by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help patients access life-changing therapies by handling the behind-the-scenes work that actually gets their treatment approved and paid for. This fully remote role is perfect for someone who knows their way around benefits, prior auths, and reimbursement hubs and wants a stable, mission-driven position.
About CareMetx
CareMetx supports the full patient journey “from intake to outcomes” by providing hub services, technology, and data solutions to pharmaceutical, biotech, and medical device companies. They specialize in removing reimbursement barriers, coordinating access to specialty therapies, and connecting patients, providers, and payers. You’ll be part of a niche, growing space where your work directly impacts patients’ ability to start and stay on treatment.
Schedule
- Full-time, remote position
- Must be flexible with schedule and hours based on program needs
- Overtime may be required at times
- Willingness to work some weekends when needed to meet company demands
- Quiet, professional home workspace required
What You’ll Do
- Act as a single point of contact and advocate for patients and providers, ensuring a positive and compassionate experience
- Coordinate access to therapies, including follow-ups and connection to appropriate support services
- Manage an assigned caseload according to program guidelines and timelines
- Collect and review patient information in line with program SOPs and validate completeness of required data
- Guide provider office staff and patients on completing and submitting program applications, including patient assistance and copay programs
- Perform reimbursement activities such as benefit investigations, prior authorizations, and appeals
- Provide reimbursement information to providers and/or patients and address account inquiries
- Maintain frequent phone contact with patients, providers, third-party payers, and pharmacies
- Document all interactions in the CareMetx Connect system in compliance with HIPAA regulations
- Coordinate with internal teams as needed and work within SOPs to resolve issues and move cases forward
- Report all Adverse Events (AEs) in line with training and standard operating procedures
- Adapt to new processes, systems, and program changes as needed
What You Need
- 3+ years of experience in a specialty pharmacy, medical insurance, reimbursement hub, physician’s office, healthcare setting, or insurance-related role (preferred)
- Bachelor’s degree preferred (equivalent experience considered)
- Strong knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Excellent verbal and written communication skills with a customer-focused mindset
- Ability to multi-task, manage changing priorities, and handle a steady caseload
- Proficient keyboard skills and competency in MS Word and Excel
- Working knowledge of HIPAA regulations and comfort handling sensitive health information
- High attention to detail, strong organization, and solid problem-solving ability
- Ability to work independently and as part of a remote team
Benefits
- Salary range of approximately $38,418.30–$51,224.15, depending on experience
- Fully remote work environment
- Opportunity to grow in a specialized, mission-driven niche supporting patient access to specialty products and devices
- Inclusive, equal-opportunity culture with a focus on doing right by employees and patients
- Potential for long-term stability and advancement within a growing organization
This is a solid step up if you’ve done reimbursement, hub, or payer work and want to own cases instead of just pushing tasks.
Don’t sit on it—roles where you can work from home and still make a real impact on patients go quickly.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help patients access the treatments they need by untangling the insurance and reimbursement side of their care. This fully remote role is perfect if you’re detail-driven, love problem solving, and want steady work in the specialty pharmacy / healthcare space.
About CareMetx
CareMetx supports the full patient journey “from intake to outcomes” by providing hub services, innovative technology, and data-driven solutions to pharma, biotech, and medical device companies. The team focuses on removing reimbursement barriers so patients can start and stay on therapy. You’ll join a mission-focused organization that blends service, tech, and healthcare expertise.
Schedule
- Remote role with a standard full-time schedule
- Must be flexible with hours based on program and business needs
- Overtime may be required at times
- Must be willing to work some weekends if needed to meet demand
What You’ll Do
- Collect and review patient insurance benefit information in line with program SOPs
- Assist physician office staff and patients in completing and submitting insurance forms and program applications
- Complete and submit prior authorization forms to third-party payers and track/follow up on requests
- Respond to provider account inquiries and deliver high-quality customer service to internal and external stakeholders
- Maintain frequent phone contact with provider reps, payer reps, and pharmacy staff
- Document all provider, payer, and client interactions in the CareMetx Connect system
- Report reimbursement trends, delays, or issues to your supervisor
- Process insurance and patient correspondence related to reimbursement
- Provide all necessary documentation (demographics, authorizations, NPI, referring provider info) to support prior authorization requests
- Coordinate with interdepartmental associates to resolve issues and keep cases moving
- Communicate effectively with payers to ensure accurate and timely benefit investigations
- Report all Adverse Events in line with training and SOPs
- Work within defined SOPs, using judgment to resolve problems of moderate scope
- Handle other duties as assigned as programs and needs evolve
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 related environment
- Strong verbal and written communication skills
- Ability to build productive working relationships with internal teams and external partners
- General knowledge of pharmacy and medical benefits; familiarity with commercial and government payers preferred
- Proficiency with Microsoft Excel, Outlook, and Word
- Strong interpersonal, negotiation, organizational, and time management skills
- Solid problem-solving ability and comfort working within SOPs
- Customer-satisfaction mindset and ability to work independently or as part of a team
Benefits
- Estimated salary range of $30,490.45–$38,960.02 per year, depending on experience
- Fully remote work environment
- Opportunity for overtime when business needs increase
- Chance to grow in a niche, mission-driven space supporting patient access to specialty therapies
- Inclusive, equal-opportunity culture that values diversity and merit-based advancement
If you’re ready to use your reimbursement know-how to make real impact in patients’ access to care, this is your lane.
Don’t overthink it—strong candidates move quickly on roles like this.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
Help individuals and families find life changing treatment from the comfort of your home. As an Admissions Coordinator with Sandstone Care, you are the first voice people hear when they reach out for help and the guide who walks them through the path into care.
About Sandstone Care
Sandstone Care provides specialized treatment for teens and young adults struggling with substance use, mental health, and co-occurring disorders. The team focuses on evidence based care, deep family involvement, and a compassionate, human approach to recovery. You will join a mission driven organization that values clinical excellence, integrity, and real impact.
Schedule
- Remote position, with hybrid option based out of the Denver administrative office
- Candidates ideally live in Colorado, Maryland, or Virginia
- Day shifts and overnight shifts in Mountain Time; at least one weekend day required
- Fast paced, metrics driven admissions environment
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 clients and families through the admissions journey with empathy and clarity
- Manage high volume inbound calls, web form submissions, and live chats with professionalism and strong follow through
- Clearly explain treatment options, levels of care, financial details, and next steps to prospective clients
- Collaborate with business development and outreach teams to manage professional referrals and maintain strong relationships with referral partners
- Act as a trusted resource for clinicians, providers, and community partners by ensuring smooth handoffs and follow ups
- Verify insurance benefits, coordinate payment plans, and review financial options with clients
- Work with billing and finance teams to streamline payment processes and reduce friction for families
- Meet and exceed admissions KPIs, including conversion rates, response times, and client satisfaction metrics
- Maintain accurate, timely documentation in CRM systems such as Salesforce, EMRs, and billing software
- Participate in coaching sessions, team meetings, and performance reviews to continuously improve results
What You Need
- 3 or more years of experience in behavioral health admissions preferred (inpatient, residential, PHP, or IOP)
- Strong background in call center work, client engagement, or healthcare sales
- Proven track record of meeting or exceeding monthly KPIs in a fast paced admissions or sales environment
- High level communication skills, including objection handling and relationship building with clients and professionals
- Proficiency in CRM systems such as Salesforce, EMRs, and Microsoft Office Suite
- Ability to type 50 or more words per minute while engaging in live client conversations
- Bachelor’s degree in marketing or behavioral health science preferred
- Comfort working with sensitive situations, maintaining professionalism, and balancing empathy with operational efficiency
- Ability to work scheduled day or overnight shifts with at least one weekend day
Benefits
- Competitive hourly compensation range of 22 to 38 dollars per hour, based on experience
- Eligibility for an Incentive Compensation Program based on performance and quality metrics
- Flexible PTO package, including accrued PTO, paid holidays, and wellbeing days
- High quality medical, dental, and vision coverage with multiple plan options and majority employer paid
- Robust Employee Assistance Program, including counseling, legal consultations, financial planning, and wellness coaching
- Professional growth opportunities in a collaborative, supportive behavioral health team
- Inclusive culture that centers diversity, equity, and belonging for staff and clients
If you are ready to use your admissions and behavioral health experience to be the bridge between asking for help and receiving care, this is your next move.
People are reaching out today. Step into the role that lets you answer that call.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
If you’re organized, detail-focused, and want a steady remote role where the numbers actually matter, this one fits. As a Medical Billing Specialist I, you’ll handle billing, collections, and client invoicing that keep the business running smoothly behind the scenes.
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 strong financial operations that support both clients and members. As part of the Accounting & Finance team, you’ll help ensure billing is accurate, timely, and clear.
Schedule
- Full-time, fully remote position
- Standard business hours (team-specific schedule may apply)
- Remote-friendly culture built around accuracy, communication, and accountability
- Requires reliable cable or fiber internet with at least 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 or issues
- Communicate with clients regarding billing inquiries, payment status, and clarifications
- Maintain accurate records of all billing and collection activities
- Assist with month-end closing and reporting tasks
- Collaborate with other departments to ensure billing is correct and up to date
- Set up new accounts for new clients and update accounts for the existing book of business
- Audit accounts to confirm setup and changes were applied correctly
- Create and maintain Excel spreadsheets to track services and activity for multiple clients
- Maintain Access databases to track services and activity for several clients
- Perform other related duties as assigned
What You Need
- High school diploma or equivalent
- 2+ years of experience in billing and collections
- Strong communication and problem-solving skills
- Proficiency with Microsoft Office and accounting or billing software
- Ability to work independently and as part of a remote team
- Strong attention to detail and accuracy in all tasks
Benefits
- Hourly rate of $20.00
- 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 billing skills to a fully remote role with stable hours and meaningful work, this is worth jumping on.
Your next dependable work-from-home opportunity is right here—go after it.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
If you speak fluent stop loss and like making sure every dollar is accounted for, this role fits you. As a Stop Loss Claims Specialist I, you will handle aggregate stop loss claim filings, track reimbursements, and fight for the correct amounts so clients are protected.
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. In this claims focused role, you will help keep high cost risk under control and reimbursements flowing.
Schedule
- Full time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote friendly culture that emphasizes communication, accuracy, and accountability
- Requires reliable cable or fiber internet with at least 100 Mbps download and 25 Mbps upload speeds
What You’ll Do
- Compile and submit aggregate stop loss claim reports and required documentation to carriers
- Frequently monitor the status of assigned claims and follow up with stop loss carriers to ensure timely reimbursement
- Respond to carrier questions and requests for additional information with clear, complete support for claim reimbursement
- Communicate with internal departments to resolve claim issues and gather missing data
- Manage timelines for aggregate accommodation, level funded, and final claim submissions in line with contract requirements
- Appeal denied or reduced stop loss reimbursements and provide supporting documentation
- Audit aggregate positions, track funding balances, and maintain updated monthly reporting
- Prepare monthly accommodation and year end aggregate claim filings after reconciling claim activity
- Interpret stop loss policy provisions and group plan documents to support reimbursement requests
- Adapt to new systems, tools, and concepts as processes evolve
- Perform other duties as assigned to support stop loss operations
What You Need
- High school diploma or equivalent required; some college or equivalent work experience preferred
- One to two years of claims experience in a self funded environment
- Thorough knowledge of stop loss terminology, concepts, and catastrophic claim handling
- Ability to interpret stop loss contracts and client Summary Plan Descriptions
- Stop loss filing experience preferred
- Accounting or finance background is a plus
- Proficiency with Microsoft Office, especially Excel
- Strong analytical and problem solving skills
- Excellent verbal and written communication skills
- High level of organization with superior attention to detail
- Proven time management skills with the ability to meet deadlines
- Ability to build and maintain positive working relationships with internal teams, brokers, carriers, and clients
Benefits
- Competitive hourly pay range of 23.00 to 24.00 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 grow your stop loss career in a fully remote role where your precision really matters, this is a strong next step.
Secure your spot while this opening is still on the table.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Nov 27, 2025 | Uncategorized
If you’ve got a head for numbers and an eye for details, this role lets you be the behind-the-scenes expert that keeps the money moving cleanly and correctly. As a Treasury Services Specialist, you’ll own key treasury processes, build better workflows, and help train the team while working fully from home.
About Allied Benefit Systems
Allied Benefit Systems is a national healthcare benefits administrator that partners with employers to design and manage flexible, self-funded group health plans. The company focuses on smarter plan design, strong financial controls, and reliable service for both clients and members. In Treasury Services, you’ll help keep client accounts reconciled, banking setups accurate, and payments flowing smoothly.
Schedule
- Full-time, fully remote position
- Standard business hours (specific schedule may vary by team)
- Remote-friendly culture with a focus on accountability and accuracy
- Requires reliable cable or fiber internet with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Complete monthly reconciliations of client accounts using Great Plains
- Set up new business banking (BPO & ASO) and make banking changes for existing groups
- Maintain vendor records for print fulfillment and support VCC/EFT implementations
- Process check tracers and handle Positive Pay submissions
- Upload, track, and support treasury-related transactions and workflows
- Create, document, and improve treasury processes as needs evolve
- Lead training for new hires and existing team members on Treasury Services procedures
- Support the Treasury Services team with day-to-day questions, issues, and special projects
- Perform other duties as assigned to support treasury and finance operations
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 with a high level of accuracy
- Excellent written and verbal communication skills
- Strong organizational and time management skills
- Proficiency with Microsoft Office (especially Excel and Word)
- Experience with financial management systems such as Great Plains or similar
- Comfortable using 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, computer-based role
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 be the go-to expert for treasury processes in a fully remote finance role, this is your lane.
Strong candidates don’t sleep on roles that mix flexibility, ownership, and steady growth—make your move.
Happy Hunting,
~Two Chicks…
Recent Comments