by Terrance Ellis | Dec 18, 2025 | Uncategorized
If you’re the kind of person who likes clean rules, clean data, and getting claims across the finish line without drama, this role is a solid fit. You’ll process Medicaid claims with speed and accuracy, balancing production goals with quality, from home.
About BroadPath
BroadPath builds remote teams that support health plans and healthcare operations across claims, utilization management, and member services. They’re known for work-from-home roles with structured schedules and a strong service and quality mindset.
Schedule
Training: 1 week, Monday–Friday, 8:00 AM–5:00 PM AZ time
Production: Monday–Friday, 8:00 AM–5:00 PM AZ time (no weekends)
What You’ll Do
• Process incoming Medicaid claims following established procedures, guidelines, and client policies
• Verify all required data fields are present and confirm medical records are included and reviewed when needed
• Route claims for medical claim review when appropriate
• Work independently in a virtual environment while maintaining strong accuracy and consistency
• Support a smooth claims experience by resolving simple to moderately complex claim issues efficiently
What You Need
• 2+ years of recent health insurance claims processing experience
• Ability to maintain strong performance in both production and quality
• Professionalism and confidentiality in handling sensitive information
• Reliable, self-directed work style with the ability to collaborate with a remote team
• Positive, steady attitude and comfort working within structured workflows
Preferred
• Medicaid claims processing experience (highly preferred, not required)
• Prior work-from-home experience
• Experience with IDX and/or AHCCCS systems
• Familiarity with Citrix, Siebel, HPIS, DataNet, Excel, and SharePoint
Benefits
• $18.00/hour base pay
• Weekly pay
• Weekday schedule with no weekends
• Inclusive workplace and equal opportunity employer
• Accommodation support available through HR (upon request)
If your strength is accuracy under pressure and you don’t need someone hovering over you to stay on task, this is a clean, dependable remote gig.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
This role is for someone who can be calm, sharp, and human when people are stressed about their healthcare. You’ll guide members through appeals, external medical reviews, and fair hearings, and you’ll keep the process compliant, documented, and moving.
About BroadPath
BroadPath supports health plans with skilled remote teams across member services, utilization management, and operations. They’re built for work-from-home roles that still feel mission-driven, with a strong focus on service, quality, and outcomes.
Schedule
Training: 2 weeks, Monday–Friday, 8:00 AM–5:00 PM CST
Production: Monday–Friday, 8:00 AM–5:00 PM CST (no weekends)
What You’ll Do
• Serve as the first point of contact for members navigating appeals, external medical review, and fair hearing processes
• Educate members on their rights and responsibilities and clearly explain next steps in the resolution journey
• Act as a member advocate, gathering required documentation and supporting proper representation
• Monitor queues and adherence to meet service levels and manage escalations in real time
• Partner with internal teams (Claims, Eligibility, Provider Relations, Operations, and more) to resolve issues
• Translate communications and documents between English and Spanish and interpret for Spanish-speaking members, applying cultural and medical interpretation skills
• Initiate and manage External Medical Review and State Fair Hearing workflows using the HHSC Intake Portal (TIERS)
• Track compliance, timelines, and documentation requirements, and submit materials within mandated timeframes
• Enter EMR and Fair Hearing data accurately into the Utilization Management system and support reporting needs
• Support Utilization Management administration, including collecting member/provider info and applying knowledge of medical terminology and codes (ICD-10, CPT, HCPCS)
• Contribute to quality initiatives, process improvements, and internal projects
What You Need
• High school diploma or equivalent
• 4+ years of foundational Utilization Management experience
• Understanding of health plan operations, claims/eligibility systems, claims processing, and benefits
• Familiarity with Texas Department of Insurance and HHSC rules for complaints and appeals
• Experience with managed care, Medicaid programs, call center tools, and strong customer service practices
• Strong phone presence, active listening, problem solving, multitasking, and high attention to detail
• Medical terminology knowledge
Preferred
• 2+ years direct experience with UM Prior Authorizations, Appeals, Fair Hearings, and External Medical Review
• Community Health Worker (CHW) certification (Texas DSHS)
• Background in benefits, claims processing, or membership
Benefits
• Up to $22/hour base pay (weekly pay)
• Stable weekday schedule with no weekends
• Inclusive, equal opportunity employer culture
• Accommodation support available through HR (upon request)
If you’ve got UM chops and you’re bilingual, this role can be a real sweet spot: structured hours, clear processes, and work that actually matters.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
If you’re sharp with numbers, unbothered by deadlines, and you can keep refunds clean, accurate, and documented without missing a beat, this one’s for you. You’ll be the person who makes sure money goes back where it’s supposed to, correctly, compliantly, and on time.
About Digitech (Sarnova Family of Companies)
Digitech is a leader in revenue cycle management for the EMS industry, helping clients maximize collections and stay compliant through specialized billing and technology. Digitech is part of Sarnova, a national specialty distributor serving emergency medical services (EMS) and respiratory markets through companies like Bound Tree Medical, Tri-anim Health Services, Emergency Medical Products, Cardio Partners, and more.
Schedule
Permanent, full-time, fully remote. This role supports a fast-moving refunds department, so expect steady volume, tight timelines, and consistent follow-through.
What You’ll Do
• Receive refund requests and handle them accurately and on time
• Post and record refunds properly in the system with strong attention to detail
• Communicate as needed with attorneys, no-fault insurance, workers’ comp, and the Veterans Administration
• Manage correspondence, faxes, and pending refund issues to resolution
• Support additional department tasks as assigned by the Refunds Department Manager
What You Need
• Cash posting or refunds experience (required)
• Strong math skills and comfort working with detailed financial transactions
• Ability to read and understand EOBs (Explanations of Benefits)
• Strong multitasking and deadline management skills
• Calm, professional demeanor, especially under pressure
• Solid computer skills, including working efficiently with two monitors
• Strong follow-through, accountability, and comfort asking questions when needed
• Dependable, punctual, quick learner
• Bonus: Prior experience handling refunds directly
Benefits
• Competitive pay (commensurate with experience)
• Comprehensive benefits package
• 401(k) plan
• Equal Opportunity Employer with a culture focused on inclusion and belonging
If you’re the type who hates messy ledgers and loves closing the loop, this is a clean fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
If you’re the kind of person who can juggle deadlines, chase down payer issues, and keep clients calm while you fix the mess, this role is built for you. You’ll be the bridge between billing reality and clean claims, helping EMS providers get paid accurately and on time.
About Digitech (Sarnova Family of Companies)
Digitech provides advanced billing and technology services for the EMS transport industry, using proprietary tools to maximize collections, protect compliance, and deliver results. Digitech is part of the Sarnova family, which includes Bound Tree Medical, Tri-anim Health Services, Cardio Partners, and Emergency Medical Products, all focused on supporting the people who save lives.
Schedule
Remote (U.S.). Day-to-day work centers on payer enrollment deadlines, revalidations, and follow-ups tied to claim submission and eligibility issues. Expectations will require strong organization, responsiveness, and reliable communication with internal teams and client contacts.
What You’ll Do
• Support onboarding for new clients and help ensure a smooth implementation experience
• Complete payer enrollments and revalidations on deadline, and track progress across assigned accounts
• Follow up on claims submission issues, eligibility problems, and ERA retrieval needs
• Serve as a primary point of contact for assigned clients and build relationships with key decision makers
• Collaborate across internal teams (project management, client relations, billing) to resolve billing inquiries and workflow issues
• Navigate Digitech’s software, run reports, review payment posting details, and pull claim history as needed
• Represent the company professionally in every interaction, especially when situations get tense
What You Need
• EMS experience and/or familiarity with medical terminology (preferred, not required)
• Strong organization skills with the ability to prioritize, meet deadlines, and report project status clearly
• Strong computer skills, including MS Outlook, Word, and Excel
• Ability to learn new systems quickly and understand workflows
• Calm, professional phone presence and the ability to handle issues without escalating them
• Excellent written and verbal communication skills, including presenting solutions clearly
• High attention to detail and accuracy
• Bonus: Knowledge of lockboxes
• Bonus: Experience with ticketing systems
Benefits
• Competitive salary (based on experience)
• Comprehensive benefits package
• 401(k) plan
• Equal Opportunity Employer and a workplace culture focused on inclusion and belonging
These roles reward people who don’t panic when the claim gets denied, they get curious, get precise, and get it fixed.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
This is a revenue-protection role dressed up as admin work. If you’re sharp with payer enrollment, CAQH, PECOS, and contract updates, you’ll be the person making sure providers are credentialed, locations are live, and claims don’t get stuck in “not enrolled” purgatory.
About Nira Medical
Nira Medical is a national partnership of physician-led neurology practices focused on expanding access to neurological care. They support practices with technology, research opportunities, and a collaborative care network, and they’re in a growth phase scaling teams, services, and patient experience.
Schedule
- Full-time
- Remote
- Reports to: Director of Revenue Cycle Management
- Built for a fast-paced, scaling environment (new hires, new locations, acquisitions)
What You’ll Do
⦁ Manage provider credentialing and enrollment across Medicare, Medicaid, and commercial payers, keeping everything revenue-ready
⦁ Maintain credentialing databases, track expirations/renewals, and keep audit-ready files
⦁ Own CAQH upkeep plus NPI and PECOS updates, payer portal applications, and enrollment follow-ups to prevent delays
⦁ Support payer contracting and rate management: renewal timelines, fee schedule verification, reimbursement rate accuracy, and contract load requests
⦁ Assist with contract analysis and payer participation needs for new locations, acquisitions, and service expansion
⦁ Coordinate with RCM, Operations, Billing, Corporate Development, IT/EMR teams, and payer partners to keep enrollment and contracting from disrupting cash flow
⦁ Handle facility and operational updates: address changes, Pay-To/Billing updates, NPI/TIN linkages, adding new locations to existing contracts
⦁ Serve as a liaison to providers and payers, helping resolve issues and educating providers on credentialing expectations and reimbursement impacts
What You Need
⦁ Associate’s or Bachelor’s degree (healthcare admin/business preferred) or equivalent credentialing/contracting/healthcare ops experience
⦁ 4+ years in provider credentialing, payer enrollment, or payer contracting
⦁ 3+ years in revenue cycle management, healthcare regulations, and/or compliance standards
⦁ Strong understanding of payer requirements, fee schedules, and contract structures
⦁ Process-driven, organized, and accurate with strong independent problem-solving
⦁ Relationship management and negotiation skills
⦁ Preferred: startup/scaling healthcare experience, multi-specialty or MSO environment
⦁ Nice-to-have: CPCS certification and Athena EHR experience
Benefits
- Not listed in the posting (ask about benefits, PTO, equipment stipend, and bonus eligibility during screening)
Straight talk: this job gets intense when growth hits. New providers + new locations + payer portals moving at “government speed” can turn into a mess fast. If you’re the kind of person who can build a tracking system, chase payers relentlessly, and keep stakeholders calm, you’ll be gold.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Dec 18, 2025 | Uncategorized
This is one of those behind-the-scenes healthcare roles that directly affects whether a patient actually gets care or gets stuck in limbo. If you’re sharp with insurance verification, prior auths, and appeals, you’ll be the person keeping infusion services moving.
About Nira Medical
Nira Medical supports infusion and revenue cycle operations by making sure benefits, authorizations, and financial pathways are handled correctly and efficiently. The goal is simple: reduce delays and help patients access medically necessary infusion and office visit services without chaos.
Schedule
- Full-time
- Remote
- Fast-paced revenue cycle environment with high attention to detail
What You’ll Do
⦁ Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
⦁ Obtain pre-authorizations and pre-certifications for office visits and infusion services
⦁ Support denial mitigation, including peer-to-peer review coordination and appeals
⦁ Maintain working knowledge of infusion drug authorization requirements across payers and relevant state/federal guidelines
⦁ Calculate and clearly communicate patient financial responsibility
⦁ Help patients access financial assistance programs, including manufacturer copay programs and patient assistance enrollment
What You Need
⦁ High school diploma or equivalent
⦁ 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
⦁ Knowledge of insurance terminology, plan structures, and approval types
⦁ Experience with J-codes, CPT, and ICD-10 coding
⦁ Athena experience is a plus
⦁ Medical terminology knowledge and ability to review clinical documentation
⦁ Strong organization, attention to detail, and ability to multitask in a fast-paced setting
⦁ Critical thinking and solid judgment
Benefits
⦁ Not listed in the posting (ask about benefits package, PTO, and equipment stipend during screening)
Quick reality check: this role lives and dies on accuracy. If you’re the “close enough” type, don’t touch it. If you’re the “let me verify that twice and document it clean” type, you’ll look like a hero here.
Happy Hunting,
~Two Chicks…
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