by Terrance Ellis | Jul 16, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
TridentCare is hiring a Billing Representative to support accurate and timely submission of medical invoices. This role combines administrative precision, medical billing knowledge, and strong communication skills to ensure claims are submitted, tracked, and resolved according to policy and payer guidelines.
✅ Position Highlights
• Pay: $18/hour
• Full-time, remote
• Department: Administrative
• Location: Remote – U.S.
• Requisition #: BILLI029240
📋 What You’ll Own
• Prepare, edit, and submit billing in compliance with contracts and payer guidelines
• Resolve billing errors through the work queue
• Update insurance info every 30 days and verify coverage as needed
• Submit necessary documentation with invoices; rebill when required
• Update facility census and ensure billing reflects changes
• Submit system contract or fee schedule changes when needed
• Monitor for compliance issues and escalate concerns to supervisor
• Complete reports on time and maintain accurate billing records
🎯 Must-Have Traits
• Strong time management and organizational skills
• Microsoft Office proficiency
• Familiarity with medical terminology and insurance processes
• Detail-oriented with a typing speed of 35+ wpm
• Works well independently and in a team
• Effective communicator with solid customer service instincts
💻 Remote Requirements
• Must be U.S.-based with reliable internet access
• Comfortable using virtual billing tools and communication systems
• Self-starter capable of managing responsibilities without supervision
💡 Why It’s a Win for Remote Job Seekers
• Clear responsibilities and consistent full-time hours
• A supportive team that values accuracy and timeliness
• A reliable administrative role in the healthcare space with room for growth
✍️ Call to Action
If you’re detail-oriented, self-motivated, and ready to contribute to a dependable healthcare billing team, apply now to join TridentCare and help streamline billing for patients and providers nationwide.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Enlyte is hiring a Provider Data Management Specialist to maintain the accuracy and integrity of healthcare provider information across its internal systems. In this full-time, remote position, you’ll ensure the provider data driving claims, referrals, and reimbursements is clean, current, and compliant.
✅ Position Highlights
• Pay: $21.00 – $27.00/hour (based on experience and location)
• Employment Type: Full-Time
• Department: Product & Program Management
• Requisition Number: 18145
• Remote – U.S. only
• Competitive benefits package
📋 What You’ll Own
• Review and process provider data submissions, primarily in Excel
• Validate and clean large datasets for system compatibility
• Perform manual updates when automated processes fall short
• Maintain critical data fields affecting claims and referrals
• Analyze group structures and contract hierarchies
• Investigate and resolve data inconsistencies
• Support internal teams by maintaining data integrity and usability
🎯 Must-Have Traits
• Bachelor’s degree or equivalent work experience
• 2+ years in healthcare or provider data management
• Advanced Excel skills (formulas, formatting, data validation, etc.)
• Familiarity with healthcare terms, specialties, and networks
• Analytical mindset with strong pattern recognition
• Detail-oriented with a focus on data accuracy
• Comfortable interpreting provider contracts and structures
💻 Remote Requirements
• Must be based in the U.S.
• HIPAA-compliant home office setup
• Reliable high-speed internet
• Proficiency in Microsoft Office and healthcare data systems
• Self-directed and organized in a virtual environment
💡 Why It’s a Win for Remote Job Seekers
• Play a key role in keeping healthcare systems running smoothly
• Work at the intersection of healthcare and data analysis
• Solid pay with full-time remote flexibility
• Contribute to a mission-focused company with real impact
✍️ Call to Action
If you’re detail-driven, Excel-savvy, and ready to support better healthcare through clean data, apply now. Join Enlyte and help make provider data work smarter—for everyone.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is transforming the pharmacy benefits space with a transparent, people-first model. As a Workforce Management (WFM) Coordinator, you’ll be the one making sure operations stay on track in real time—monitoring queues, adjusting schedules, and supporting the WFM team with documentation and reporting. This is a key support role for someone who thrives in structured, data-driven environments.
✅ Position Highlights
• Pay: $20.44–$24.33/hour
• Employment Type: Full-Time
• Schedule: Flexible hours between 8:00 AM–6:30 PM CST
• Location: Remote (U.S.-based, some state restrictions*)
• Benefits:
- Health, dental, vision insurance
- Flexible Spending Account (FSA)
- 20 days PTO + 9 paid holidays
- 4 weeks paid parental leave
- 401(k) with 5% company match (immediate vesting)
- Educational and professional development assistance
- Referral bonus up to $750
*Navitus does not hire remote workers in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
📋 What You’ll Own
• Monitor live service queues and flag performance issues
• Track agent adherence and update schedules in real time
• Adjust staffing plans based on attendance updates
• Manage the WFM inbox and respond to team questions
• Generate regular and custom performance reports
• Document WFM procedures, training content, and internal processes
• Support implementation of new communication and staffing tools
• Assist leadership with adherence tracking and scheduling needs
• Handle administrative tasks like meeting minutes and calendar invites
• Contribute to additional workforce planning tasks as needed
🎯 Must-Have Traits
• High school diploma or GED (Associate’s degree preferred)
• Proficiency with Microsoft Office, especially Excel and Outlook
• Familiarity with scheduling systems and call center workflows
• Clear, professional communication skills
• Detail-oriented, dependable, and highly organized
• Experience in a customer service or call center environment is helpful
• A respectful, team-focused attitude
• Eagerness to learn compliance and workforce systems
💻 Remote Requirements
• Must reside in the U.S. (see state exclusions*)
• Quiet, reliable home office setup
• Stable high-speed internet
• Strong time management and task ownership
💡 Why It’s a Win for Remote Job Seekers
• Entry-level operations role with big-picture impact
• Great starting point for a career in workforce planning or analytics
• Flexible hours and mission-focused company culture
• Hands-on experience with real-time business coordination
• Excellent benefits and long-term growth potential
✍️ Call to Action
If you’re organized, responsive, and ready to help keep things running behind the scenes, apply now to join the Navitus team. Your precision can help power better pharmacy care.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Lumicera Health Services is redefining what a specialty pharmacy can be. As a Referral Coordinator, you’ll play a critical role in making sure prescriptions get to the people who need them. From coordinating with prescribers to updating patients and supporting prior authorizations, this is a frontline position for someone who thrives on communication and logistics.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment Type: Full-Time
• Schedule: Monday–Friday, 8:00 AM – 5:00 PM
• Location: Remote (U.S.-based, some state restrictions*)
• Benefits:
- Health, dental, and vision insurance
- 20 days PTO + 9 paid holidays
- 4 weeks paid parental leave
- 401(k) with 5% company match
- Educational and adoption assistance
- Referral bonus up to $750
*Lumicera does not hire remote workers in: AL, AK, CT, DE, HI, IA, KS, KY, ME, MA, MS, MT, NE, NH, NM, ND, RI, SC, SD, VT, WV, or WY
📋 What You’ll Own
• Manage and process incoming prescription referrals
• Initiate prior authorization workflows with prescribers
• Coordinate delivery and status updates with patients
• Track insurance, financial, and pharmacy information
• Communicate with pharmacists, billing, and clinical staff
• Build new relationships with clinics or providers as needed
• Act as a liaison between providers, insurance, and pharmacies
• Maintain compliance with all legal and ethical standards
• Take on additional administrative support tasks as needed
🎯 Must-Have Traits
• High school diploma or GED required (some college preferred)
• CPhT or Medical Assistant license preferred
• 1+ year in a specialty pharmacy or medical office setting
• Clear communicator with a friendly, proactive approach
• Detail-oriented and highly organized
• Comfortable managing systems and multitasking
💻 Remote Requirements
• Must reside in the U.S. (with state restrictions*)
• Reliable high-speed internet
• Quiet, dedicated home workspace
• Availability during regular business hours
💡 Why It’s a Win for Remote Job Seekers
• Get your foot in the door of specialty pharmacy and healthcare coordination
• Mission-driven company focused on transparency and patient impact
• Clear structure, collaborative culture, and strong growth potential
• Be part of a team that values communication and care
✍️ Call to Action
Ready to connect people with the care they deserve? Apply now and help Lumicera shape the future of specialty pharmacy—one prescription at a time.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Coordinator to manage accumulator data processes that directly impact access to care. You’ll play a key role in benefits accuracy and client satisfaction, working across departments to maintain clean data and prevent service interruptions. If you’re organized, analytical, and ready to dive into healthcare operations, this one’s for you.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment Type: Full-Time
• Schedule: Monday–Friday, 8:00 AM – 4:30 PM
• Location: Remote (U.S.-based, some state exclusions*)
• Benefits:
- Health, dental, and vision insurance
- 20 days PTO + 9 paid holidays
- 4 weeks paid parental leave
- 401(k) with 5% company match
- Educational & adoption assistance
- Referral bonus up to $750
*Navitus does not hire remote workers in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
📋 What You’ll Own
• Maintain and update accumulator data for client accounts
• Monitor data feeds, flag issues, and ensure system accuracy
• Respond to client inquiries and provide support on accumulator questions
• Run reports and resolve file discrepancies
• Collaborate with internal teams (IT, Eligibility, Client Services, etc.)
• Assist with testing, documentation, and training efforts
• Support ongoing improvements and automation processes
• Provide education to internal teams on accumulator workflows
• Occasionally assist with after-hours or weekend needs
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Basic to intermediate Excel and Word proficiency
• Sharp organizational skills and data awareness
• Comfort learning new systems and collaborating across departments
• Strong communication and follow-through
• Prior experience with healthcare or PBM data is a bonus
💻 Remote Requirements
• U.S. residency required (with state restrictions*)
• Reliable high-speed internet
• Dedicated home office workspace
💡 Why It’s a Win for Remote Job Seekers
• Clear impact on member access and benefit accuracy
• Purpose-driven, team-oriented culture
• Excellent training and growth potential
• Blend of tech, healthcare, and operations in your day-to-day
✍️ Call to Action
If you’re detail-obsessed, good with data, and eager to support better healthcare outcomes, this role is worth a look. Apply now and help make pharmacy benefits smarter and more accessible.
by Terrance Ellis | Jul 15, 2025 | Uncategorized
(Remote – U.S. Based*)
🧾 About the Role
Navitus is hiring a Coordinator to join their Claims Adjudication Operations (CAO) Implementation team. This role focuses on managing operational data, tracking workflow metrics, and driving process improvements that impact service quality and performance. Ideal for someone who thrives in structured systems, loves clean data, and finds satisfaction in behind-the-scenes wins.
✅ Position Highlights
• Pay: $19.60–$23.06/hour
• Employment Type: Full-Time
• Schedule: Monday–Friday, 8 AM – 5 PM CT
• Location: Remote (U.S.-based, with some state restrictions*)
• Benefits: Health, dental, vision, 20 days PTO, 9 paid holidays, 4 weeks paid parental leave, 401(k) with 5% match, education/adoption assistance, referral bonuses up to $750
*Navitus does not hire remote workers in: AK, HI, ME, MS, NH, NM, ND, RI, SC, SD, WV, or WY
📋 What You’ll Own
• Track incoming work requests using Kanban tools
• Reconcile and verify data across systems for accuracy
• Generate dashboards and reporting metrics for team visibility
• Record time spent on requests and help assess workload sizing
• Support quality assurance and process improvements
• Maintain documentation including internal policies and training materials
• Contribute to team projects and departmental objectives
• Assist with occasional after-hours or weekend work
🎯 Must-Have Traits
• Associate’s degree or equivalent experience
• Familiarity with Kanban, workflow tools, and dashboard software
• Strong data entry and Excel skills
• High attention to detail and analytical thinking
• Able to follow through, prioritize, and adapt quickly
• Comfortable working cross-functionally and remotely
• Understanding of compliance and DEI principles is a plus
💻 Remote Requirements
• Must reside in the U.S. (with some state exclusions*)
• Reliable high-speed internet and distraction-free workspace
💡 Why It’s a Win for Remote Job Seekers
• Your work directly improves benefit accuracy and operations
• Stable, structured work environment with meaningful impact
• Great benefits and team culture
• Clear growth paths and opportunities for advancement
✍️ Call to Action
If you’re data-driven, organized, and want to play a key role in improving pharmacy care operations, this is your lane. Apply today and join a team that values precision, purpose, and progress.
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