Medical Claims Reviewer – Remote

Conduct clinical reviews for Medicare claims in a fully remote role supporting a major federal subcontract. If you’re an experienced RN with strong clinical judgment and utilization review expertise, this position lets you apply your skills in a structured, mission-driven environment.

About Broadway Ventures

Broadway Ventures delivers innovative consulting, program management, and technology solutions for government and commercial clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, they focus on operational excellence, collaboration, and sustainable growth. Their Medical Review team supports critical Medicare claims work with accuracy, professionalism, and integrity.

Schedule

  • Full-time
  • Monday–Friday, 8:00 AM to 4:30 PM
  • Fully remote, with high-speed wired internet required
  • Must travel to Augusta, GA approximately four times per year
  • Candidates in Georgia or South Carolina preferred
  • Must live within a HUBZone (strong preference)

What You’ll Do

  • Review pre-pay and post-pay Medicare claims across multiple service types (radiology, ambulance, PT, surgical, and more)
  • Assess medical necessity, appropriateness, and compliance using clinical guidelines and protocol sets
  • Make reasonable charge determinations and document clinical rationale
  • Support appeals and reconsideration requests
  • Identify potential fraud, abuse, and coding issues
  • Provide education to internal and external staff on medical terminology, review practices, and coverage determinations
  • Participate in quality control activities and assist with special projects
  • Offer guidance and support to LPN team members

What You Need

  • Active, unrestricted RN license in the United States (compact multistate license required if applicable)
  • Bachelor’s degree in Nursing required; Master’s preferred
  • 5+ years of clinical RN experience (medical-surgical, home health, rehab, etc.)
  • 2–3+ years in utilization review, medical review, home health, or quality assurance
  • Strong knowledge of managed care delivery systems and clinical protocols
  • Ability to work independently and make sound clinical decisions
  • Proficiency with Microsoft Office and comfort using multiple systems/screens
  • Excellent communication, documentation, and analytical skills
  • Ability to handle confidential information with discretion

Benefits

  • Health insurance
  • Dental and vision coverage
  • 401(k) with matching
  • Paid time off
  • Life insurance
  • Disability insurance
  • Flexible spending account
  • Remote work with stable hours

This role is ideal for nurses who excel at clinical analysis, enjoy structured review work, and want remote stability without losing their clinical edge.

If you’re ready to bring your RN expertise to a highly specialized medical review team, this opportunity delivers challenge, purpose, and room to grow.

Happy Hunting,
~Two Chicks…

APPLY HERE

Redetermination (Appeals) Specialist – Remote

Support Medicare appeals processing for a mission-driven consulting firm that partners with government and private-sector clients. If you’re detail-oriented, organized, and comfortable working with documentation and data, this role offers stability and real impact.

About Broadway Ventures

Broadway Ventures delivers advanced program management, innovative technology solutions, and consulting services to federal and commercial partners. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, they focus on integrity, collaboration, and tailored solutions that drive sustainable results. Their culture is rooted in excellence, innovation, and partnership.

Schedule

  • Fully remote, U.S.-based
  • Monday through Friday
  • 40 hours per week

What You’ll Do

  • Perform non-medical reviews and prepare redetermination letters with accuracy and compliance
  • Produce unit reports, analyze workload data, and address processing issues using various software tools
  • Update templates, letters, and departmental documents
  • Gather and prepare documentation for legal and administrative requests

What You Need

  • High school diploma or equivalent (Associate’s or Bachelor’s preferred)
  • Minimum 2 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 and exceptional organizational skills
  • Clear and effective written and verbal communication
  • Ability to exercise sound judgment and maintain confidentiality

Benefits

  • Health, dental, and vision insurance
  • Paid time off and paid holidays
  • Life insurance
  • 401(k) with company match

A great fit for someone who excels at documentation, thrives in a structured environment, and enjoys work that requires precision and consistency.

If you want a stable remote role where your expertise directly supports Medicare operations, this may be the next step for you.

Happy Hunting,
~Two Chicks…

APPLY HERE

Bilingual Scheduling Center Agent – Remote

Help patients access dental care from the comfort of your home. If you’re bilingual, patient-focused, and comfortable handling high-volume calls, this role lets you make a real impact every day.

About Aspen Dental

Aspen Dental supports more than 1,000 locations nationwide with a mission to break down barriers to care. Their focus is affordability, transparency, and easy access to dental services. They offer growth opportunities, long-term career paths, and a supportive virtual environment.

Schedule

  • Fully remote
  • Full-time and part-time shifts available
  • Includes evening and weekend availability
  • Virtual training provided

What You’ll Do

  • Schedule appointments and serve as the first point of contact for new patients
  • Answer inbound calls in a high-volume environment with compassion and professionalism
  • Listen actively to understand patient needs and use trained service techniques to set appointments
  • Support call center goals for appointment acceptance and patient care
  • Complete additional tasks assigned by leadership

What You Need

  • High school diploma or equivalent
  • Professional fluency in English and Spanish
  • 1+ year of customer service experience (call center preferred)
  • Strong communication skills and ability to speak clearly
  • Comfort working in a fast-paced, goal-driven environment
  • Tech-savvy with ability to navigate digital tools efficiently
  • Hardwired internet connection: minimum 100 Mbps download / 10 Mbps upload
  • Quiet, private, HIPAA-compliant workspace

Benefits

  • $17/hour plus monthly performance bonuses
  • Pay increases at 90 and 180 days
  • Health, dental, and vision insurance
  • Paid time off
  • 401(k) with company match
  • Multiple shift options to support work-life balance

This role is ideal for someone who thrives on helping others and wants long-term career growth in a supportive remote environment.

Ready to join a team that helps patients feel seen, heard, and cared for?

Happy Hunting,
~Two Chicks…

APPLY HERE

Human Resources Generalist – Remote

Support clinical teams and oversee HR operations for a fast-growing healthcare technology company.


About Fabric Health

Fabric Health builds technology that helps healthcare move faster, work smarter, and deliver better care. Their platform unifies virtual and in-person workflows for providers and patients nationwide. Backed by top investors like Thrive Capital, GV, and General Catalyst, Fabric focuses on solving real problems with speed, empathy, and thoughtful execution.


Schedule

  • Full-time
  • Remote within the United States
  • Supports Clinical and Clinical Operations teams
  • Requires a private, compliant workspace

Responsibilities

  • Maintain HRIS data integrity and manage employee files
  • Process semi-monthly payroll in Rippling with accuracy and compliance
  • Administer benefits, enrollment changes, and liaise with benefits and 401(k) providers
  • Manage end-to-end employee lifecycle processes for clinical staff
  • Draft offers, agreements, and termination documentation
  • Lead onboarding and offboarding, partnering with IT for access setup and compliance training
  • Support clinical recruitment with job postings, candidate correspondence, and offer coordination
  • Track mandatory clinical and compliance training documentation
  • Ensure all HR processes follow HIPAA, labor laws, and multi-state regulations
  • Serve as the first point of contact for employee HR, payroll, and benefit inquiries
  • Coordinate internal training programs and maintain accurate tracking
  • Uphold strict confidentiality and detail accuracy across all HR processes

Requirements

  • 5+ years HR Generalist or Payroll Coordinator experience, supporting clinical or virtual care teams
  • Proven experience running semi-monthly payroll and administering benefits via Rippling
  • Strong background supporting remote, multi-state teams
  • Understanding of healthcare regulatory requirements and HIPAA compliance
  • Experience handling onboarding, offboarding, and employment documentation
  • Proficiency with HRIS and ATS platforms
  • Excellent organization, communication, and attention to detail
  • Ability to manage high-volume administrative tasks and shifting priorities

Bonus:

  • SHRM-CP or PHR certification
  • Experience building internal training programs

Benefits

  • Salary range: $70,000–$95,000
  • Equity package
  • Medical, dental, and vision
  • Unlimited PTO
  • 401(k) plan
  • Remote-first culture

Elevate the employee experience for clinicians supporting patients nationwide while helping shape the HR backbone of a mission-driven healthcare technology company.

Happy Hunting,
~Two Chicks…

APPLY HERE

Support Specialist – Remote

Help patients, providers, and pharmacies navigate seamless virtual care while supporting a fast-growing healthcare technology platform.


About Fabric Health

Fabric Health builds technology that solves healthcare’s capacity challenges and improves patient and provider experiences. Their platform powers virtual and in-person care for major health systems nationwide, backed by top investors like Thrive Capital, GV, General Catalyst, and Salesforce Ventures. The team values speed, deep listening, and building solutions with empathy and intention.


Schedule

  • Full-time
  • Fully remote
  • Support delivered via phone, chat, and email
  • Requires reliable internet and the ability to work in a private, compliant workspace

What You’ll Do

  • Provide Tier 1 technical support and assist with patient onboarding
  • Troubleshoot issues for patients, providers, and pharmacies across multiple channels
  • Support virtual visit operations, including visit prep, payment collection, prescription handling, and record tracking
  • Investigate and triage patient concerns with professionalism and compassion
  • Enter and maintain confidential patient data while following HIPAA requirements
  • Manage administrative tasks, including telephone triage and patient account support
  • Maintain accurate documentation in Zendesk
  • Contribute to documentation, guides, and FAQs to improve self-service
  • Collaborate with clinical teams and Tier 2 Technical Support
  • Stay up-to-date on product updates and best practices

What You Need

  • 1–2 years of customer service experience
  • Excellent written and verbal communication skills
  • Ability to adapt quickly in a fast-paced environment and shift priorities as needed
  • Strong time-management and multitasking ability
  • Keen attention to detail and sound judgment
  • Experience with Google Suite
  • Familiarity with Zendesk WFM and Maestro QA
  • Ability to troubleshoot general tech issues
  • Commitment to delivering compassionate, high-quality support
  • Ability to work independently with minimal supervision

Bonus:

  • Medical terminology knowledge
  • 30+ WPM typing ability
  • Experience with Apple iOS or Windows laptops
  • Experience with UCM Digital Health’s EMR

Benefits

  • Fully remote role
  • Opportunity to support a mission improving patient and provider experiences
  • Competitive pay range: $35,000–$45,000 annually
  • Equity and benefits included

Help transform virtual care and support millions of patients by ensuring every interaction feels seamless and human.

Happy Hunting,
~Two Chicks…

APPLY HERE

Healthcare Customer Service Specialist – Remote

Support patients and members from home in a full-time healthcare service role with weekly pay.


About BroadPath

BroadPath is a recognized leader in remote healthcare support, partnering with health plans and provider organizations across the country. The company focuses on transparency, collaboration, and delivering high-quality service. Their remote-first culture includes on-camera teamwork, real-time communication, and an emphasis on connection and authenticity.


Schedule

  • Full-time, long-term position
  • Fully remote
  • Shifts assigned based on business needs
  • Hours may fall between 8:00 AM and 9:00 PM EST
  • Weekly pay
  • On-camera participation required for training, meetings, and check-ins

Responsibilities

  • Answer inbound calls and initiate outbound calls to support members and patients
  • Provide information on benefits, eligibility, coverage, and plan details
  • Schedule, reschedule, and confirm appointments
  • Process referrals, authorizations, and prescription renewals
  • Assist with claims questions, billing issues, and account updates
  • Review insurance eligibility and update records
  • Document all interactions in EMR or CRM systems
  • Communicate with providers and internal teams via phone, secure messaging, or email
  • Protect patient confidentiality and follow all HIPAA guidelines
  • Escalate complex issues to supervisors as needed

Requirements

  • High school diploma or equivalent
  • 1+ year in a high-volume call center
  • 1+ year in healthcare or health insurance (member services, patient services, benefits support, or similar)
  • Consistent job tenure (one year or more per role)
  • Strong communication skills
  • Comfortable navigating multiple systems at once
  • Remote-ready with a quiet workspace and reliable high-speed internet
  • Strong attention to detail and reliability
  • Commitment to long-term employment

Preferred:

  • Experience with scheduling, benefits inquiries, or EMR systems
  • Familiarity with EPIC, Facets, or similar tools
  • Knowledge of medical or insurance terminology

Benefits

  • Starting pay $14/hour during training
  • Pay increase after transitioning to production
  • Weekly pay
  • Career stability with a long-term role
  • Collaborative remote culture with real-time coaching and support

You’ll thrive here if you value teamwork, clear communication, and showing up authentically while delivering excellent service to members and providers.

Happy Hunting,
~Two Chicks…

APPLY HERE