by Terrance Ellis | Feb 24, 2026 | Uncategorized
If you’ve already touched medical claims and you’re the type who likes clean rules, clean documentation, and clean decisions, this role is a steady $16/hour lane. You’ll review claims for validity and coverage, request missing info, and move files to approval, denial, or settlement with accuracy and compliance.
About Firstsource
Firstsource is a global business process management (BPM) partner supporting operations across Healthcare, Telecom/Media, and Banking/Financial Services. They help clients improve efficiency and outcomes through redesigned processes and delivery at scale. This role supports health plan and healthcare services work tied to medical claims.
Schedule
- Full-time
- Remote (work from home)
- Start date: TBD
- May require 2-factor authentication apps on a personal device (per company/client requirements)
What You’ll Do
- Review medical insurance claims for validity, completeness, and compliance with policy terms
- Collect, organize, and analyze documentation like medical records, accident reports, and policy details
- Ensure claims processing aligns with internal policies and regulatory requirements
- Investigate claims when needed by speaking with claimants/witnesses and collaborating with experts
- Analyze coverage and determine liability and benefits payable
- Evaluate loss/damage and determine appropriate settlement amounts
- Communicate with claimants and stakeholders to explain process, request info, and give updates
- Recommend approval, denial, or settlement negotiation and process claims in a timely way
- Maintain organized claim files, generate reports, and stay current on industry rules and best practices
What You Need
- High school diploma or equivalent
- Medical claims processing experience (required), including claims software/tools
- Strong communication skills (verbal/written), including negotiation and active listening
- Strong analytical and problem-solving skills with high attention to detail
- Ability to adapt in a fast-paced environment with shifting workloads
- Basic math, intermediate typing, and basic computer skills
- Preferred: knowledge of medical terminology, ICD-9/ICD-10, CPT, HCPCS, and HIPAA
- Ability to pass background investigation, work authorization verification, and drug test
Benefits
- $16.00/hour pay rate
- 401(k) with matching
- Health, dental, vision, and life insurance
- Paid time off
- Flexible spending account
- Employee assistance program
- Referral program
This one isn’t for beginners. If you don’t already have medical claims processing experience, you’ll get filtered out. If you do, it’s a straightforward way to stay remote and stay in healthcare ops.
Be the person who gets it right the first time.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 24, 2026 | Uncategorized
If you’re the kind of person who hears a call and instantly knows what should’ve happened, this role is for you. You’ll audit quality, spot performance trends, and coach agents in English and Spanish while helping the team stay aligned with service standards and client expectations.
About Firstsource
Firstsource is a global business process management partner supporting contact center operations across industries, including healthcare. They focus on improving service performance through process discipline, data, and people development. This role supports quality initiatives and client standards in a remote environment.
Schedule
- Remote, work from home
- Full-time (implied by role structure and expectations)
- Ongoing collaboration and coaching cadence with agents and internal teams
What You’ll Do
- Analyze individual, team, and overall quality metrics to identify trends and improvement opportunities
- Conduct audits, side-by-sides, coaching sessions, and development meetings to improve performance
- Maintain and manage internal quality data repositories to track trends and guide action plans
- Collaborate with other Quality Analysts to share updates and support training content/materials
- Stay current on quality best practices and contribute to improvements in scoring and guidelines
- Serve as a point of contact for quality-related client questions and communications
- Support additional projects and duties as assigned
What You Need
- Fluent bilingual English/Spanish (written and verbal), able to audit and coach in both languages
- 2 years of experience in an international contact center (quality experience required)
- 2 years of healthcare experience
- Proficiency in Microsoft Office (Excel, PowerPoint, Outlook, Word)
- Strong knowledge of contact center operations and quality monitoring
- Strong coaching skills with the ability to deliver feedback constructively and confidentially
- Strong organization, attention to detail, and ability to manage multiple priorities
- Bachelor’s degree in a related field (preferred) or equivalent experience
Benefits
- Remote work environment
- Quality-focused role with coaching and development responsibilities
- Cross-team collaboration and exposure to client-facing quality initiatives
- Career growth potential through quality leadership work
This is not an entry-level seat. If you don’t have quality monitoring plus healthcare experience, it’s a stretch. If you do, this one’s a strong upgrade from frontline calls.
Be the standard. Raise the standard.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Feb 23, 2026 | Uncategorized
What We’re Looking For
This position is responsible for supporting the Advancement Services department’s efforts of establishing and developing a comprehensive data management plan.
A high school diploma and less than one year of relevant work experience are required. A bachelor’s degree and two years of relevant experience are preferred.
Additional experience or education will be considered in lieu of one another.
The successful candidate will exhibit the following skills, abilities and other characteristics:
- Bring innovative ideas to the workplace
- Be proficient in Microsoft Excel
- Ability to learn quickly and feel comfortable with new, changing technologies
- Interact and work well with others
- High attention to detail and the ability to effectively multi-task in a deadline-driven atmosphere
A hybrid work arrangement will be considered on a case-by-case basis.
Applicants must currently be authorized to work in the United States on a Full-Time basis.
What You Will Do
- Prepare CSV and Excel files for batch import into the CRM
- Manage the UD_Records email inbox
- Manage the Alumni and Friends Directory requests and updates
- Communicate with constituents and help troubleshoot
- Review data integrity reports and address issues as needed
- Take a proactive role in identifying and addressing data issues and deficiencies in collaboration with the Data Management team
- Assist with updating and reviewing documentation and procedures to further define and optimize standardized internal processes
- Serve as proofreader
- Perform all other duties as assigned to support Baylor’s mission
- Ability to comply with University policies
- Maintain regular and punctual attendance
What You Can Expect
As part of the Baylor family, eligible employees receive a comprehensive benefits package that includes medical, dental, and vision insurance, generous time off, tuition remission, and outstanding automatic retirement contributions. Baylor has a comprehensive benefits plan that supports you and your family’s wellbeing and allows you to be a part of the life of a vibrant and active college campus. To learn more, go to Baylor Benefits & Advantages.
Explore & Engage
Learn more about Baylor and our strategic vision, Baylor in Deeds. Also, explore our great hometown of Waco and the many opportunities to engage locally. If you are new to Central Texas, This is Waco!
About Us
Baylor University, a private not-for-profit university affiliated with the Baptist General Convention of Texas, is committed to compliance with all applicable anti-discrimination laws, including those regarding age, race, color, sex, national origin, military service, genetic information, and disability. Baylor complies with statutory Affirmative Action/Equal Opportunity requirements. Baylor’s full official Notice of Non-Discrimination may be read online.
by twochickswithasidehustle | Feb 23, 2026 | Uncategorized
Answer Financial is an Allstate company with 25+ years in the industry and one of the nation’s largest and longest running personal lines insurance agencies. We are 100% remote – work from home company.
The AI Solutions Specialist designs, implements, and optimizes AI solutions to solve business problems, collaborating across teams and acting as an SME. Responsibilities include solution design, stakeholder collaboration, technical implementation, performance optimization, data analysis, governance, and tool administration and staying up to date with AI/ML advancements.
Essential Job Duties/Responsibilities:
- Solution Design: Evaluate and recommend the appropriate Generative AI or Agentic AI tools for each use case. Translate business and technical requirements into detailed workflows and process diagrams for AI solutions.
- Stakeholder Collaboration: Work with cross-functional teams, including Engineering, Security, Telephony, Sales, Reporting and Data Science teams to define solution requirements and achieve goals.
- Technical Implementation: Oversee the deployment and management of AI models and tools, ensuring their smooth operation in production environments.
- Performance Optimization: Oversee the evaluation, fine-tuning, and optimization of AI models and infrastructure for optimal performance and scalability.
- Data Analysis: Oversee the analysis and processing of large datasets from AI models and support data-driven decision-making. Utilize data visualization tools such as PowerBI to report on performance of AI implementations.
- Governance: Coordinate with compliance and data security teams to ensure a framework of processes, policies, and practices consistently guide the reasonable, ethical, and safe development of AI systems.
- Tool Administration: Manage and administer AI-related tools, platforms, and technologies, including cloud services and low-code platforms.
- Customer Support: Provide user enablement and support for AI tools and platforms to promote adoption and efficient use.
- Staying Current: Keep up to date with the latest advancements, technologies, and trends in AI and machine learning.
Experience:
- Programming Languages: Proficiency in programming languages such as Python, R, or Java.
- AI/ML Frameworks & Tools: Strong knowledge of top players such as OpenAI, Gemini, Llama, AWS and Microsoft Copilot.
- Cloud Platforms: Familiarity with cloud platforms such as AWS and Azure for AI deployment and large-scale systems.
- Project Management: Familiarity with agile development tools such as JIRA
- Problem-Solving: Excellent analytical, logical, and creative problem-solving skills.
- Communication: Strong communication and stakeholder management skills to collaborate effectively.
- Business Acumen: Ability to understand customer needs, build business cases, and align AI solutions with business goals.
- Responsible AI: Understanding of ethical considerations, fairness, and transparency in AI development.
Compensation:
Compensation offered for this role is 75,100.00-130,200.00 annually and is based on experience and qualifications.
Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas. Answer Financial is an equal opportunity employer.
by twochickswithasidehustle | Feb 23, 2026 | Uncategorized
Job Description
Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for an EAP Coordinator (Remote U.S.) to join our growing team.
Job Summary:
- The purpose of this position is to play a pivotal role in ensuring the seamless delivery of nonclinical components within EAP services. The EAP Coordinator ensures a seamless experience for both clients and providers, contributing to the overall effectiveness and efficiency of EAP service delivery by minimizing obstacles through tasks such as client outreach, satisfaction surveys, and resolution of connection issues.
Responsibilities:
- Conduct outreach calls to ensure client connection with services on scheduled follow-up dates, complete telephonic surveys per protocol, and execute necessary steps to link clients with desired services.
- Respond promptly to EAP Consultant’s requests for client appointment setting, conducting real-time responses.
- Coordinate outreach to network providers to determine availability for new clients, communicate essential information to providers, and confirm appointments with clients.
- Address inquiries about client benefits, procedures, paperwork, payment, and other matters.
- Collaborate with the Provider Relations department to resolve provider inquiries, retrieve and follow up on voicemail inquiries based on established workflows, and assist with recruitment and other network reports as needed.
- Issue payment vouchers to network providers in alignment with Acentra Health’s policies and procedures and contractual directives.
- Maintain precise client records in the database by entering all calls, case updates, requests, and referrals accepted by clients in accordance with Acentra Health’s policy.
- Enter referrals provided to clients by Acentra Health partners into the database as part of a customer service e-mail distribution list.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
** Work Schedule 9:30 AM to 6:00 PM Eastern – Monday – Friday **
Qualifications
Required Qualifications/Experience:
- High School Diploma OR GED equivalent.
- 2+ years of call center experience (preferably with EAP or healthcare experience).
- 2+ years of excellent written and verbal communication skills.
- 2+ years of experience with an aptitude for problem-solving, exercising judgment, and making independent decisions.
- 1+ years of excellent customer service experience working in a call center.
- Proficient in typing and data entry with accuracy.
- Demonstrated proficiency with Microsoft Word, Outlook (Intermediate/Advanced), and Microsoft Teams, Excel and PowerPoint (Intermediate).
- Exceptional telephone customer service skills.
- Excellent interpersonal skills for effective collaboration within a team.
- Capable of reading and interpreting benefits and account information related to customized products.
Preferred Qualifications/Experience:
- Bachelor’s degree (or higher level of education) (e.g., psychology, social work, communications, human services, or social sciences).
- 2+ years of experience being self-motivated with the ability to remain focused in a fast-paced environment.
- Ability to efficiently manage multiple tasks simultaneously and meet deadlines.
- Bilingual proficiency in Spanish and English.
- Salesforce experience.
#LI-SD1
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people’s lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra Health
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay range for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Pay Range
USD $21.54 – USD $22.00 /Hr.
by twochickswithasidehustle | Feb 23, 2026 | Uncategorized
Job Description
Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for a Quality Improvement Coordinator to join our growing team.
Job Summary:
The Quality Improvement Coordinator will serve as a key member of our quality improvement team who supports contract growth by working with operations to review assessments and ensure quality metrics align with contract deliverables. This role is responsible for establishing a culture of continued learning and professional growth.
Responsibilities:
- Maintains working knowledge of the current contract and deliverables to ensure compliance.
- Complete and review Supports Intensity Scale-A 2nd Edition (SIS-A) assessments in accordance with contractual requirements to ensure alignment with established performance metrics, ensure compliance with service level agreements and ensure accountability.
- Ability to support and influence a team environment.
- Ability to interact effectively with internal and external customers in a professional and courteous manner under fast-paced and changing conditions.
- Strong critical thinking and problem-solving skills necessary.
- Ability to organize, synthesize, and analyze large amounts of information.
- Ability to communicate effectively with diverse audiences including individuals with intellectual disability/autism, families, advocates, program staff and other stakeholders.
- Works with supervisor and appropriate staff to establish and maintain a performance measurement/indicator system for Operations.
- Works with Supervisor to implement evaluation tools that will produce quantitative and qualitative data and findings to validate compliance and competence.
- Works with Supervisor to identify and maximize opportunities to use data and reports to improve services, processes and products.
- AAIDD Quality Leads works with Supervisor to provide IRRs and any other Quality Improvement strategies as required for assigned contracts or customers, both internal and external.
- Works with Supervisor to facilitate the development and implementation of quality improvement plans, including policies, procedures and guidelines.
- Work with Supervisor to prepare and provide data analysis of performance indicators and Quality Summary Reports to Senior Management.
- Works with Supervisor to maintain documented standards of performance and identifying all deviations from the quality improvement plan.
- Increasing knowledge of quality improvement methods and practices related to the SIS-A and supplementals
- Develop knowledge of quality improvement models and methods (e.g quality measurement and reporting, plan-do-check-act).
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
Qualifications
Required Qualifications
- Requires a bachelor’s degree.
- A minimum of 2 years of experience working directly with individuals with intellectual disabilities/autism
- Minimum of 3 years’ experience as an SIS-A assessor in good standing.
- Excellent communication (verbal and written), organizational, presentation, and interpersonal skills
- General knowledge of how to apply process improvement to everyday situations.
- Proficiency in use of productivity tools including Microsoft Office (Word, Excel, PowerPoint, Outlook, SharePoint, Microsoft Power Applications)
Preferred Qualifications
- Ability to manage multiple projects and set priorities.
- Previous workload management experience
- Ability to establish and maintain effective working relationships with customers, vendors, and others.
- Strong critical thinking skills necessary.
- Attentiveness to deadlines and the ability to prioritize in a fast-paced environment.
- Outstanding organization skills and attention to detail.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people’s lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at https://careers.acentra.com/jobs
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay for this position is listed below.
“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
Pay Range
USD $46,240.00 – USD $62,000.00 /Yr.
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