by Terrance Ellis | Feb 13, 2026 | Uncategorized
If you’re sharp with charge capture and coding accuracy, this role puts you at the center of clean claims and steady revenue flow for oncology care. You’ll own charge entry, audits, and billing accuracy so patients and providers are not stuck in reimbursement limbo.
About OneOncology
OneOncology supports independent community oncology practices through a physician-led, patient-centric, technology-powered model. They provide capital, technology, and operational expertise so practices can grow and deliver high-quality cancer care across the U.S.
Schedule
- Full-time
- Remote (United States)
- Collaborative, deadline-driven work tied to daily charge posting, audits, and reporting
What You’ll Do
- Review, audit, and adjust charges from interfaced files to ensure timely and accurate charge capture
- Manually enter and audit Pathology/Molecular, Psychology, Genetic Counseling, and other charges in the practice management system
- Run and audit reports to confirm required billing info is received and accurately captured
- Create daily charge files from lab application software to support proper charge capture
- Reconcile scheduled appointments to confirm charge capture and flag missing items
- Communicate with clinical staff and RCM teams to resolve charge questions and outstanding billing issues
- Review medical records as needed to ensure coding accuracy for diagnoses, procedures, and modifiers
- Work assigned Unity tasks daily to resolve ACE claim edits, rejections, denials, and other RCM-related issues
- Identify and resolve tickets in various statuses within the practice management system
- Interpret and apply billing guidelines and medical policies correctly
- Maintain strong knowledge of HCPCS, ICD, and CPT oncology coding plus carrier-specific requirements
- Follow standardized policies and procedures and train as assigned to strengthen skills
What You Need
- High school diploma or equivalent
- Prior experience in charge entry, billing, or coding (oncology setting preferred)
- Strong knowledge of HCPCS, CPT, and ICD codes
- Expertise in insurance billing guidelines and reimbursement rules (Medicare, Medicaid, commercial plans)
- Strong written and verbal communication skills, including active listening
- Excellent multitasking, organization, and attention to detail
- Strong analytical skills and ability to meet deadlines
- Proficiency with Windows-based tools (Word, Outlook, Excel)
- Professional, adaptable, and able to work independently while staying collaborative
Benefits
- Full-time remote role supporting mission-driven oncology care
- High-impact ownership over charge capture quality and revenue cycle accuracy
- Team environment with cross-functional collaboration across RCM and clinical partners
Posted yesterday, so don’t let it drift.
If you’re the person who catches what others miss and keeps claims clean, this is a strong fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 12, 2026 | Uncategorized
This role is for an experienced healthcare claims and policy pro who can turn complex payer rules into clear, testable claim edit logic that prevents overpayments. You’ll research CMS, AMA/CPT, Medicaid/Medicare guidance and payer policies, then translate them into specifications, unit tests, and validation work that proves the edits function exactly as intended.
About Rialtic
Rialtic is an enterprise healthcare software company building payment accuracy products that help insurers and providers bring critical payment integrity work in-house. Founded in 2020 and backed by notable healthcare-focused investors, Rialtic focuses on reducing costs and improving efficiency and quality across payer and provider operations.
Schedule
- Atlanta or Remote (remote-friendly)
- Full time (schedule details not specified in posting)
What You’ll Do
- Review payer and regulatory guidance (Medicaid manuals, fee schedules, NCCI/CCI, OIG alerts, LCDs/LCDs, NCDs, Medicare manuals, etc.) and convert rules into claims editing logic
- Partner with concept creators to refine billing edits and ensure accuracy against policy intent
- Use data analysis to validate structure and outcomes align with policy and specs
- Build unit tests to verify edit functionality
- Produce research support using official source documents
- Validate edits via testing and defend decisions with validation data
- Stay current on key edit references (AMA, CMS, NCCI) and maintain/upkeep existing guidelines
- Collaborate with Content, Engineering, and Data teams to develop and tune edits
- Provide SME expertise on professional claims error areas across multiple specialties
- Meet weekly productivity and quality goals while working independently (including remote work)
What You Need
- 8+ years of healthcare experience with medical coding terminology
- Experience with a payer or claims editing vendor
- Payment accuracy experience (prepay or post-pay)
- Intermediate Excel skills (functions, pivot tables, VLOOKUP, etc.)
- Solid understanding of claims workflow and claim forms (CMS-1500 and UB-04)
- Experience reading/analyzing Medicare and Medicaid policy and applying coding guidelines
- Ability to update payment accuracy guidelines as policies change
- Strong cross-functional communication (Engineering/Product collaboration)
- Comfort learning tools like Google Workspace, Jira, SmartDraw, etc.
Benefits
- Remote flexibility plus home office stipend
- Equity and 401(k) matching
- Unlimited PTO
- Comprehensive health plans and wellness reimbursements
- Mental and physical wellness support (Talkspace, Teladoc, One Medical)
If you want to sit at the intersection of policy, coding, and building software logic that saves real dollars, this one’s in your lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 12, 2026 | Uncategorized
If you know how to break down a claim, spot what doesn’t add up, and confidently negotiate with providers, this role puts that skill to work every day. You’ll negotiate out-of-network payments for group health plans using cost data (reasonable and customary, Medicare pricing) and by identifying billing irregularities.
About Allied Benefit Systems
Allied Benefit Systems supports employer health plans with claims administration and related services. Their teams work to ensure claims are reviewed accurately, negotiated appropriately, and handled in compliance with privacy and security standards.
Schedule
Remote
Full time
What You’ll Do
- Negotiate out-of-network claim payments with providers and secure discounts
- Review and analyze claims for cost reasonableness, medical necessity concerns, and potential fraud indicators
- Determine benefit eligibility and payment levels based on each client’s customized plan terms
- Reprice claims to applicable Medicare rates when required
- Request and review supporting documentation (physician notes, hospital records, police reports) as needed
- Identify billing irregularities by reviewing CPT/diagnosis codes and claim details
- Analyze claims for billing inconsistencies and document findings in required systems
- Process claims and add notes within the QicLink system and other internal platforms
- Log negotiated claims in an Access database and produce weekly summary reports
- Review Suspended Claim Reports and follow up on unresolved issues
- Collaborate with internal partners and outside entities when additional evaluation is needed
- Maintain compliance with HIPAA and other applicable privacy/security requirements
- Attend required continuing education, including HIPAA training
- Support team needs and complete other duties as assigned
What You Need
- Bachelor’s degree or equivalent work experience
- 5+ years of medical claims analysis experience
- Strong analytical skills and attention to detail
- Knowledge of CPT and ICD-9 coding terminology
- Comfort working across multiple systems and documenting work consistently
Benefits
Allied offers a total rewards package that may include medical, dental, vision, life and disability insurance, generous paid time off, tuition reimbursement, EAP, and a technology stipend (eligibility and details provided during the hiring process).
This one is built for someone who can think like an investigator and negotiate like a professional.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 12, 2026 | Uncategorized
This is a solid “ops glue” role: you’re the person who keeps the client-facing team running clean by pushing reports, open enrollment materials, plan docs, and ID card workflows across the finish line. Not glamorous, but very useful, very steady.
About Allied Benefit Systems
Allied supports employer health plans and runs client-facing service operations. This role sits in Operations and supports the Account Management/Client Executive side.
Schedule
- Full time
- Fully remote
- Internet requirement: cable/fiber with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Communicate internal changes tied to benefit plan design, financials, and vendor partner updates
- Review/approve member ID card templates and production batches
- Create temporary ID cards for urgent access-to-care situations
- Audit plan design changes in SPDs and SBCs
- Send mid-year/renewal plan document updates to clients for signature
- Follow up on missing signatures to keep renewals compliant and on time
- Run standard claims/diagnosis/eligibility reports from the Allied website
- Build open enrollment materials (guidebooks + PowerPoints for employee meetings)
- Coordinate open enrollment logistics (giveaways, benefit fairs, etc.)
- Submit trading partner project requests to Ops for approval
- Produce/distribute basic compliance reporting when groups request it
- Help with Massachusetts Health Connector paperwork to confirm plan minimum requirements
- Submit claim adjustment projects to the Rapid Resolution Team as needed
- Download/publish vendor quarterly and monthly reports
- Support pharmacy benefit manager data extract paperwork
- Handle routine questions from Associate Client Executives
What You Need
- High school diploma or equivalent
- 2–4 years in an administrative support role
- Data entry experience
- Strong attention to detail, organization, and multitasking
- Intermediate Microsoft Office skills: Word, Excel, PowerPoint
Benefits
- Medical, dental, vision, life & disability insurance
- Generous PTO
- Tuition reimbursement
- EAP
- Technology stipend
My straight take (so you don’t waste effort):
$20/hr for 2–4 years’ experience is on the low side, but if you’re trying to pivot into healthcare benefits admin, this is a decent stepping stone because you’ll touch SPDs/SBCs, enrollments, reporting, and vendor ops. If you already have strong benefits/TPA experience, you can probably aim higher than $20.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 12, 2026 | Uncategorized
This one’s for people who don’t panic when they see 837/835 files. You’re basically the “claims traffic controller” making sure data is clean, errors get fixed fast, and Anthem/Blue Shield aren’t sitting on inventory because something broke upstream.
About Allied Benefit Systems
Allied supports healthcare benefits administration and claims operations. This role sits in Operations and works closely with internal EDI/Claims teams plus major health plan partners.
Schedule
- Full time
- Fully remote
- Internet requirement: cable/fiber with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Analyze and validate 837 (institutional/professional) and 835 (remittance advice) files
- Spot discrepancies, formatting issues, and data integrity problems
- Partner with EDI, Claims, and other internal teams to resolve file errors and escalations
- Process file adjustments and resolve issues using vendor portals/tools
- Monitor daily operational reports: claims processing, payment reconciliation, error tracking
- Monitor inventory reports from health plan partners to meet turnaround timeframes
- Identify trends/insights to improve performance and support compliance
- Act as primary point of contact between Claims Ops and health plans (Anthem, Blue Shield)
- Run regular status meetings, escalate issues, and track action items
- Recommend workflow/reporting enhancements
- Support implementations that impact claims data exchange
What You Need
- Bachelor’s degree in a related field or equivalent work experience
- 3+ years in healthcare claims processing/claims analysis, ideally with 837/835 exposure
- Strong understanding of HIPAA transaction standards and EDI formats
- Experience with TPAs and major health plans (Anthem/Blue Shield preferred)
- Strong Excel skills (data visualization tools are a plus)
- Organized, detail-obsessed, able to juggle multiple priorities
- Familiarity with claims adjudication systems
Benefits
- Medical, dental, vision, life & disability insurance
- Generous PTO
- Tuition reimbursement
- EAP
- Technology stipend
Quick gut-check (because I’m not gonna let you waste time):
If you can confidently speak to how an 837 becomes a paid claim + how the 835 explains the payment, and you’ve actually investigated file errors (not just “worked claims”), this is a strong match. If you’ve never touched EDI files and only worked denial follow-up, this might be a stretch.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Feb 12, 2026 | Uncategorized
If you’re the type who can keep contracts, renewals, and systems clean without letting details slip, this role is basically “make sure the paperwork doesn’t sink the ship.” You’ll support Implementation leadership and keep client contract data accurate across tools and vendors.
About Allied Benefit Systems
Allied supports employers and members through benefit administration and healthcare operations, partnering with internal teams and external vendors to deliver benefits services smoothly.
Schedule
- Full time
- Fully remote
- Internet requirement: cable broadband or fiber with at least 100 Mbps download / 25 Mbps upload
What You’ll Do
- Support the Senior Director, Implementation by maintaining and updating client contracts
- Partner with Sales and Account Management to collect contract documentation for new business and renewals
- Work with Legal on template contract updates
- Track and report new business tasks
- Perform paperwork and billing audits
- Update BenefitPoint and other databases; keep contract terms current in CRM
- Handle website administration functions
- Communicate new clients to vendors (PPO, UR, etc.)
- Create renewal and new business contracts with Sales/Marketing
- Send contracts, track receipt, and manage contract routing
- Administer systems including BenefitPoint and Docuvantage
- Support Account Management implementation tasks
- Coordinate vendor contracts
- Maintain strong communication with internal/external stakeholders
- Other duties as assigned
What You Need
- Bachelor’s degree or equivalent work experience (required)
- 3–5 years contracts administration experience (required)
- Demonstrated knowledge of healthcare industry legal/regulatory requirements
- Intermediate Microsoft Office skills
- Strong analytical and organizational skills
Benefits
- Medical, dental, vision, life & disability insurance
- Generous paid time off
- Tuition reimbursement
- EAP
- Technology stipend
$48K–$50K is tight for “contracts + healthcare regulatory + multi-system admin,” but if you already have BenefitPoint/Docuvantage experience, it can be a strong resume-builder that translates into higher-paying contract ops roles later.
Happy Hunting,
~Two Chicks…
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