHealth
CorroHealth helps hospitals and healthcare organizations exceed financial performance goals through scalable revenue cycle solutions, clinical expertise, and advanced automation. Corro Clinical, the physician-led division, focuses on identifying lost revenue, improving operational processes, and supporting clinicians through better documentation and reimbursement workflows. CorroHealth invests in training, work-life balance, and long-term career growth.
Schedule
• Full-time, remote (US only)
• Monday–Friday, 10:00 AM–7:00 PM EST
• Must have a reliable internet connection and a quiet workspace
• Equipment provided
Responsibilities
• Make outbound calls to payers to schedule Peer-to-Peer reviews with CorroHealth Medical Directors
• Follow up on cases past the scheduled P2P timeframe
• Document detailed call information in CorroHealth’s proprietary systems
• Update account statuses across multiple databases and platforms
• Support appeals, case entry, and P2P coordination within the department
• Work independently while actively contributing to a collaborative team
• Maintain strict confidentiality and comply with HIPAA/HITECH
• Perform other duties as assigned
Requirements
• High School diploma or equivalent required; Bachelor’s degree preferred
• Call center experience strongly preferred
• Understanding of denial processes for Medicare, Medicaid, and Commercial plans is a plus
• Experience accessing hospital EMRs and payer portals preferred
• Strong verbal and written communication skills
• Excellent organizational skills with the ability to multitask across multiple screens
• Comfortable with problem-solving and taking initiative
• Proficient in MS Word and Excel (formulas, multiple worksheets, copy/paste)
• Minimum typing speed: 30 WPM
• Highly reliable and able to work in a fast-paced environment
• Must protect patient and client data at all times
Benefits
• Hourly rate: $18.27 (firm)
• Medical, dental, and vision insurance
• 401(k) with 2 percent match
• 80 hours PTO annually
• 9 paid holidays
• Tuition reimbursement
• Provided equipment
• Professional development opportunities
If you thrive on communication, organization, and problem-solving, this role gives you the chance to support critical healthcare processes from home.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Use your outpatient and Profee coding expertise to support hospitals nationwide through detailed audits, accurate claim review, and high-level reimbursement analysis.
About CorroHealth
CorroHealth partners with healthcare systems across the US to improve financial performance through scalable revenue cycle solutions. Their teams rely on clinical expertise, advanced proprietary software, and rigorous analytics to reduce errors, strengthen compliance, and enhance overall reimbursement accuracy. CorroHealth invests heavily in development and career growth—your skills grow with their mission.
Schedule
• Full-time, fully remote
• Standard business hours; must maintain reliable, private workspace
• Equipment and software access provided
Responsibilities
• Assist the Director of HIM with outpatient and Profee claim audits
• Review client claims using proprietary PARA Data Editor software
• Identify billing, coding, and documentation issues across OPPS, CAH, and Profee claims
• Validate CPT, HCPCS, ICD-10-CM, and PCS (if applicable), including rev codes, MUEs, CCI edits, and payer-specific rules
• Audit for omitted charges, incorrect units, incorrect codes, and guideline misalignment
• Review E/M (facility and Profee), IR, SDS, OBS, ER, ancillary, and I&I coding
• Identify revenue cycle trends and recommend improvements
• Prepare written Q&A entries, client education materials, and audit summaries
• Participate in client presentations via web meetings
• Stay updated on CMS, Medicaid, payer guideline changes, and official coding rules
• Maintain accurate documentation and uphold all certifications
• Support consulting team members as needed
Requirements
• 5+ years of directly related coding/auditing experience
• Expert-level outpatient and Profee coding knowledge (ER, SDS, OBS, ancillary, IR, E/M, I&I)
• AHIMA CCS, COC, or AAPC CPC certification required
• Strong revenue cycle understanding, including CMS and Medicaid guidelines
• Proficiency in ICD-10-CM/PCS, CPT/HCPCS, rev codes, NCCI, and MUE policies
• Strong analytical and critical-thinking skills
• Excellent written and verbal communication
• Solid computer skills; advanced Microsoft Excel, PowerPoint, Word, and OneNote
• Medical terminology and anatomy knowledge
• Clinical Documentation and Inpatient coding experience preferred (must be willing to learn IP)
• Professional, polished client-communication skills
Benefits
• Competitive compensation
• Medical, dental, and vision insurance
• 401(k) with company match
• PTO and paid holidays
• Tuition reimbursement
• Equipment provided
• Growth-focused environment with ongoing training
If you’re a coding expert ready to partner with clients and support high-accuracy claim review, this role offers long-term stability and impact.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
If you’re the type who actually likes getting insurers on the phone and untangling denial messes, this is your lane. CorroHealth needs someone sharp, organized, and relentless—because appeals don’t resolve themselves.
About CorroHealth
CorroHealth supports hospitals and health systems through full-cycle revenue management, analytics, and automation. Their teams help clients improve reimbursement accuracy, reduce denials, and get claims paid faster. They also invest in long-term employee growth with training, certifications, and career development.
Schedule
• Full-time remote
• Must reside in the United States
• Monday through Friday
• 8:00 AM to 5:00 PM EST
• Equipment provided
Responsibilities
• Conduct denial research and follow up with insurance companies on submitted appeals
• Compile documents into complete appeal bundles and submit within payer deadlines
• Document appeal rules and timelines for each payer and facility
• Transcribe information from EMRs and payer portals into internal systems
• Monitor shared inboxes, dashboards, and incoming requests
• Log, triage, and document emails, voicemails, calls, and tickets
• Request additional information from clients or internal teams when needed
• Upload and export required documents within proprietary systems
• Support cross-functional teams through cross-training
• Maintain confidentiality and strict adherence to HIPAA/HITECH
Requirements
• High school diploma or equivalent required; bachelor’s preferred
• Understanding of Medicare, Medicaid, and commercial denial processes
• Experience accessing hospital EMRs and payer portals preferred
• Able to type at least 25 WPM with 90% accuracy
• Proficient with MS Word and Excel (basic formulas, copy/paste, new workbook creation)
• Comfortable using Outlook (meetings, folders, replies)
• Strong communication skills over phone and email
• Detail-oriented with strong initiative and follow-through
• Able to work independently and thrive in a fast-paced environment
• Must maintain confidentiality of sensitive information
Benefits
• $18.27/hour (firm)
• Medical, dental, and vision coverage
• PTO: 80 hours annually
• 9 paid holidays
• 401k with 2 percent match
• Tuition reimbursement
• Computer equipment provided
• Professional development opportunities
If appeals work is your bread and butter and you get satisfaction from turning denials into approvals, this role fits.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
This role is built for experienced hospital billers who can resolve complex claims, work high-dollar accounts, and keep revenue flowing. If you know UB-04s in your sleep and you can navigate Epic with your eyes closed, this one’s for you.
About CorroHealth
CorroHealth supports hospitals and health systems across the entire revenue cycle with analytics, technology, and deep clinical expertise. Their teams help clients improve reimbursement accuracy, reduce denials, and meet financial performance goals. CorroHealth also invests heavily in long-term employee development, training, and remote-work support.
Schedule
• Full-time, permanent remote role
• Must reside in Hawaii or be able to work Hawaii business hours
• Monday through Friday, 7:30 AM to 4:00 PM HT
• Stable, confidential home office required
What You’ll Do
• Resolve complex, high-dollar unpaid or denied claims using internal software, payer portals, and client EHR systems
• Perform initial billing, follow-up, rebills, adjustments, NRP, and documentation submissions
• Identify trends such as missing charges, revenue code mismatches, coding errors, or duplicate claims
• Review CPT/HCPCS, rev codes, modifiers, and claim data for accuracy
• Conduct detailed research on claim issues and document findings
• Manage Hawaii payer claim workflows and requirements
• Communicate with insurance reps, clients, and internal teams to resolve outstanding issues
• Compile and summarize data for client reporting
• Support special projects and maintain familiarity across multiple client accounts
What You Need
• High school diploma or equivalent
• 3+ years of hospital billing, registration, or collections experience
• 3+ years of insurance carrier claims resolution experience
• Epic experience required (Cerner/Meditech accepted but Epic preferred)
• Strong knowledge of UB-04s, EOBs, medical records, and claim workflows
• Experience with Hawaii payers is strongly preferred
• ICD-9/ICD-10, CPT, and HCPCS knowledge
• Ability to analyze trends and perform detailed account research
• Strong Excel and PowerPoint skills
• Excellent written and verbal communication
• Ability to work independently, manage priorities, and thrive in a remote environment
Benefits
• Full-time, remote work flexibility
• Career development and industry training
• Supportive revenue cycle team environment
• Stable workload with clear expectations
If you’re a seasoned hospital biller who can navigate denials, unravel payer issues, and keep claims moving — this is the kind of role where your experience shines.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
High-level outpatient and Profee coders: this role lets you use your expertise to audit claims, identify missed revenue, and guide clients through complex CMS and payer rules.
About CorroHealth
CorroHealth supports healthcare organizations across the full revenue cycle through analytics-driven technology and clinical expertise. Their teams partner with hospitals, health systems, and physician groups to strengthen reimbursement accuracy and compliance. CorroHealth invests heavily in professional development, long-term career growth, and continuous training for revenue cycle professionals.
Schedule
• Full-time remote role
• Requires stable, confidential home workspace
• Standard business hours with flexibility based on client needs
• Ongoing training and education included
Responsibilities
• Audit hospital outpatient and Profee claims using the PARA Data Editor
• Review claims for coding accuracy, omitted charges, rev codes, UOS, NCCI/MUE edits, and CMS/Medicaid guidelines
• Analyze trends and select targeted claims for review
• Verify compliance for ICD-10-CM, ICD-10-PCS (if applicable), and CPT/HCPCS
• Identify documentation gaps and recommend improvements
• Prepare written summaries, FAQs, and client-facing documentation
• Participate in client meetings and presentations (primarily virtual)
• Research regulations, payer rules, new guidelines, and coding updates
• Maintain certifications and stay current with industry changes
• Support the revenue cycle consulting team as needed
Requirements
• 5+ years of outpatient and Profee coding experience
• AHIMA CCS, COC, or AAPC CPC required
• Strong expertise in ER, SDS, OBS, ancillary, IR, Profee E/M, and facility E/M
• Medical terminology and anatomy knowledge
• Understanding of CMS manuals, Medicaid rules, rev codes, HCPCS, NCCI/MUE edits, and billing fundamentals
• Clinical documentation or inpatient coding experience preferred
• Proficiency in Excel, Word, PowerPoint, and OneNote
• Excellent written and verbal communication
• Strong analytical and independent decision-making skills
• Professional, organized, and client-focused
Benefits
• Remote flexibility
• Career advancement in a growing revenue cycle organization
• Ongoing training, certifications, and industry education
• Supportive team culture with an emphasis on accuracy and client satisfaction
If you’re an experienced coder who enjoys analyzing claims, identifying revenue opportunities, and supporting client education — this role puts your expertise to work.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Take control of your earning potential. Join a high-performing team with unlimited bonus opportunities and steady work.
About National Enterprise Systems
National Enterprise Systems is an award-winning, nationwide receivables management company trusted by major lenders and financial institutions. We’re known for strong compliance, consistent results, and cultivating teams of motivated, skilled collectors. With an influx of high-quality work, we’re expanding our remote workforce and looking for experienced professionals who can deliver with confidence.
Schedule
• Fully remote (eligible states only; see below)
• Monday–Friday
• Three days: 8:00 AM–4:30 PM ET
• Two days: 10:30 AM–7:00 PM ET
• Paid training included
Remote Eligibility Notice
This position is open to candidates located anywhere in the United States except:
Alaska, California, Connecticut, Hawaii, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nebraska, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Washington DC.
• Ohio candidates must live at least 50 miles from the Solon, OH office.
What You’ll Do
• Contact consumers by phone to discuss and resolve past-due accounts
• Use negotiation and customer service skills to identify workable payment solutions
• Apply training-based techniques to improve performance and meet monthly goals
• Maintain accurate documentation of all calls, resolutions, and account activity
• Ensure all communication complies with federal, state, and client regulations
What You Need
• Minimum 2 years of debt collections experience
• Strong negotiation skills with a track record of resolving delinquent accounts
• Excellent verbal communication and customer-focused approach
• Ability to work independently in a remote environment
• Strong attention to detail and accurate record-keeping
Benefits
• Base pay: $17–$20 per hour (depending on experience)
• Monthly performance bonuses with no earnings cap
• Medical, dental, and vision insurance
• Paid vacation and personal time
• Paid holidays
• 401(k)
• Paid training
If you’re motivated, results-oriented, and eager to maximize your earning potential from home, this opportunity is built for you.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Private Student Loan Collector – Remote (Restricted States Apply)
High-volume work. High earning potential. Join a team where strong collectors thrive.
About National Enterprise Systems
National Enterprise Systems is an award-winning, nationally recognized receivables management company. We partner with major lenders and financial institutions, and we’re known for high-quality work, compliance excellence, and strong collector performance. We’re growing and looking for experienced professionals who know how to negotiate, resolve delinquent private student loan accounts, and deliver results.
Schedule
• Fully remote (with location restrictions; see below)
• Monday–Friday
• Three days: 8:00 AM–4:30 PM ET
• Two days: 10:30 AM–7:00 PM ET
• Paid training provided
Remote Eligibility Notice
This role is open to candidates anywhere in the United States except:
Alaska, California, Connecticut, Hawaii, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nebraska, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, and Washington DC.
• Ohio candidates must live 50+ miles from the Solon, OH office to be eligible.
Responsibilities
• Contact consumers to discuss and resolve past-due private student loan accounts
• Use negotiation and customer service skills to establish realistic resolutions and payment arrangements
• Maintain accurate documentation for all interactions and account activity
• Follow all compliance regulations and company policies
• Meet or exceed monthly goals and performance metrics
Requirements
• Minimum 2 years of experience collecting private student loan accounts
• Strong negotiation skills with a proven record of resolving delinquent balances
• Professional communication skills (phone-heavy role)
• Ability to work independently and meet performance expectations
• Must meet all remote eligibility requirements listed above
Benefits
• Base pay $17–$20 per hour (based on experience)
• Monthly performance bonuses with no earnings cap
• Medical, dental, and vision insurance
• 401(k)
• Paid vacation and personal time
• Paid holidays
• Paid training
• Full remote setup (eligible states only)
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Keep the care moving. This role supports patients by ensuring their therapies get reauthorized quickly and accurately.
About Option Care Health
Option Care Health is the largest independent home and alternate-site infusion provider in the United States. With more than 8,000 team members and 5,000 clinicians, we elevate the standard of care for patients with acute and chronic conditions nationwide. Our culture centers on respect, inclusion, innovation, and empowering our people to grow.
Schedule
• Full-time
• Remote (Texas residents only)
• Monday through Friday
• Fast-paced, accuracy-driven workflow
• Hiring range: $20–$23 per hour (final pay determined by experience, skills, and internal equity)
Responsibilities
• Process therapy reauthorizations quickly and accurately
• Document all communication with plans, referral sources, pharmacies, and patients
• Manage follow-up tasks and outstanding items to ensure timely approvals
• Support supervisors and managers with special assignments as needed
• Maintain productivity and quality expectations in a high-volume environment
• Protect confidential patient information and follow company policies
Requirements
• High school diploma or equivalent
• Minimum 2 years related experience
• Strong multitasking ability with high accuracy
• Able to work efficiently in a fast-paced environment
• Highly detail-oriented with strong follow-through
• Strong discipline and self-management in meeting productivity goals
Preferred
• Healthcare or medical billing experience
• Familiarity with reauthorizations, prior authorizations, or insurance workflows
Benefits
• Medical, dental, and vision insurance
• Paid time off
• Bonding time off
• 401(k) with company match
• HSA and FSA options
• Tuition reimbursement
• Family support resources
• Mental health services
• Company-paid life insurance
• Awards and recognition programs
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Handle the tough calls with confidence. This role is built for someone who can calm chaos, resolve issues fast, and keep customers feeling heard and supported.
About Lake Appliance Repair
Lake Appliance Repair is one of the largest privately held appliance repair companies in the country. Our technicians service refrigerators, washers, dryers, ovens, dishwashers, and more. We pride ourselves on delivering quality repairs and exceptional customer experiences—and that’s where you come in.
Schedule
• Full-time
• Remote
• Fast-paced, customer-focused environment
Responsibilities
• Resolve escalated customer complaints with professionalism and empathy
• Support CSRs by providing guidance, encouragement, and decision-making help
• Deescalate stressful situations and maintain customer satisfaction
• Partner with technicians and managers to solve complex service issues
• Provide phone support when CSRs need assistance
• Maintain accurate documentation and uphold company policies
Requirements
• Minimum 2 years in a Customer Service Management or Escalation role
• Excellent written and verbal communication skills
• Strong conflict resolution abilities
• Detail-oriented and able to multitask in a remote work environment
• High school diploma or equivalent; Associate’s degree preferred
• A genuine commitment to delivering exceptional customer service
Benefits
• Hourly pay based on experience
• 18 days paid time off per year
• Sick pay and holiday pay
• Retirement plan
• Stable, long-term career growth
• Supportive, collaborative team culture
If you can stay calm under pressure and take pride in turning frustrated customers into satisfied ones, this role is a strong match for your skill set.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Keep the heartbeat of the repair team running by making sure technicians always have the right parts at the right time. This role is perfect for someone who thrives on organization, accuracy, and keeping operations smooth behind the scenes.
About Lake Appliance Repair
Lake Appliance Repair is one of the largest privately held appliance repair companies in the country. We support technicians who service refrigerators, washers, dryers, ovens, dishwashers, and more. Our teams value efficiency, great service, and a strong, collaborative culture that’s built to last.
Schedule
• Full-time
• Remote
• Fast-paced, operations-focused workflow
What You’ll Do
• Receive incoming parts and manage daily inventory updates
• Process returns and follow up on missing credits
• Pull usage reports and monitor cycle counts
• Perform quarterly inventory audits for service vehicles
• Negotiate pricing and terms with existing suppliers
• Track trends to determine which parts should be added or removed
• Share weekly progress updates with management
What You Need
• 2 years of experience in inventory, distribution, or operational procedures
• Advanced Microsoft Excel skills
• Strong math and analytical abilities
• Clear written and verbal communication
• High attention to detail and accuracy
• Ability to multitask and stay organized in a remote environment
• High school diploma or equivalent; Associate’s degree preferred
Benefits
• Hourly pay based on experience
• 18 days paid time off per year
• Sick pay and holiday pay
• Retirement plan
• Training, stability, and long-term career growth
• Supportive team culture
If you’re organized, numbers-driven, and ready to support a busy repair team from behind the scenes, this role is calling your name.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Help customers solve appliance issues from home while supporting technicians in the field. If you’re sharp with diagnostics and thrive in a fast-paced service environment, this role will fit you well.
About Lake Appliance Repair
Lake Appliance Repair is one of the largest privately held appliance repair companies in the country. We provide in-home service for major appliances along with virtual troubleshooting support for customers nationwide. Our teams operate with professionalism, transparency, and a strong focus on customer experience.
Compensation
• $20–25 per hour, depending on experience
• Performance bonuses
• 18 days of paid time off per year
• Sick pay and holiday pay
• Retirement plan
Schedule
• Full-time
• Remote
• Fast-paced support environment
Responsibilities
• Diagnose appliance issues remotely and determine parts needed
• Provide virtual troubleshooting support for customers (phone/video)
• Document cases, steps taken, and resolutions with accuracy
• Assist field technicians with pre-visit planning and case prep
• Collaborate with parts and customer service teams to streamline repair workflows
• Support daily operations to keep cases moving efficiently
Requirements
• 1+ year of appliance repair experience (required)
• Strong diagnostic skills and familiarity with common appliance failures
• Excellent communication and customer service skills
• Tech-savvy and comfortable troubleshooting over video
• Strong problem-solving ability and independent work habits
• High school diploma or equivalent (required)
• Ability to pass company-paid background and drug screening
• EPA certification is a plus
Benefits
• Competitive pay with bonus opportunities
• Retirement plan
• Paid holidays, PTO, and sick pay
• Stability in an essential industry
• Ongoing training and advancement opportunities
• Supportive, team-oriented company culture
If you’re an experienced technician who enjoys helping people, solving problems quickly, and working remotely, this is a strong next step.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Join a stable, fast-growing home services company where your billing expertise actually matters and your work directly supports customers, technicians, and leadership.
About Lake Appliance Repair
Lake Appliance Repair is one of the largest privately-owned appliance repair companies in the country, providing professional in-home service for washers, dryers, refrigerators, ovens, dishwashers, and more. We’re a people-first organization that values communication, accuracy, teamwork, and long-term career growth.
Schedule
• Full-time
• Remote
• Flexible scheduling based on team needs
• Fast-paced, high-volume environment
Responsibilities
• Validate warranty coverage and ensure accurate billing for each job
• Close out 80–100 jobs per day with precision and consistency
• Manage 6 A/R accounts, keeping aging under 30 days
• Email customer invoices in required formats with correct spelling and grammar
• Deliver excellent communication to customers and vendors
• Maintain accurate documentation and financial records
• Support internal teams to ensure smooth workflow and timely resolutions
Requirements
• 2+ years of billing experience
• Strong written and verbal communication skills
• High attention to detail and accuracy
• Customer-service mindset
• High school diploma required; Associate’s preferred
• Strong organizational skills and ability to manage multiple tasks
Benefits
• Competitive hourly pay (based on experience)
• Sick pay
• Holiday pay
• 18 days of paid time off annually
• Retirement plan
• Stable, essential-services industry
• Hands-on training and opportunities for advancement
• Supportive, team-oriented work culture
If you’re dependable, detail-oriented, and ready to grow with a company that values your work, this role is a strong fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
If you love diving into inpatient records, identifying coding errors, and teaching coders how to level up, this consulting role has your name all over it.
About CorroHealth
CorroHealth helps healthcare organizations strengthen their financial performance by combining clinical expertise, technology, and scalable revenue cycle solutions. Their teams work alongside providers nationwide to optimize coding accuracy, compliance, and reimbursement. CorroHealth prioritizes career growth, education, and long-term development for every team member.
Schedule
• Full-time, fully remote
• Monday–Friday
• 40 hours per week
• Occasional travel may be required
• Independent work with high collaboration across consulting teams
Responsibilities
• Perform complex concurrent and retrospective audits of inpatient, outpatient, and/or physician practice encounters
• Validate ICD-10-CM/PCS, CPT, and HCPCS coding accuracy using AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant guidelines
• Identify root causes of coding errors and prepare detailed audit summary reports for clients
• Provide second-level review to ensure code assignment accuracy, compliance, and proper sequencing
• Research coding, compliance, and denial-related questions
• Maintain strict patient and client confidentiality in alignment with AHIMA Standards of Ethical Coding
• Develop and deliver coding education and training based on audit findings
• Meet productivity expectations, maintaining at least 80% billable hours when work is available
• Conduct independent QA reviews prior to final submissions (minimum 95% accuracy required)
• Prepare audit deliverables and meet all client timelines
• Collaborate proactively with internal consulting teams and client stakeholders
• Maintain credentials, education, and current knowledge of guidelines and regulatory changes
• Other duties as assigned by leadership
Requirements
• AHIMA or AAPC credential required
• 5+ years inpatient coding and/or auditing experience in an acute care setting
• Strong knowledge of MS-DRGs, PCS, POA, query opportunities, principal and secondary diagnosis assignment
• Experience with EMRs and remote auditing workflows
• Ability to work across multiple clients and projects
• Strong analytical skills and attention to detail
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Ability to work independently with minimal supervision
• Excellent verbal and written communication skills
• Ability to maintain accuracy, meet deadlines, and manage multiple files simultaneously
Benefits
• Full-time remote role
• Medical, dental, and vision insurance
• 401(k) with company match
• PTO and paid holidays
• Tuition reimbursement
• Professional growth and continuing education support
• Equipment provided
• Supportive consulting team and ongoing development
If your sweet spot is auditing, accuracy, and teaching coders how to improve, this job aligns perfectly.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Help streamline critical Peer-to-Peer reviews that directly impact hospital reimbursement and patient care. This role is perfect for fast-thinking communicators who thrive on the phone and enjoy solving problems in real time.
About CorroHealth
CorroHealth strengthens hospital financial performance through advanced clinical expertise, analytics, and scalable revenue cycle solutions. Their team supports healthcare organizations nationwide with high-impact operational support and a culture that prioritizes career growth, flexibility, and meaningful work.
Schedule
• Full-time, fully remote (US only)
• Monday–Friday, 10:00 AM–7:00 PM EST
• Phone-heavy role (90% of the day on calls)
• Independent work with strong team collaboration
• Equipment provided
What You’ll Do
• Call payers to schedule Peer-to-Peer reviews with CorroHealth Medical Directors
• Follow up on cases past their scheduled P2P deadlines
• Document all payer interactions in CorroHealth systems and update multiple databases
• Support case entry, P2P operations, and appeals processes as needed
• Navigate EMRs and payer portals to retrieve information
• Solve issues proactively and maintain organized, accurate workflows
• Maintain confidentiality and adhere to HIPAA/HITECH compliance standards
• Perform other departmental tasks as assigned
What You Need
• High school diploma required; bachelor’s degree preferred
• Strong verbal and written communication skills
• Must enjoy and excel at high-volume phone communication
• Ability to multitask across multiple screens, systems, and databases
• Prior call center experience preferred
• Understanding of Medicare, Medicaid, and commercial payer denials is a plus
• Experience using EMRs and payer portals preferred
• Proficiency in Word and Excel (basic formulas, multiple worksheets, copy/paste)
• Minimum typing speed of 30 wpm
• Detail-oriented problem solver who can work independently and in a fast-paced environment
• Strict commitment to confidentiality and compliance
Benefits
• $18.27/hour (firm rate)
• Medical, dental, and vision insurance
• Company-provided equipment
• 401(k) with up to 2% match
• 80 hours PTO annually
• 9 paid holidays
• Tuition reimbursement
• Professional development and growth opportunities
If you’re organized, resilient, and energized by helping healthcare teams move cases forward, this role is calling your name.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Earn a competitive salary from home while applying your inpatient coding expertise — plus a $7,000 sign-on bonus.
About CorroHealth
CorroHealth helps healthcare organizations improve financial performance through advanced technology, clinical expertise, and scalable revenue cycle services. Their teams support hospitals and health systems nationwide through accurate coding, compliance-focused processes, and a culture built on continuous growth and education.
Schedule
• Full-time, fully remote
• Monday through Friday schedule
• Independent, work-from-home role requiring reliable workspace and internet
• Must maintain productivity and accuracy expectations
What You’ll Do
• Provide CPT, HCPCS, and ICD-10-CM/PCS coding for inpatient charts across multiple specialties
• Perform detailed review of medical records to ensure correct sequencing and code assignment
• Apply ICD-10-CM and PCS codes at the highest level of specificity
• Identify critical care cases based on patient acuity
• Capture additional revenue opportunities by coding applicable ER surgical procedures
• Communicate professionally with clients to support ongoing relationships
• Maintain 95%+ accuracy and productivity benchmarks
• Uphold AHIMA Standards of Ethical Coding and all compliance requirements
• Assist leaders with reporting and support tasks when needed
• Participate in training sessions and pursue ongoing education
• Protect all PHI and confidential company information
• Potential to transition into auditing responsibilities
What You Need
• Coding certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) — CCS preferred
• At least 2 years of inpatient coding experience
• Strong proficiency using EMR and billing systems
• Working knowledge of Excel (basic formulas, pivot tables) and Outlook (email management, scheduling)
• Current access to CPT and ICD-10-CM reference materials
• Ability to meet deadlines, analyze documentation, and maintain high accuracy
• Strong written and verbal communication skills
• Reliable attendance and ability to work independently
• Commitment to coding compliance and privacy regulations
Benefits
• $7,000 sign-on bonus
• Medical, dental, and vision insurance
• Competitive pay
• 95%+ accuracy and productivity bonus structure
• 401(k) with match
• PTO and paid holidays
• Ongoing training and career development opportunities
• Remote convenience with supportive leadership and coding community
Take the next step in your coding career with a company that values accuracy, growth, and flexibility.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 21, 2025 | Uncategorized
Help hospitals get paid accurately and ethically by reviewing claims, identifying coding issues, and advising clients on revenue cycle best practices. This role is ideal for an experienced coder who enjoys analysis, problem-solving, and client interaction.
About CorroHealth
CorroHealth supports hospitals and health systems with technology-driven revenue cycle solutions, clinical expertise, and scalable support. Their teams help clients improve financial performance while reducing administrative burden. CorroHealth invests in long-term career growth for its employees and provides a fully remote, collaborative work environment.
Schedule
• Full-time, remote within the U.S.
• Standard weekday schedule (exact hours may vary by team)
• Requires consistent, reliable internet access
• Web-based client meetings included as part of routine duties
What You’ll Do
• Assist the Director of HIM in preparing claim audits for hospital outpatient and profee claims
• Review claims using proprietary software to identify billing, charge, and coding issues
• Recommend corrections aligned with CMS, Medicaid, and payer-specific guidelines
• Audit ICD-10-CM, PCS, CPT, HCPCS, E/M, rev codes, NCCI edits, MUEs, and UoS
• Validate documentation accuracy and identify omitted charges or coding errors
• Analyze trends and select claims for deeper review
• Develop standardized reports and respond to client coding questions
• Prepare written Q&A documents and contribute to client education materials
• Participate in virtual presentations to clients and prospective clients
• Research new guidelines, payer rules, and regulatory changes
• Maintain all required certifications and stay current with industry updates
• Support internal teams in revenue cycle consulting projects
• Uphold strict HIPAA compliance and protect PHI
What You Need
• 5+ years of directly related coding experience
• AHIMA CCS, COC, or AAPC CPC certification (required)
• Expert outpatient and revenue cycle coding knowledge (ER, SDS, OBS, ancillary, IR, profee, facility E/M)
• Strong understanding of CMS Manuals, payer guidelines, rev codes, CCI edits, and OPPS/CAH billing
• Excellent written and verbal communication skills
• Strong analytical ability and independent decision-making
• High proficiency in Excel, PowerPoint, Word, and OneNote
• Familiarity with inpatient coding and CDI preferred (or willingness to learn)
• Professional demeanor and strong client-facing skills
Benefits
• Fully remote position
• Medical, dental, and vision insurance
• 401(k) with match
• Paid holidays and generous PTO
• Equipment provided
• Career advancement opportunities
• Continuing education and certification support
If you thrive in a detail-heavy environment and enjoy making coding cleaner, smarter, and more compliant for clients, this could be your next big move.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
Full TimeRemote, US
6 days agoRequisition ID: 1651Apply
Salary Range:$15.00 To $16.00 Hourly
HealthMark Group is a leader in health information management and technology focusing on serving the health information management needs of physician practices and hospitals throughout the nation. HealthMark Group’s innovative technology and superior customer service enable clients to streamline operations by outsourcing administrative support functions such as the release of information and form completion processes. By integrating experience, technology, and service, we help hospitals, health systems and clinics concentrate on what they do best, patient care.
HealthMark Group is growing and looking for bright, energetic, and motivated candidates to join our team. This is an entry level position and an exciting opportunity for someone looking to start their career with a fast-growing company.
LOCATION:REMOTE
Position: QUALITY CONTROL
Job Description:
Entry level job duties include but not limited to:
- Entering data into database software and checking to ensure the accuracy of the data that has been inputted.
- Resolving discrepancies in information and obtaining further information for incomplete documents.
- Reports directly to Quality Control Lead/Manager
- Completes Data Entry of all requests
- Records any relevant notes on specific requests for further/proper handling throughout the request life cycle
- Identify and accurately classify each request
- Uphold HealthMark Group’s values by following our C.R.A.F.T.
- Work quickly to meet the high-volume demand
Requirements:
- 40 wpm
- High Internet speed quality
- Goal oriented, focused on ensuring accuracy and speed
- Computer literacy and familiarity with various computer programs such as
- Attention to detail
- Knowledge of grammar and punctuation
- Ability to work to time constraints
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
Location: Remote
Department: Customer Service
Employment Type: Part-Time, On-Call
About the Role
We’re seeking two reliable and organized Remote On-Call Schedulers to provide evening and overnight scheduling support Monday through Friday from 5:00 PM to 8:00 AM. This position is ideal for someone looking for flexible, part-time work that can be done entirely from home.
Each scheduler will cover 2-3 nights per week (approximately 5 hours of active work weekly), ensuring our scheduling operations run smoothly outside of regular business hours. Having two team members allows us to provide backup coverage and ensures consistent service.
Responsibilities
- Respond to scheduling requests and inquiries during on-call hours (5:00 PM – 8:00 AM, weekdays)
- Coordinate and manage appointments efficiently using our scheduling system
- Communicate with clients/patients professionally via phone, email, or text
- Handle urgent scheduling needs and changes as they arise
- Maintain accurate records and documentation
- Provide coverage for your teammate when needed
Qualifications
- Previous scheduling, administrative, or customer service experience preferred
- Strong organizational and time management skills
- Excellent written and verbal communication
- Reliable internet connection and quiet workspace
- Ability to respond promptly during assigned on-call hours
- Comfortable working independently with minimal supervision
- Proficiency with scheduling software and basic computer applications
Compensation & Benefits
- Hourly Rate: $20-25/hour for active work hours
- On-Call Stipends:
- $25 per weeknight on-call shift
- $50 per weekend/holiday on-call shift
- 401(k) Retirement Plan with company matching
- Fully remote position – work from anywhere
- Flexible schedule split between two team members
Example Weekly Earnings: For 3 on-call nights + 5 active work hours = approximately $185-200/week
Schedule
- On-call coverage: 5:00 PM – 8:00 AM, Monday-Friday
- Each employee covers 2-3 nights per week
- Specific night assignments determined collaboratively
- Average 5 hours of active work per week
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
Job Details
Job Location
Allied Benefit Systems – CHICAGO, ILRemote Type
Fully RemotePosition Type
Full TimeSalary Range
$20.00 – $21.00 HourlyJob Category
Claims
Description
POSITION SUMMARY
The Claims Keyer is responsible for reviewing prescription labels and non-standard forms; such as invoices, receipts, etc. Data from non-standard forms will be entered onto a standard claim form to be processed. The Claims Keyer is also responsible for maintaining several email boxes and prepping claims received internally to be scanned for processing. The Claims Keyer must be able to take information from one source and enter it into an Access database quickly and accurately.
ESSENTIAL FUNCTIONS
- Review Pre- Certification information received and submit for scanning electronically
- Review all necessary information on prescription labels received that is needed for processing such as CPT codes, amounts, dates, units, etc. and submit for scanning
- Maintain all Outlook email boxes to ensure that all requests for keying non-standard forms are completed and sent for scanning to be processed
- Other duties as assigned.
EDUCATION
- High school education or GED required
EXPERIENCE AND SKILLS:
- 1 year of data-entry experience required.
- Basic Microsoft Word, Excel, Outlook required.
- Must be able to key at a minimum 10,000 keystrokes per hour with 99% accuracy required.
- MS Access and Adobe Pro is preferred.
COMPETENCIES
- Communication
- Customer Focus
- Accountability
- Functional/Technical Job Skills
PHYSICAL DEMANDS
- This is an office environment requiring extended sitting and computer work.
WORK ENVIRONMENT
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Advisory Manager, Care Management (Provider) – Remote opportunity for a self-driven, collaborative case manager to partner with Optum leadership, remote and onsite teams to lead, assess, develop and implement an integrated, cohesive solution across Optum business units and key client services. This role is critical to ensuring Optum meets and exceeds our client expectations to Care Management and Clinical Variation services. The Manager will have a client- and patient-centric approach to program management, balanced with meeting Optum financial and non-financial business goals. We are looking for a proactive professional who is client savvy and can effectively execute against business objectives. This individual will work with leadership to structure to ensure seamless, consistent delivery of services and solutions.
The successful candidate must be passionate about driving improvements in performance, effective at working in a fast-paced, high-energy environment and confident in their interactions with senior executives, providers, and business partners.
You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Supports the project team by participating in assessment, solution design, implementation, execution through coordination, documentation, and tracking metrics and outcome activities
- Supports the combined client and Optum Clinical Practice team by identifying opportunities and risks, facilitating solutions, and maintaining alignment with cross-functional priorities
- Works directly with the frontline leadership and client on daily operational development
- Drives clear, concise lines of communication with key stakeholders across Optum and client teams in coordination with the Optum leader to ensure effective implementation of service commitments and capturing needs for project success
- Ensures cross-project cohesion by identifying areas of dependency and collaboration, scheduling and facilitating team meetings to ensure cross-business organization and harmonization
- Supports client relationship and program management activities, including but not limited to:
- manages historical, current, and future state Care Management and Clinical services content, ensuring accessibility to team members
- manages and tracks the Care Management project plans and scoping documents, including tasks, activities and milestones in partnership with the assigned consultants
- organizes status reports, identifying and escalating risks and issues when appropriate
- manages and tracks Care Management data and information requests and documentation
- coordinates across business units to create cohesive, client-ready business deliverables; and
- tracks performance against contractual obligations
- Provides thoughtful input to optimize overall Care Management and Clinical Variation performance, advising leaders on performance management and improvement activities
- Works with Care Management and Clinical Variation leadership to establish and track measured outcomes, criteria, standards and levels using appropriate methods
- Supports service deployment and closely monitors performance, working with finance and operations to ensure financial viability and operational excellence
- Identifies business unit gaps and helps to develop action plans to mitigate risks and issues
- Helps to onboard new team members
- Builds trusting relationships with senior leaders, clinicians, and business partners
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Licensed Registered Nurse
- 5+ years of hospital care management including both discharge planning and utilization management experience
- 3+ years of experience in customer relationship management
- 3+ years of Acute Care experience
- Proficient with MS Excel and PowerPoint for creating presentations
- Demonstrated planning, organization, analytical and problem-solving skills
- Proven self-guided, motivated, and able to simultaneously manage multiple activities with little direction
- Proven solid strategic thinking and business acumen with the ability to align clinical strategies and recommendations with business objectives
- Proven solid presentation, written and verbal communication skills, including communicating with senior leadership
- Proven track record of working collaboratively with internal business partners and stakeholders across a large matrixed organization
- Proven ability to develop relationships with clinicians and business leadership
- Proven adaptable and flexible style; able to thrive in fast-paced, ambiguous situations
- Ability to travel up to 80% to client sites
Preferred Qualifications:
- Healthcare consulting experience with a reputable consulting firm in a client facing capacity
- Experience in hospital care management and/or leading complex clinical transformation consulting engagements resulting in significant recurring financial benefit
- Experience developing clinical transformation methodologies and designing innovative solutions in a complex and rapidly changing environment
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable.
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
About Dr. Berg Nutritionals
Dr. Berg’s Nutritionals is a leader in the health and wellness industry focused on addressing the root causes of health concerns. We offer a dynamic work environment with opportunities for growth, where you can contribute to helping millions achieve better health through education, premium supplements, and holistic practices like the Healthy Keto® diet.
With a social media reach of over 42 million followers, you’ll be part of a globally recognized brand that’s passionate about transforming lives through knowledge and nutrition.
Position Overview
We’re looking for a Success Story Coordinator who is enthusiastic about connecting with customers, curating their stories, and showcasing real results.
If you’re detail-oriented, love storytelling, and thrive in a fast-paced creative environment — this is the role for you.
Job Duties & Responsibilities
Success Story Submissions
- Monitor daily success story submissions.
- Review and edit content for accuracy, clarity, and readability.
- Verify “before” and “after” photos are included; requesting missing assets when needed.
- Communicate professionally with contributors to gather or clarify information.
- Approve final submissions and upload them to the website via WordPress.
- Update and republish older stories as needed to ensure accuracy and compliance.
Audience Engagement & Content Repurposing
- Source additional real-life success stories from Dr. Berg’s community.
- Conduct interviews with story contributors (on or off camera).
- Identify compelling quotes or visuals within a success story for use across YouTube and other social media.
- Collaborate with the Social Media team to share approved story excerpts or visuals.
- Maintain an organized digital archive of all published and pending stories.
- Ensure all content aligns with brand voice and complies with health claim guidelines.
Qualifications & Skills Required
- Excellent verbal and written communication skills
- Professional on-camera presence with good lighting, clear audio, and a well-presented workspace suitable for recorded or live interviews
- Basic knowledge of health and nutrition terminology
- Strong writing, proofreading, and organizational abilities
- Ability to work independently and manage time effectively
- Experience using WordPress a plus
- Experience with photo editing or basic graphic design tools preferred
- Familiarity with Dr. Berg strongly preferred.
Work from Home Requirements
- Up-to-date PC with Windows or Mac computer with MacOS operating system, anti-virus protection, and reliable high-speed internet connection.
- Stable Wi-Fi connection, suitable computer, and a quiet workspace conducive to remote work.
- Employees are expected to ensure their work environment is conducive to productivity, free from major distractions and without any conflicting responsibilities during scheduled shifts.
- Tech-savvy approach to everyday tasks and communication is imperative.
- Must be comfortable and experienced using Microsoft Office 365 (Excel, Outlook, Teams, Word, etc.) and able to learn and navigate new computer software.
Join Dr. Berg Nutritionals
Here at Dr. Berg Nutritionals, we’re on a mission to transform the world into a healthier and happier place!
We don’t just care about the bottom line—we ensure that every member of our team enjoys the freedom, support, and resources to unleash their full potential.
We embrace diversity and inclusion and encourage everyone at Dr. Berg Nutritionals to bring their authentic selves to the table.
We work hard here—but we also work smart and recognize that personal and family challenges arise, and life happens. Our goal is to help employees create a healthy work-life balance by providing paid vacation, holidays, and personal days.
Experience the freedom of working fully remotely. Say goodbye to commuting stress, increasing expenses on gas and meals out, and the constant buzz of office noise and distractions.
Get ready for perks that go beyond the ordinary! Join us and enjoy competitive pay plus amazing benefits, including:
✔ Feel secure with 40 hours of paid Personal Days and 80 hours of Paid Time Off
✔ Full medical, dental, and vision benefits for our full-time employees
✔ Stay fit with a paid gym membership—your health matters
✔ Enjoy well-deserved downtime with paid time off on seven holidays
✔ Boost your wellness with a 50% discount on all Dr. Berg products
✔ Achieve that perfect work-life balance with the incredible support of our dynamic team!
Pay: $25-28/hour – depending on experience
Hours: Monday–Friday, 9am-6pm EST
Location: Fully remote
Type: Full-time employment
Note: As part of the interview process, you will be asked to complete a test project.
by twochickswithasidehustle | Nov 21, 2025 | Uncategorized
About Us:
Rent the Runway (RTR) is transforming the way we get dressed by pioneering the world’s first Closet in the Cloud. Founded in 2009, RTR has disrupted the $2.4 trillion fashion industry by inspiring women with a more joyful, sustainable and financially-savvy way to feel their best every day. As the ultimate destination for circular fashion, the brand now offers infinite points of access to its shared closet via a fully customizable subscription to fashion, one-time rental or ownership. RTR offers designer apparel and accessories from hundreds of brand partners and has built in-house proprietary technology and a one-of-a-kind reverse logistics operation. Under CEO and Co-Founder Jennifer Hyman’s leadership, RTR has been named to CNBC’s “Disruptor 50” five times in ten years, and has been placed on Fast Company’s Most Innovative Companies list multiple times, while Hyman herself has been named to the “TIME 100” most influential people in the world and as one of People magazine’s “Women Changing the World.”
About the Job:
Rent the Runway is looking for a generalist Recruiter to support full cycle recruiting for key hires across the operations and corporate teams of Rent the Runway. You will quickly build and maintain partnerships with key leaders in order to understand their department structure, key initiatives and projects, evaluate talent needs, and source high-quality candidates for their roles.
This is a short-term contract position. The contract will begin initially for 3 months, and may extend beyond that based on our hiring needs. Candidates may be remote, but will need to be able to work on an EST work schedule (~9am-6pm EST). This role will pay an hourly rate of $40-45/hr.
What You’ll Do:
In this role, you will:
- Partner closely with hiring managers and own all aspects of the full-cycle recruiting process: defining jobs and specs, sourcing, screening, running the recruiting process, negotiating and closing
- Develop a pipeline of active and passive candidates
- Become quickly immersed into the culture and business needs of Rent the Runway, building relationships with key leaders in order to understand the candidate profile that will be the most successful at Rent the Runway
- Maintain a high level of industry awareness, understanding the startup, tech, and fashion/retail landscape to keep tabs on emerging and transitioning businesses, industry news, competitive analysis, etc.
About You:
- 3+ years of full cycle recruiting experience, ideally in for technical and/or corporate roles, and a track record of hiring exceptionally talented people
- Experience recruiting in a startup or entrepreneurial company
- In-house recruitment experience
- Demonstrated success implementing innovative ways to attract and retain candidates
- Excellent verbal and written communication, interpersonal, presentation, facilitation and negotiation skills
- Proficiency using ATS systems and sourcing tools
- Passionate about ensuring that each candidate who interviews at Rent the Runway has a unique and positive experience
The anticipated pay rate for this position is $40 to $45 per hour. The actual pay rate offered will depend on a variety of factors, including without limitation, the qualifications of the individual applicant for the position, years of relevant experience, level of education attained, certifications or other professional licenses h
by twochickswithasidehustle | Nov 20, 2025 | Uncategorized
CreativeTime Solutions is seeking a dynamic and customer-focused Web E-Chat Representative to join our customer service team. The successful candidate will be the first point of contact for customers and will have direct responsibility for providing a professional, helpful, and timely service. For Web E-Chat Representative position, we expect you to be an outstanding communicator, listener, and problem solver.
Responsibilities:
- Handle and promptly respond to customer inquiries via web chat. Aim to resolve issues in the fastest time, without compromising on quality of service.
- Maintain comprehensive knowledge about products, services, policies, and procedures of CreativeTime Solutions. Use this knowledge to provide product information and recommendations to customers.
- Provide feedback on the efficiency of the customer service process. Proactively suggest improvements that enhance customer satisfaction and business performance.
- Work collaboratively with other team members to ensure the delivery of exceptional customer service. Participate in regular team meetings and share insights learned from interactions with customers.
- Document all communication with customers with accurate and detailed notes. Report any significant customer feedback to management for further analysis and response.
Qualifications:
- High school diploma or equivalent, with a bachelor’s degree preferred.
- Minimum of 1-2 years of customer service experience, preferably in a digital setting.
- Exceptional verbal and written communication skills. A positive, patient, and friendly customer service approach.
- Strong problem-solving skills. Ability to handle customers’ issues and complaints in a calm and professional manner.
- Excellent typing speed and accuracy. Proficiency in using Microsoft Office Suite and other software tools.
- Ability to work in a fast-paced environment and multitask. Comfort in adapting to new technologies quickly.
Benefits:
- Competitive compensation, including a full suite of benefits that include medical, dental, vision, and life insurance.
- Paid time off and vacation benefits that encourage work-life balance.
- Career advancement opportunities. We believe in promoting from within and provide numerous opportunities for professional growth.
- A commitment to a culture of diversity, inclusion, and respect. We value the unique perspectives and contributions of each employee.
- Continuous learning and development opportunities. We provide training and educational resources to help you build your skills and career.
At CreativeTime Solutions, we believe in excellence in everything we do, and we believe that our Web E-Chat Representatives play a significant role in upholding these values. If you enjoy helping people and have the qualifications we’re looking for, we would love to hear from you.
by twochickswithasidehustle | Nov 20, 2025 | Uncategorized
- Personalized Ads Evaluator
- Remote Internet Search Quality Rater – English (United States)
- Customer Support Expert- Remarkable AI
- iOS Evaluator
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Use your analytical talent to shape smarter healthcare decisions. In this role, you’ll build tools, dashboards, and insights that directly influence clinical strategy and organizational performance—impacting care for hundreds of thousands of members.
About WellSense Health Plan
WellSense is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Medicaid, and Individual/Family plans. With more than 25 years of service, the organization is committed to delivering high-quality, equitable healthcare that works for every member.
Schedule
- Full-time, fully remote
- Standard business hours
- Collaboration across clinical, operational, and analytics teams
- Must maintain reliable attendance and meet timelines for analytic deliverables
What You’ll Do
⦁ Develop, maintain, and leverage a best-in-class clinical analytics infrastructure to support Medical Management strategy
⦁ Partner with cross-functional teams to understand data needs and ensure analysis accuracy
⦁ Lead analytic processes that benchmark performance and identify improvement opportunities
⦁ Present findings and insights to clinical leadership and support performance improvement initiatives
⦁ Work with Medical Management leadership to align operations and case management needs with data reporting
⦁ Build and maintain operational and clinical dashboards that drive decision-making
⦁ Create drill-down analyses to address over-utilization and identify trends
⦁ Develop performance measurement tools, operational dashboards, and reporting to track initiative impact
⦁ Gather business data requirements and collaborate with data architects to build required datasets
⦁ Translate clinical and operational needs into business reporting specifications
⦁ Support UM technical initiatives, including development of operational reports and specifications
⦁ Promote continuous improvement and best practices in data management
⦁ Ensure compliance with data governance and privacy policies
What You Need
⦁ Bachelor’s degree required
⦁ Experience in healthcare data analysis and reporting
⦁ Minimum 3 years of advanced analytics experience using SAS and/or SQL
⦁ Strong proficiency with Tableau (Desktop and Server)
⦁ Excellent analytical, critical-thinking, and problem-solving skills
⦁ Ability to communicate complex information and data methodologies clearly
⦁ Experience with enterprise data warehouses
⦁ Ability to manage multiple projects in a fast-paced environment
⦁ Strong initiative and ability to work both independently and collaboratively
Preferred
⦁ Some experience with Python scripting
⦁ Experience coordinating multiple analytic or technical initiatives
Benefits
⦁ Competitive salary
⦁ Comprehensive medical, dental, vision, and pharmacy coverage
⦁ 403(b) retirement plan with employer match
⦁ Paid time off and wellness resources
⦁ Career advancement and skill development opportunities
Ready to take on high-impact analytical challenges and make meaningful contributions to healthcare quality? Apply while the role is open.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Play a key role in strengthening healthcare quality across Massachusetts and New Hampshire. This remote role helps drive accurate HEDIS reporting, regulatory compliance, and measurable quality outcomes for members.
About WellSense Health Plan
WellSense is a nonprofit health insurance company serving more than 740,000 members across MA and NH through Medicare, Medicaid, and Individual/Family plans. Founded in 1997, we’re committed to delivering high-quality, equitable healthcare and supporting members no matter their circumstances.
Schedule
- Full-time, fully remote
- Standard business hours with flexibility based on provider outreach and reporting timelines
- Must maintain reliable attendance and meet accuracy and productivity standards
What You’ll Do
⦁ Perform medical record abstraction and data entry for NCQA HEDIS and other audit-based measures
⦁ Maintain ≥90% inter-rater reliability accuracy and complete yearly testing
⦁ Conduct overreads to validate accuracy, consistency, and compliance with technical specifications
⦁ Navigate multiple EMR systems (Epic, Cerner, Allscripts) to retrieve and abstract medical records
⦁ Build and maintain strong relationships with provider partners to ensure timely record retrieval
⦁ Research member and claims data using internal systems to validate service information
⦁ Support chart procurement efforts and maintain a retrieval rate of ≥95%
⦁ Assist with training on HEDIS measures, abstraction methods, and data collection practices
⦁ Identify workflow improvement opportunities and contribute to quality initiatives
⦁ Participate in cross-functional project teams focused on performance and quality improvement
⦁ Promote a data-driven culture of continuous improvement
⦁ Perform other related duties as assigned
What You Need
⦁ Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field (or equivalent experience)
⦁ Minimum 2 years of experience in healthcare quality, medical record abstraction, or managed care
⦁ Working knowledge of HEDIS measures and abstraction methodology
⦁ Strong attention to detail and problem-solving skills
⦁ Proficiency with Microsoft Office and ability to learn multiple software systems
⦁ Strong verbal and written communication skills
⦁ Ability to work collaboratively and independently
Preferred
⦁ Experience with quality reporting, audits, or supplemental data submissions
⦁ Coding/clinical background or health information certification
Benefits
⦁ Competitive salary: $61,500–$89,500 (adjusted for location)
⦁ Medical, dental, vision, and pharmacy benefits
⦁ 403(b) with employer match
⦁ Paid time off and wellness resources
⦁ Career growth opportunities
Ready to help improve healthcare quality across the region? Apply today — positions fill fast.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help drive clinical excellence and regulatory compliance across WellSense’s Medicaid and Medicare programs by leading quality improvement initiatives that directly impact member outcomes.
About WellSense Health Plan
WellSense is a nonprofit health plan serving more than 740,000 members across Massachusetts and New Hampshire. With more than 25 years of service, we provide accessible, high-quality health plans for Medicare, Medicaid, and Individual/Family members. Our mission is simple: deliver healthcare that works for every member, regardless of circumstance.
Schedule
• Full-time
• Fully remote
• Occasional travel for meetings or state-level quality sessions
• Cross-functional collaboration with clinical, operational, and analytics teams
What You’ll Do
• Serve as a subject matter expert for quality management across medical and behavioral health programs
• Lead the development and execution of corporate quality initiatives aligned with NCQA and state regulatory requirements
• Oversee quality improvement needs across all products in assigned regions (MA and/or NH)
• Chair workgroups and committees that track progress on corporate and regulatory quality initiatives
• Ensure compliance with contractual requirements from EOHHS, DHHS, EQRO, NCQA, and other regulatory bodies
• Develop detailed project plans, timelines, metrics, and outcome measures for performance improvement projects
• Facilitate large multidisciplinary teams to implement targeted quality interventions
• Prepare internal and external documentation, reports, and regulatory submissions
• Work closely with analytics teams to define data needs, analyze trends, and support quality decision-making
• Liaise with vendors to ensure accurate reporting and data integration
• Respond to regulatory inquiries and represent the plan at state quality meetings
• Identify improvement opportunities using internal and external data sources
• Manage day-to-day quality processes including document review, literature searches, and independent decision-making
• Ensure timely submission of all quality and regulatory deliverables
• Other duties as assigned
What You Need
• Bachelor’s degree in Nursing, Health Administration, or related field (or equivalent experience)
• Master’s degree in Social Work, Behavioral Health, Public Health, or related field preferred
• 5+ years of progressive experience in healthcare or managed care
• Strong knowledge of clinical quality management, quality improvement methodologies, and regulatory standards
• Experience working with Medicaid/Medicare populations preferred
• NCQA experience strongly preferred
• Project development or health policy experience a plus
• Lean Six Sigma or CPHQ training preferred
Benefits
• Competitive salary
• Full medical, dental, vision, and pharmacy coverage
• Flexible Spending Accounts
• Paid time off and wellness resources
• 403(b) retirement plan with employer match
• Career development and advancement opportunities
• Remote work with strong team support
If you’re ready to lead impactful quality initiatives and help shape better outcomes for vulnerable populations, this role is your next step.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help strengthen relationships with healthcare providers and ensure accurate claims processing across WellSense’s Medicare, Medicaid, and commercial networks.
About WellSense Health Plan
WellSense is a nonprofit health plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered accessible, high-quality Medicare, Medicaid, and Individual/Family coverage. Our mission is to make healthcare work for everyone, regardless of circumstance.
Schedule
• Full-time
• Remote role with travel requirements
• Up to 50% travel to local communities for provider meetings
• Fast-paced workload with cross-department collaboration
Responsibilities
• Investigate, document, track, and help resolve provider claim issues
• Partner with Claims, Benefits, Enrollment, Audit, and Clinical Services to ensure timely and accurate claim payments
• Identify system changes impacting claims and collaborate internally to drive solutions
• Analyze claims processing trends and assist with issue quantification
• Run claim reports to support provider visits and outreach
• Strengthen relationships with physicians, clinicians, community health centers, and hospitals
• Serve as the primary contact for provider reimbursement questions and issue resolution
• Provide education to providers on WellSense products, policies, procedures, and operational processes
• Communicate Plan updates and ensure smooth information flow across departments
• Conduct outreach aligned with Plan initiatives
• Facilitate interdepartmental coordination to resolve complex provider issues
• Research provider data discrepancies in Onyx and Facets and request system updates when needed
• Support credentialing, servicing, and recruitment through report preparation
• Ensure compliance with NCQA and state agency requirements
• Other duties as assigned
• Maintain regular, reliable attendance
Requirements
Education
• Bachelor’s degree in Business Administration or related field, or equivalent experience
Experience
• 2 or more years in managed care or healthcare preferred
• Understanding of Medicare and Medicaid reimbursement methodologies
• Familiarity with provider coding and billing practices
• Experience with ICD-10, CPT/HCPCS, and claim form standards
Skills & Competencies
• Strong communication skills, written and verbal
• Proven ability to manage multiple priorities with strong follow-up habits
• High proficiency with Microsoft Office
• Strong organizational and independent problem-solving skills
• Ability to work collaboratively with teams and external partners
Additional Requirements
• Valid driver’s license and access to a vehicle
• Pre-employment background check
Benefits
• Competitive salary
• Full medical, dental, vision, and pharmacy coverage
• 403(b) retirement plan with employer match
• Paid time off and wellness support
• Flexible Spending Accounts
• Career development opportunities
• Full-time remote flexibility with community-based travel
If you’re a detail-oriented relationship builder who can navigate claims, coding, reimbursement, and provider engagement with confidence, this role is built for you.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help ensure members receive timely, medically necessary care by reviewing inpatient, outpatient, and home health service requests. This role is essential to keeping patients safe, care efficient, and health outcomes strong.
About WellSense Health Plan
WellSense is a nonprofit health plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve provided accessible, high-quality Medicare, Medicaid, and Individual/Family coverage designed to meet members where they are. Our mission is simple: deliver care that works for real people in real life.
Schedule
• Full-time
• Fully remote
• Occasional travel to Charlestown, MA for meetings or training
• After-hours call rotation required (evenings/nights/weekends)
What You’ll Do
• Review inpatient, outpatient, and home care service requests for medical necessity using InterQual® criteria, medical policy, and benefit guidelines
• Conduct pre-certification, concurrent, and retrospective utilization review
• Apply clinical judgement and evidence-based guidelines to determine coverage
• Document and communicate all review activities and outcomes clearly and accurately
• Refer cases to Physician Reviewers when medical necessity criteria aren’t met
• Ensure timely turnaround of all reviews based on Medicaid, ACA, CMS, and NCQA requirements
• Prepare and send determination letters to providers and members
• Support new utilization review nurses through guidance, coaching, and orientation
• Follow departmental workflows to ensure end-to-end case management compliance
• Participate in team meetings, continuing education, policy updates, and audit activities
• Identify workflow improvements and opportunities to strengthen communication
• Accurately document rate negotiation details for proper claims adjudication
• Identify and refer members to Care Management when appropriate
• Perform other related utilization management duties as assigned
What You Need
• Nursing degree or diploma; bachelor’s in nursing preferred
• Active, unrestricted RN license in state of residence (compact license preferred)
• 2 or more years of prior authorization/utilization review experience
• Experience with InterQual® guidelines and evidence-based review
• Managed care experience
• Knowledge of Medicare and Medicaid preferred
• Proficiency in Microsoft Office and clinical/claims systems
• Strong clinical judgement, communication skills, and attention to detail
• Ability to work independently in a remote environment while meeting regulatory deadlines
Benefits
• Competitive compensation
• Full medical, dental, vision, and pharmacy coverage
• 403(b) with employer match
• Flexible Spending Accounts
• Paid time off and wellness resources
• Career development and advancement opportunities
• Full-time remote flexibility
If you’re a detail-driven RN who thrives in fast-paced clinical decision environments, this role lets you use your expertise to directly impact patient care.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Support a mission-driven health plan by ensuring accurate HEDIS reporting, high-quality medical record abstraction, and regulatory compliance that directly impact member care and organizational performance.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. With over 25 years of experience, we provide Medicare, Medicaid, and Individual/Family plans built around accessibility, quality, and real-life support. Our team is dedicated to improving health outcomes and creating a better experience for every member.
Schedule
• Full-time
• Fully remote
• Standard business hours; some seasonal workload increases during HEDIS reporting cycles
Responsibilities
• Perform medical record abstraction and data entry for NCQA HEDIS® and related medical record–based audits
• Maintain an inter-rater reliability score of 90 percent or higher
• Conduct overreads to ensure accuracy and adherence to technical specifications
• Access, navigate, and abstract medical records across multiple EMR platforms (Epic, Cerner, Allscripts, etc.)
• Build collaborative relationships with provider partners to ensure timely, accurate record retrieval
• Use health plan systems to research member and claims data and validate service details
• Work with internal teams and provider offices to support a chart procurement rate of at least 95 percent
• Assist in annual training sessions on HEDIS measures, documentation practices, and data collection standards
• Identify and recommend improvements in abstraction workflows and quality performance
• Participate in cross-functional projects that support quality improvement and measure performance
• Promote a culture of continuous improvement and data-driven decision-making
• Perform additional quality-related duties as needed
Requirements
• Bachelor’s degree in healthcare administration, nursing, public health, or related field; or equivalent experience
• Minimum two years of experience in healthcare quality, medical record abstraction, or managed care
• Knowledge of HEDIS® measures and abstraction methodology
• Strong attention to detail with proven accuracy in data validation
• Proficiency in Microsoft Office and ability to learn multiple proprietary systems
• Effective written and verbal communication skills
• Ability to work collaboratively across departments and with external provider partners
Preferred
• Experience with quality reporting, regulatory audits, or supplemental data submissions
• Medical coding or clinical background
Benefits
• Competitive salary
• Medical, dental, vision, and pharmacy coverage
• 403(b) with employer match
• Flexible Spending Accounts
• Paid time off and wellness resources
• Career growth and advancement opportunities
• Full-time remote work
If you’re detail-oriented, thrive in a quality-driven environment, and want to help improve healthcare outcomes across multiple populations, this role fits you well.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help Medicare and Medicaid members access the medications they need by processing prior authorizations, resolving pharmacy-related issues, and supporting daily pharmacy operations. This role keeps care moving for thousands of individuals who rely on WellSense for timely, accurate coverage decisions.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve offered Medicare, Medicaid, and Individual/Family plans built around accessibility, quality, and real-life support. Our mission is to provide healthcare coverage that truly works for every member, no matter their circumstances.
Schedule
• Full-time
• Fully remote
• Standard business hours with some flexibility based on operational needs
What You’ll Do
• Receive, process, and review prior authorization requests via fax, phone, or electronic systems
• Apply clinical policy criteria accurately to determine authorization outcomes
• Review member eligibility, claim history, and pharmacy program information using PBM software
• Interpret pharmacy and medical data and enter information according to regulatory and NCQA standards
• Communicate determinations to members and providers by phone, fax, and written notifications
• Analyze and resolve issues related to formulary administration and pharmacy benefit operations
• Provide pharmacy-related customer service to internal teams and external providers
• Process real-time claim authorizations using PBM adjudication systems
• Support implementation of new clinical pharmacy programs
• Serve as a resource for Member Services and internal departments regarding pharmacy benefits, policies, and plan designs
• Perform other operational duties as needed
What You Need
• High school diploma or equivalent
• Two or more years of experience in a pharmacy or professional setting
• Prior customer service experience
• Strong organizational and problem-solving skills
• Excellent written and verbal communication abilities
• Ability to multitask, manage competing priorities, and handle detailed data entry
• Strong interpersonal skills and comfort assisting members and providers over the phone
Preferred
• Associate or Bachelor’s degree
• Previous managed care experience
Benefits
• Competitive compensation
• Medical, dental, vision, and pharmacy benefits
• 403(b) with employer match
• Paid time off and wellness resources
• Career growth and advancement opportunities
• Flexible Spending Accounts and merit increases
• Fully remote work environment
If you want a remote pharmacy role where your work directly impacts member access to care, this is a strong fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Support Medicare Part D members by coordinating pharmacy operations, resolving escalated issues, and ensuring compliance with CMS regulations that protect safe, timely medication access.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered Medicare, Medicaid, and Individual/Family plans that meet members where they are. Our mission is simple: provide high-quality coverage that works for real people in real life.
Schedule
• Full-time
• Fully remote
• Standard business hours with occasional priority tasks based on operational needs
What You’ll Do
• Support Medicare Part D formulary management, compliance, reporting, and oversight
• Review and resolve daily claim reject reports and transition monitoring items
• Draft and send provider communications to support member medication access
• Maintain expert-level understanding of CMS Part D regulations
• Partner with internal teams (Appeals & Grievances, Member Services, Care Management) to share information and resolve issues
• Coordinate escalated member, pharmacy, and provider inquiries with the PBM and related vendors
• Monitor prior authorization requests and coordinate routing for clinical review, PBM processing, or appeals
• Support clinical pharmacy staff and utilization management operations
• Assist in oversight of the PBM by reviewing formulary materials, testing claims adjudication, verifying reporting accuracy, and joining weekly account calls
• Provide support for STARS Quality program activities
• Educate other departments on pharmacy processes as needed
What You Need
• High school diploma or GED
• Two or more years of experience in a professional setting
• Two or more years of pharmacy experience (required)
• Strong communication skills (written and verbal)
• Ability to make sound decisions using established guidelines
• Ability to work effectively on a team
• Strong organizational skills and ability to multitask
• Proficiency with Microsoft Office
• Successful completion of a pre-employment background check
Preferred
• Associate degree or equivalent training
• Customer service experience
• Managed care experience within a Medicare plan
Benefits
• Competitive hourly rate ($20.19 – $28.13, based on experience and location)
• Medical, dental, vision, and pharmacy benefits
• 403(b) with employer match
• Flexible Spending Accounts
• Merit increases and advancement opportunities
• Paid time off
• Wellness and family-support resources
If you want a role where your work directly improves medication access and member safety, this is it.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help members receive the right care at the right time by reviewing inpatient cases, supporting transitions of care, and ensuring clinical decisions meet evidence-based standards.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. With 25+ years of experience in Medicare, Medicaid, and Individual/Family coverage, we’re committed to providing health plans that truly work for our members, no matter their circumstances.
Schedule
• Full-time, remote role
• After-hours call may be required (evenings/nights/weekends)
• Occasional travel to Charlestown, MA for team meetings or training
Responsibilities
• Conduct concurrent, prospective, and retrospective inpatient utilization reviews using InterQual® and Medical Policy
• Evaluate medical necessity, clinical appropriateness, and contractual alignment of inpatient services
• Gather clinical information from EMRs to support timely decision-making
• Document, track, and communicate all utilization review activities and outcomes
• Refer cases to Physician Reviewers when guidelines aren’t met or aren’t available
• Ensure compliance with Medicaid, ACA, CMS, and NCQA timelines and regulatory requirements
• Identify delays in care and collaborate with providers and Medical Directors to resolve barriers
• Send timely authorization, denial, and determination letters to members and providers
• Participate in discharge planning discussions with facility teams to ensure smooth transitions of care
• Provide coaching and support to other utilization review nurses and assist with new-hire orientation
• Identify opportunities for process improvement and communication enhancements
• Support audit preparation and participate in audit activities as needed
• Accurately document rate negotiation details for claims adjudication
• Refer members to Care Management when appropriate
• Maintain compliance with all departmental policies, workflows, and documentation standards
• Attend team meetings, training sessions, and continuing education
Requirements
• Active, unrestricted RN license in state of residence
• Nursing degree or diploma required
• 2+ years of utilization review experience using evidence-based criteria (InterQual required)
• Managed care experience
• Experience with discharge planning
• Ability to work independently in a remote environment
• Strong clinical judgment, critical thinking, and problem-solving ability
• Excellent verbal and written communication skills
• Strong interpersonal skills for working with providers, facilities, and internal teams
• Proficiency with Microsoft Office and clinical data systems
• Must adhere to WellSense’s Telecommuter Policy
• Successful completion of pre-employment background check
Preferred
• Bachelor’s degree in Nursing
• RN license in MA, NH, or compact license
• Knowledge of Medicare and Medicaid regulations
Benefits
• Competitive salary range: Based on experience and geographic market
• Full medical, dental, vision, and pharmacy coverage
• 403(b) with employer match
• Flexible Spending Accounts
• Merit increases and advancement opportunities
• Paid time off
• Wellness and family-support resources
Be part of a mission-driven team ensuring that members receive clinically appropriate, timely, and cost-effective inpatient care.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Use your clinical expertise to protect members, elevate care quality, and ensure fair outcomes for behavioral health and substance use appeals and grievances.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered accessible Medicare, Medicaid, and Individual/Family plans designed to support people through every circumstance. Our mission is simple: health coverage that works for everyone.
Schedule
• Full-time, remote role
• Standard business hours with cross-functional collaboration
• Occasional travel required
What You’ll Do
• Audit medical necessity appeal decisions to ensure accuracy, compliance, and clinical soundness
• Support grievance intake, investigation, and resolution; identify trends and improvement opportunities
• Ensure timely resolution of clinical appeals, administrative appeals, and grievances
• Assist with correspondence to members and providers
• Provide coaching and performance feedback to staff based on quality trends
• Lead and participate in calibration sessions to maintain consistency and accuracy in audit standards
• Recommend and document process enhancements that improve quality and compliance
• Identify workflow defects, inconsistencies, and risk areas
• Maintain deep knowledge of internal policies, regulatory requirements, and accreditation standards
• Serve as subject matter expert on behavioral health and substance use topics
• Collaborate with cross-functional partners across Appeals, Grievances, Clinical, and Quality teams
• Support regulatory reporting, universe preparation, and audit presentation
• Perform additional duties as assigned
What You Need
• Registered Nurse with an active, unrestricted RN license
• Associate or Bachelor’s degree in Nursing, or a Diploma in Nursing
• 3+ years of managed care healthcare experience
• Strong foundation in behavioral health, substance use, crisis intervention, and psychopharmacology
• Experience with payer medical guidelines, including MCG and/or InterQual
• Working knowledge of psychiatric and addiction treatment protocols
• Familiarity with BH inpatient/outpatient settings, interdisciplinary treatment teams, and continuum of care
• Strong communication, organization, de-escalation, and problem-solving skills
• Excellent analytical ability and comfort interpreting metrics and data
• Proficiency with Microsoft Office
• Experience working with diverse populations
• Bilingual candidates encouraged to apply
Preferred
• BSN
• ANCC Certification in Psychiatric–Mental Health Nursing
• Prior psychiatric nursing or substance use treatment facility experience
• Knowledge of Medicare/Medicaid regulations and NCQA requirements
Benefits
• Competitive salary range: $69,500–$100,500 (adjusted by geography and experience)
• Full medical, dental, vision, and pharmacy coverage
• 403(b) with employer match
• Merit increases and advancement opportunities
• Flexible Spending Accounts
• Paid time off
• Wellness resources for employees and families
Join a mission-driven care team improving outcomes for members who need strong behavioral health advocacy the most.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help ensure members receive fair, timely, and compliant resolutions to their appeals and grievances while supporting a mission-driven health plan dedicated to equitable care.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered dependable Medicare, Medicaid, and Individual/Family coverage designed to meet people where they are. We’re committed to fairness, accessibility, and high-quality service for every member.
Schedule
• Full-time, remote
• Standard business hours
• Collaboration across Appeals, Grievances, Clinical, and Compliance teams
Responsibilities
Appeals
• Process member medical and pharmacy appeals across internal teams and external vendors
• Create appeal schedules and determine case-by-case processing guidelines
• Ensure compliance with CMS, MassHealth, DHHS, and other regulatory requirements
• Serve as liaison with IRE, QIO, Medicaid Fair Hearing Boards, and other oversight entities
• Maintain compliance with Qualified Health Plan and commercial plan regulations
• Support NCQA accreditation standards through documentation and process adherence
• Participate in appeals audits and recommend improvements
• Draft and issue appeal determination letters
• Communicate results with members, providers, and medical personnel
• Prepare reports, research case data, and ensure documentation accuracy
• Assist with required reporting to regulatory agencies
Grievances
• Coordinate complaint and grievance investigations with internal teams and vendors
• Collaborate with clinical staff on quality-of-care grievance reviews and action plans
• Respond to member concerns, complete investigations, and issue resolution letters
• Maintain compliance with regulatory guidelines and documentation standards
• Identify trends and partner on improvement plans across departments
Requirements
Education
• Bachelor’s degree in Healthcare Administration or related field
• Equivalent experience may be considered
Experience
• 2+ years in a managed care organization
• Required experience with Medicare medical/pharmacy prior authorizations, appeals, and grievances
• Strong understanding of CMS, MassHealth, DHHS, and NCQA guidelines preferred
• Conflict resolution experience highly preferred
Skills
• Strong project management and organization skills
• Excellent verbal and written communication
• Independent decision-making and critical thinking
• Proficiency in Microsoft Office
• Ability to collaborate with diverse internal teams and member populations
• Detail-oriented and customer-service focused
• Bilingual candidates encouraged to apply
Benefits
• Full-time remote work
• Competitive salary
• Comprehensive benefits package
• Opportunities for advancement within a mission-driven organization
Make a real impact by helping members receive fair and compassionate resolutions during their most important moments.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help shape smarter, more equitable healthcare by delivering analytics that drive pricing, forecasting, and financial stability for members who depend on WellSense.
About WellSense Health Plan
WellSense is a nonprofit health insurance plan serving more than 740,000 members across Massachusetts and New Hampshire. For over 25 years, we’ve delivered high-quality, affordable health coverage for Medicare, Medicaid, and Individual/Family plans. Our mission is simple: provide health insurance that works for people, no matter their circumstances.
Schedule
• Full-time, remote
• Standard business hours
• Collaboration across actuarial, finance, and analytics teams
What You’ll Do
• Analyze financial, statistical, and mathematical data to support pricing, forecasting, and medical economics
• Develop premium rates using benefit design, claims experience, regulatory mandates, rating factors, and projected future claim cost
• Prepare regulatory rate filings and respond to follow-up inquiries
• Produce monthly IBNR reserve estimates across multiple lines of business
• Prepare monthly financial accruals and contract settlements
• Support budgeting, reforecasting, and financial projections
• Assist with risk adjustment analytics and risk score modeling
• Perform trend analysis and provider contract analytics
• Maintain recurring reports for internal teams and regulatory requirements
• Extract and validate data using SQL/SAS queries
• Summarize findings, document processes, and contribute to audits
• Provide analytic support for cross-department initiatives
• Participate in the Actuarial Student Program and progress toward ASA/FSA
What You Need
• Bachelor’s degree in Mathematics, Actuarial Science, Finance, Economics, or related field
• At least 2 years of actuarial analysis, data modeling, or related analytics experience
• Strong SQL and SAS (or similar statistical software) skills
• High proficiency in Excel and Microsoft Office
• Completion of at least 3 SOA exams preferred
• Experience in managed healthcare or insurance operations preferred
• Ability to manage deadlines, multitask, and solve complex problems
• Strong communication skills and a collaborative mindset
Benefits
• Full-time remote work
• Competitive salary
• Excellent healthcare benefits
• Professional development support, including actuarial exam progression
• Opportunities for growth within a mission-driven organization
Help build a healthier future with a team committed to equity, accuracy, and impact.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help families receive the care they depend on by ensuring accurate and timely insurance collections.
About Aveanna Healthcare
Aveanna Healthcare is one of the nation’s largest providers of home care for medically fragile patients. We support thousands of families through compassionate, reliable care delivered with integrity and excellence. Our mission drives everything we do, and every team member plays a vital role in helping patients receive the services they need.
Schedule
• Full-time, remote
• Monday–Friday
• Must be able to work in a high-volume environment
• Reliable internet and quiet workspace required
What You’ll Do
• Process a minimum of five claims per hour with accuracy
• Manage a portfolio of payers, including collections, aging, and denial follow-up
• Research, resolve, and convert claim denials
• Maintain updated payer rules and support billing teams
• Perform month-end reconciliations and assist cross-functional departments as needed
• Meet daily, monthly, and quarterly collection goals
• Ensure all work complies with internal policies and external regulations
What You Need
• High school diploma or GED
• Minimum two years of medical insurance collections experience
• Proficiency with Microsoft Outlook, Word, and Excel
• Strong math and basic accounting knowledge
• Proven ability to work efficiently in a high-call-volume environment
Benefits
• $19.00–$22.00 per hour
• Health, dental, vision, and life insurance options
• 401(k) with employer match
• Employee Stock Purchase Plan
• 100% remote role
• Weekly pay
• Opportunities for career advancement
Take the next step toward a stable, rewarding remote role that supports families across the country.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Bring joy to virtual wedding guests and help couples celebrate with creativity and connection.
About Wedfuly
Wedfuly creates unforgettable, highly produced virtual wedding experiences that allow couples to share their big day with loved ones anywhere in the world. Now part of Wedgewood Weddings, we’re expanding our mission with even more support behind each celebration. Our team is proudly inclusive and welcomes talent from all backgrounds, identities, and lived experiences.
Schedule
• Part-time role
• Weekend and holiday availability required
• Remote work
• Consistent, high-speed internet needed (5 Mbps+ upload)
Responsibilities
• Host and MC virtual wedding livestreams using upbeat, engaging communication
• Follow the wedding timeline with accuracy and professionalism
• Start, monitor, and coordinate all livestream logistics
• Welcome, guide, and support virtual guests throughout the event
• Troubleshoot tech issues and provide real-time assistance
• Collaborate with the Wedfuly AV team and onsite contacts to ensure seamless execution
• Offer constructive input to help improve workflows and the guest experience
• Work independently while managing dynamic, fast-moving events
• Delegate tasks to team members when needed
Requirements
• Weekend and holiday availability
• Reliable Apple laptop, external monitor, and fast home internet
• Strong MacOS skills; comfortable with Zoom, Slack, Airtable, Dropbox, Intercom, and Google Workspace
• Ability to stay calm and clear-headed in high-pressure moments
• Excellent attention to detail and time management
• Outgoing, personable, and comfortable speaking to diverse groups
• Ability to multitask and pivot quickly
• Takes initiative, ownership, and brings a “can-do” attitude
Benefits
• $17/hr
• Fully remote
• Creative, meaningful work that connects families and friends
• Opportunity to grow skills in hosting, production, and virtual events
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help couples share their wedding day with loved ones everywhere through seamless, high-quality livestreams.
About Wedfuly
Wedfuly creates immersive virtual wedding experiences, giving couples a meaningful way to include every guest regardless of distance, budget, or life circumstance. Now part of Wedgewood Weddings, we’re growing our ability to serve couples with creativity, care, and world-class support. Our team is proudly inclusive and celebrates diversity across all identities.
Schedule
• Contract 1099 role
• 10–20 hours weekly
• Weekend availability required (Friday–Sunday)
• Variable schedule based on wedding bookings
• Fully remote, with optional onsite opportunities
What You’ll Do
• Translate client wedding specs into a complete AV plan and livestream setup
• Lead pre-wedding AV calls to test audio, camera placement, and connectivity
• Operate multimedia and sync all AV queues with Zoom during live events
• Play and manage wedding music via Spotify during the livestream
• Coordinate remotely with onsite contacts to guide tech setup
• Troubleshoot AV issues in real time and ensure smooth livestream production
• Provide tech support to virtual guests and partner closely with the wedding host
• Communicate with DJs, musicians, and venues about connectivity and audio needs
• Improve internal AV processes, equipment, and workflows
• Research livestream trends and apply new learnings
• Optional: Attend select weddings onsite to set up and operate gear
What You Need
• 10–20 weekly hours with mandatory weekend availability
• Reliable Apple laptop, external monitor, and fast internet (5 Mbps+ upload)
• Strong MacOS skills and high proficiency with Zoom
• Experience with OBS preferred
• AV experience required; hybrid event experience a plus
• Familiarity with iPhones, Androids, mixers, Bluetooth devices, and event audio
• Excellent organization and attention to detail
• Ability to explain AV concepts clearly to non-technical users
• Customer-service mindset, strong communication skills, and upbeat energy
• Ability to stay calm, flexible, and solution-oriented during live events
Benefits
• $20/hr
• Fully remote contract role
• Meaningful, creative work helping couples celebrate with loved ones
• Hands-on experience in livestream production and event AV
Love live production and want to help create unforgettable moments? Apply now.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Bring joy, personality, and smooth event energy to couples on their big day.
About Wedfuly
Wedfuly creates immersive, engaging, beautifully run virtual wedding experiences so couples can include every loved one, no matter the distance, budget, or circumstance. Now part of Wedgewood Weddings, Wedfuly continues its mission with expanded support and resources. Our services are inclusive of all couples, and our team embraces diversity across race, gender, orientation, religion, ethnicity, and identity.
Schedule
• Part-time
• Weekends and holidays only
• Fully remote
Responsibilities
• Host and MC virtual wedding livestreams while following each couple’s timeline
• Start, monitor, and coordinate livestream logistics from setup to closing
• Engage and entertain virtual guests with an upbeat, personable hosting style
• Collaborate with Wedfuly’s AV team and onsite contacts for tech setup and troubleshooting
• Provide clear instructions and technical assistance to virtual attendees
• Delegate tasks when needed and work independently under time pressure
• Offer suggestions and constructive feedback to improve client experience
• Ensure every virtual wedding feels seamless, polished, and personal
Requirements
• Must be available weekends and holidays
• Reliable Apple laptop, external monitor, and fast internet (5 Mbps+ upload)
• Strong MacOS and web-app proficiency: Zoom, Slack, Airtable, Dropbox, Intercom, G Suite
• High comfort level multitasking in fast-paced, live-event environments
• Strong communication, clear hosting presence, and a bubbly on-camera personality
• Ability to remain calm and think clearly during high-stress moments
• Excellent organization and attention to detail
• Energetic, proactive mindset with a can-do attitude
• Able to take initiative, own responsibilities, and drive improvements
Pay
• $17/hr
Benefits
This role is part-time, with flexible remote work and the chance to bring real joy to couples while building experience in hosting, production, and live-event operations.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Start a stable, full-time remote role supporting claims accuracy for a mission-driven health plan.
About WellSense Health Plan
WellSense is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire. For 25 years, we’ve delivered high-quality Medicaid, Medicare, and Individual/Family plans that support members no matter their circumstances. We’re dedicated to improving health equity and expanding access to care.
Schedule
• Full-time, remote
• Monday–Friday with occasional overtime during peak periods
• Reliable internet required
Responsibilities
• Review and process Medicaid claims using Coordination of Benefits (COB) rules
• Update and maintain member coverage information across claims systems
• Communicate with providers to resolve claim-related inquiries
• Follow federal and state COB guidelines for Commercial, Medicare, and Medicaid
• Navigate multiple systems to research, update, and verify claim details
• Complete other tasks as assigned
Requirements
• High School Diploma or GED required
• 2+ years of claims processing experience
• 2+ years of health insurance experience with working knowledge of industry terminology
• Proficiency with Microsoft Office and the ability to work across multiple systems
• Strong attention to detail and the ability to follow written instructions
• Clear, professional communication skills
• Understanding of COB rules (Commercial, Medicaid, Medicare)
Preferred Qualifications
• Consecutive 2-year work history
• Experience with Cognizant systems (Facets, QNXT)
Benefits
• Competitive salary range: $16.35–$22.84/hr
• Comprehensive medical, dental, vision, and pharmacy benefits
• 403(b) with company match
• Flexible Spending Accounts
• Paid Time Off and holidays
• Career advancement opportunities
• Employee wellbeing resources
• Full-time remote work
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help shape the future of value-based senior care by driving the analytics behind Curana Health’s risk adjustment strategy.
About Curana Health
Curana Health is a national leader in value-based care for older adults, partnering with more than 1,500 senior living communities across 32 states. With 1,000+ clinicians and support professionals, we deliver on-site primary care, ACO programs, and Medicare Advantage Special Needs Plans that improve outcomes for over 200,000 seniors. Our mission is simple: improve the health, happiness, and dignity of older adults.
Schedule
• Full-time, remote
• Standard weekday schedule
• Requires reliable high-speed internet
Responsibilities
• Lead end-to-end analyses supporting risk adjustment operations and strategy
• Build, maintain, and reconcile complex datasets using internal data and regulatory response files (MMR, MOR, RAPS, EDPS, MAO-002/004, etc.)
• Identify trends and communicate insights to internal teams, leadership, providers, and partners
• Improve processes that ensure accurate risk score capture and minimize error rates
• Maintain existing reports and develop new dashboards to support companywide goals
• Serve as a subject matter expert on risk models, CMS guidance, and annual risk adjustment cycles
• Conduct vendor oversight and reconcile submissions for compliance and accuracy
• Support RADV and other audits through documentation and analysis
• Perform root cause analysis on data issues to prevent discrepancies or gaps
• Collaborate with internal stakeholders to resolve member, provider, claim, and pharmacy data issues
• Provide analytical support for financial projections, pricing efforts, and cost utilization modeling
• Interpret regulatory updates, attend training sessions, and maintain a high level of compliance knowledge
Requirements
• Bachelor’s degree required
• 5+ years of experience in Risk Adjustment (health plan, provider group, or RA vendor)
• Strong understanding of value-based care models and Medicare Advantage
• Experience with SQL and advanced Excel; PowerBI or PTT experience a plus
• Strong analytical, problem-solving, and communication skills
• Ability to simplify complex data for executive audiences
• Experience in fast-paced, data-driven environments
• Coding certification (AAPC or AHIMA) is a plus
Benefits
• Comprehensive medical, dental, and vision
• Paid Time Off and paid holidays
• 401(k) with company match
• Remote work flexibility
• Opportunities for advancement in one of the fastest-growing healthcare companies in the U.S.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Lead and support a growing team helping seniors get the care they deserve. This role guides non-clinical support staff who keep Curana Health’s care management operations running efficiently across the country.
About Curana Health
Curana Health is a national leader in value-based senior care, partnering with 1,500+ senior living communities across 32 states. Our mission is to radically improve the health, happiness, and dignity of older adults through on-site primary care, ACO programs, and Medicare Advantage Special Needs Plans. With more than 1,000 clinicians and care professionals, we deliver proactive solutions proven to enhance outcomes for over 200,000 seniors.
Schedule
• Full-time, remote position
• Standard weekday hours
• Occasional travel to local or out-of-state Senior Living Communities
• Requires a reliable high-speed internet connection
What You’ll Do
• Lead, supervise, and support non-clinical staff, including Medical Assistants and virtual support teams
• Hire and onboard new staff members
• Evaluate workload, adjust resources, and improve operational efficiency
• Partner with the Manager of Care Management Operations on staffing, program needs, and problem-solving
• Facilitate weekly team meetings for training, alignment, and workflow updates
• Approve payroll, track attendance, and oversee employee leave and scheduling
• Educate staff on Curana workflows, policies, and procedures
• Implement and monitor new care management programs
• Conduct quality assurance audits to ensure accuracy and consistency
• Complete additional tasks as assigned
What You Need
• Strong knowledge of care coordination and non-clinical provider support processes
• Proficiency with Microsoft Office and comfort learning new systems
• Excellent organizational and time-management skills
• Ability to travel occasionally
• Strategic mindset and strong process-improvement instincts
• Associate degree in a healthcare-related field or healthcare certification
• Minimum 2 years in a supervisory or leadership role
• 2+ years of experience in a medical office, Senior Living Community, or related environment
Benefits
• Comprehensive health benefits
• Paid Time Off and holidays
• 401(k) with company match
• Remote work flexibility
• Opportunities to impact senior care at scale
Curana Health is one of the fastest-growing private companies in the nation, ranking No. 147 on the Inc. 5000 list—with major opportunities for career growth as we continue to expand.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help ensure seniors receive safe, high-quality care by supporting Curana Health’s Credentialing Committee with accurate provider data, compliance reviews, and efficient communication workflows.
About Curana Health
Curana Health is a fast-growing leader in value-based senior care, partnering with 1,500+ communities across 32 states. Our teams deliver on-site primary care, ACO programs, and Medicare Advantage Special Needs Plans designed to improve health outcomes, streamline operations, and enhance quality of life for more than 200,000 older adults. We are united by one mission—to radically improve the health, happiness, and dignity of seniors nationwide.
Schedule
• Full-time, remote role
• Standard weekday hours
• Collaborative virtual environment across Credentialing, Medical Directors, and Operations teams
What You’ll Do
• Support the enterprise-wide credentialing process for practitioners and healthcare organizations
• Maintain strict confidentiality of practitioner data and sensitive information
• Keep credentialing software up to date with accurate and complete information
• Collect, analyze, and present provider data for bi-monthly Credentials Committee meetings
• Track inbound and outbound communication for Medical Directors
• Communicate with providers to clarify missing information and resolve questions
• Draft and distribute approval letters, requests for information, and termination notices
• Compile provider responses to ensure clarity and accuracy in committee documentation
• Prepare the bi-monthly Credentials Committee agenda and record meeting minutes
• Review and process NPDB Continuous Query reports and escalate concerns appropriately
What You Need
• High school diploma required; associate degree preferred
• 2–5 years of credentialing experience within a hospital or insurance plan
• Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards
• CPCS certification preferred
• Ability to manage confidential information with discretion
• Strong organizational, communication, and data accuracy skills
Benefits
• Medical, dental, and vision coverage
• 401(k) with company match
• Paid Time Off and paid holidays
• Remote work flexibility
• Opportunity to support meaningful improvements in senior healthcare
Curana Health is ranked No. 147 on the Inc. 5000 list—reflecting rapid expansion and major opportunities for career growth.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Support a mission-driven healthcare organization by ensuring providers are fully enrolled, credentialed, and ready to care for seniors without delay.
About Curana Health
Curana Health is a national leader in value-based senior care, partnering with senior living and skilled nursing communities across 32 states. We deliver on-site primary care, ACO programs, and Medicare Advantage Special Needs Plans designed to improve outcomes and enhance quality of life for more than 200,000 older adults. Our fast-growing team of clinicians and support professionals is united by one mission—to radically improve the health, happiness, and dignity of seniors.
Schedule
• Full-time, remote role
• Standard weekday hours with independent workflow
• Collaborates virtually across Credentialing, HR, and Operations teams
What You’ll Do
• Coordinate the full provider enrollment process for physicians, NPs, and PAs joining the medical group
• Prepare and submit Medicare, Medicaid, and commercial payer enrollment applications
• Manage facility privileging and attestation requirements across senior living and skilled nursing sites
• Maintain accurate provider data in systems including NPPES, PECOS, CAQH, and internal HRIS platforms
• Partner with Credentialing, HR, and Operations to align enrollment timelines with onboarding
• Follow up with payers, facilities, and clinicians to collect missing information and resolve discrepancies
• Track enrollment status and communicate updates to Market Operations and Finance
• Process revalidations, terminations, and address changes to maintain active enrollment
• Support reporting, audits, and compliance reviews related to provider enrollment
What You Need
• High school diploma required; associate’s degree preferred
• Minimum 2 years of experience in provider enrollment, credentialing, or healthcare administration
• Familiarity with Medicare/Medicaid enrollment workflows preferred
• Experience with CAQH, NPPES, PECOS, or similar systems strongly preferred
• Strong communication, organization, and problem-solving skills
• Ability to manage deadlines and maintain accuracy across complex data
Benefits
• Medical, dental, and vision coverage
• 401(k) with company match
• Paid Time Off and paid holidays
• Remote work flexibility
• Opportunity to support meaningful healthcare impact
Curana Health is ranked No. 147 on the Inc. 5000 list and continues to grow rapidly—creating career paths for professionals who want to make a difference.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Play a key role in improving healthcare outcomes for seniors through accurate, compliant medical coding.
About Curana Health
Curana Health is a national leader in value-based senior care, partnering with senior living communities and skilled nursing facilities to elevate outcomes, streamline operations, and enhance quality of life for older adults. Our rapidly growing organization supports more than 200,000 seniors across 1,500 communities in 32 states. With over 1,000 clinicians and a multidisciplinary team, we’re transforming how senior care is delivered—with compassion, integrity, and innovation at the center.
Schedule
• Full-time, remote
• Standard weekday schedule
• Work-from-home environment with independent workflow management
What You’ll Do
• Perform diagnostic and procedural coding for outpatient and/or inpatient medical records in a multi-specialty environment
• Assign accurate codes and modifiers following industry-standard coding practices
• Meet productivity, quality, and timeliness benchmarks for coding and abstracting
• Apply regulatory requirements and coding guidelines consistently across all cases
• Serve as a subject matter expert and resource for peers
• Complete additional duties assigned by leadership as needed
What You Need
• Coding certification required; RHIA preferred
• Minimum of 3 years of outpatient coding experience preferred
• Bachelor’s degree preferred
• Strong organizational skills and high attention to detail
• Ability to multitask and work independently in a remote environment
• Knowledge of Microsoft Word, Excel, and Outlook
• Experience using 3M Coding Software
Benefits
• Medical, dental, and vision benefits
• 401(k) with company match
• Paid Time Off and paid holidays
• Remote work flexibility
• Mission-driven culture with opportunities for growth
Curana Health is recognized as one of the fastest-growing private companies in the nation, ranking No. 147 on the Inc. 5000 list and No. 16 in Healthcare & Medical—proof of our rapid momentum and impact.
Join a team committed to delivering dignified, high-quality care for seniors while supporting your professional growth.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Support a mission-driven healthcare organization improving outcomes for older adults.
About Curana Health
Curana Health is transforming senior healthcare through value-based care solutions designed for senior living communities and skilled nursing facilities. With more than 1,000 clinicians serving 200,000 seniors across 1,500 communities in 32 states, we deliver proactive, high-quality care through on-site primary care, Special Needs Plans, and Accountable Care Organizations. Our team is unified by a shared mission: radically improve the health, happiness, and dignity of older adults.
Schedule
• Full-time, remote
• Monday–Friday
• Work-from-home flexibility
Responsibilities
• Support the enterprise-wide credentialing process for practitioners and healthcare organizations
• Maintain confidentiality of practitioner records and sensitive information
• Manage credentialing database; ensure all data is accurate and complete
• Collect, analyze, and present provider-specific data for bi-monthly Credentials Committee reviews
• Track inbound and outbound communications on behalf of Medical Directors
• Communicate with providers to clarify questions and obtain missing documentation
• Draft and distribute approval letters, requests for additional information, and termination notices
• Prepare Credentials Committee agendas and accurately record meeting minutes
• Review and process NPDB Continuous Query reports in a timely manner
• Coordinate internal communication, ensuring decisions and requirements are clearly documented
Requirements
• High school diploma required; Associate degree preferred
• 2–5 years of credentialing experience in a hospital or insurance plan environment
• Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards
• Strong attention to detail and ability to maintain confidentiality
• Excellent written and verbal communication skills
• Ability to prioritize tasks and manage deadlines in a remote setting
• CPCS certification preferred
Benefits
• Comprehensive health, dental, and vision insurance
• 401(k) plan with company match
• Paid Time Off and paid holidays
• Remote work flexibility
• Supportive, mission-driven culture
• Opportunities for growth within a fast-growing healthcare organization
Curana Health has been recognized as one of the fastest-growing private companies in the U.S., ranking No. 147 on the Inc. 5000 list and No. 16 in Healthcare & Medical.
Join a team improving the lives of seniors while growing your career in a supportive and meaningful environment.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help families access life-changing prenatal and newborn support while working from home.
About Pomelo Care
Pomelo Care is a technology-enabled clinical care team improving outcomes for pregnant people and babies. We use evidence-based virtual care, early risk assessment, and coordinated support to reduce preterm births, NICU stays, c-sections, and maternal complications. Our multidisciplinary team blends clinical expertise with modern engineering to deliver personalized care at scale.
Schedule
• Monday–Friday, 8:30am to 5:00pm CT
• Fully remote; must have private workspace and reliable internet
• Occasional overtime as needed
What You’ll Do
• Conduct high-volume outbound calls to enroll patients into Pomelo Care services
• Educate patients on available clinical and social resources through their health plan
• Meet and exceed monthly enrollment and outreach metrics
• Answer patient questions, provide support, and build rapport by phone
• Document outreach activity thoroughly and accurately
• Coordinate scheduling for appointments and follow-up care
• Collaborate with internal teams and external partners to support patient needs
• Manage inbound calls from patients requesting enrollment or information
• Participate in ongoing training to stay informed on healthcare trends and program updates
What You Need
• Ability to work Monday–Friday, 8:30am–5:00pm CT
• Excellent verbal communication, empathy, and rapport-building skills
• Comfort working toward goals, KPIs, and monthly bonus metrics
• Strong organizational and time-management skills
• Ability to work remotely with minimal supervision
• Reliable internet and a private, dedicated workspace
• Passion for improving healthcare access and equity
Bonus Points
• Experience in outreach, enrollments, or patient engagement
• Background working with Medicaid populations
• Startup or fast-paced environment experience
• Strength in handling ambiguity and solving open-ended problems
Benefits
• Competitive healthcare benefits
• Generous vacation policy
• Membership in the First Round Network for mentorship and professional growth
• Mission-driven, supportive team environment
This role offers a base salary of $40,000–$50,000 with uncapped monthly performance bonuses. Typical on-target earnings range from $70,000–$100,000 depending on results.
Make an impact from day one—your work directly supports healthier pregnancies and healthier babies.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 20, 2025 | Uncategorized
Help support Medicare Appeals operations while working 100 percent remotely.
About Broadway Ventures
Broadway Ventures delivers program management, technology solutions, and consulting support to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we pride ourselves on integrity, innovation, and the ability to turn complex challenges into operational success. We support mission-driven work that strengthens systems, improves outcomes, and empowers organizations nationwide.
Schedule
• Full-time, Monday through Friday
• Remote work from home
• Standard 40-hour workweek
Responsibilities
• Perform non-medical reviews and process redetermination letters with high accuracy
• Ensure timely processing and compliance with established Medicare Appeals guidelines
• Prepare and analyze unit reports, including workload trends and processing issues
• Update departmental letters, templates, and internal documents
• Assist with documentation requests for legal inquiries and administrative needs
Requirements
• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Two or more years of experience in healthcare, insurance, or Medicare/Medicaid services
• Customer service experience preferred
• Medicare-specific experience helpful but not required (training provided)
• Proficiency with Microsoft Word, Excel, and Outlook
• Strong attention to detail, organization, and written communication
• Ability to work with confidential information and exercise sound judgment
• Accurate grammar, spelling, and documentation skills
Benefits
• 401(k) with employer match
• Medical, dental, and vision insurance
• Life insurance
• Paid Time Off (PTO)
• Paid holidays
• Fully remote work environment
Happy Hunting,
~Two Chicks…
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