by Terrance Ellis | Sep 12, 2025 | Uncategorized
Work from home supporting medical record requests with accuracy and care. If you’re detail-oriented, tech-savvy, and eager to contribute to healthcare compliance, this role offers stability and growth potential.
About Verisma
Verisma is a trusted leader in release of information (ROI) services, helping healthcare organizations securely manage patient records. The company focuses on compliance, confidentiality, and customer service while making medical record access simple and accurate.
Schedule
- Fully remote or on-site at a Verisma facility/client site
- Full-time position
- Must be available during standard business hours
What You’ll Do
- Process ROI requests accurately and efficiently using Verisma software
- Interpret medical records, forms, and authorizations to complete documentation
- Provide professional customer service in person, over the phone, or by email
What You Need
- High school diploma or equivalent (some college preferred)
- 2+ years of medical record experience
- 2+ years of clerical/office experience with computer and scanning systems
- Knowledge of HIPAA and state regulations preferred
- Ability to work independently with strong attention to detail
Benefits
- Pay range: $15.25–$16.50 per hour
- Remote flexibility
- Opportunity for training and career development
Interviews are being scheduled now—apply today to join the Verisma team.
Start your career with a company where compliance and care go hand in hand.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Sep 12, 2025 | Uncategorized
General information
Job Posting Title
Quality Control / Quality Assurance Team Lead
Date
Wednesday, September 3, 2025
City
Remote
Country
United States
Working time
Full-time
Description & Requirements
Maximus is looking for a Quality Control / Quality Assurance Team Lead to support our DMCS program under our Department of Education portfolio. The Quality Control / Quality Assurance Team Lead will provide quality control reviews for functions supporting the Debt Management Collection Services (DMCS) program.
DMCS Contact Center Quality team is an essential part of the DMCS program. Its objective is to utilize operational techniques and activities to satisfy quality requirements. Quality includes activities aimed at the detection and correction of errors, faults, discrepancies and/or defects in products or services prior to delivery. QC activities generate testing or review results of work efforts and provide feedback that supports Quality Assurance (QA) and drives continuous improvement.
This is a Limited Service position. This position is temporary with an expected date of 12/31/2025.
Essential Duties and Responsibilities:
– Works on assignments that are moderately difficult, requiring judgement in resolving issues.
– Follow procedures and directions to assess the quality of service provided through monitoring incoming calls and other work types which focusing on the quality of customer service, accuracy of information provided, and adherence to established policies and procedures.
– Conduct call monitoring sessions to ensure workers are performing in accordance with established quality and performance standards.
– Provide feedback on call monitoring results.
– Evaluate recorded and/or transcribed interactions of a complex nature between the caller/chatter/correspondent and the worker, and provide appropriate context of ratings.
Additional Duties and Responsibilities:
– Assist the Quality processors in resolving questions concerning audits and Quality processes
– Ensure work is distributed to staff to ensure Performance Metric standards and Service Level Agreements are met
– Track daily completions and outstanding work balances and provide the data to Quality Supervisor
– Respond to data requests by providing supporting documentation and responding to disputes within specified timeframe
– Assist in creating and providing reporting and trending data to Business Operation and Training management to provide effective tools that allow departments to understand variances and make effective decisions around resource allocation and training needs
– Work with external auditors during periodic reviews and audits, assisting in preparation of annual audit schedules
– Monitor and evaluate correspondence and phone activities and complete scorecards to assess each item according to guidance provided and provide a constructive assessment.
– Maintain and update databases, score cards, reports, and documents with high degree of accuracy.
– Identify accounts requiring escalation, escalating immediately if warranted.
– Utilize the feedback tool to give and receive constructive feedback on call quality and department tasks.
– Preform administrative functions that support the process of reports and appeals.
– Maintain up-to-date knowledge of federal regulations, policies, and procedures as they apply to student financial aid.
– Maintain current understanding of the processing procedures.
– Utilize available systems, knowledge-base and standard technology such as telephone, e-mail, and web browser to respond to inquiries and perform job duties.
– Identify trends in the information provided by agents to identify areas of improvement and areas that might require additional training.
– Organize, lead, or participate in calibration meetings including the selection of topics to be evaluated and discussed,
– Assist with new hire presentations, assignments, and certifications.
– Demonstrate and maintain appropriate judgment with confidential information.
– College courses or degree from an accredited college or university preferred
– Minimum 3 years of related experience required
– Accurate data entry skills
– Proficient in the use of Microsoft Office products
– Excellent organizational, written and verbal communication skills
– Ability to perform comfortably in a fast-paced, deadline-oriented work environment
– Ability to work as a team member, as well as independently
– Ability to write using proper grammar, punctuation, sentence structure and pass a written test
– Applicants will be required by contract to undergo program update training as student financial assistance programs change, as well as required employee training.
– May perform other functions as requested by management within scope of level or occasional support of lower-level functions as business/volume need require
Additional Requirements Per Client:
– High School Diploma or GED required
– Must reside in the U.S.
– Must be a U.S. citizen.
– Must be able to pass a Federal Background Check.
– Must not be delinquent or in default on any federal student loans.
Home Office Requirements:
– Private and Secure workspace from home
– Access to Wi-Fi, LAN (wired connection/ethernet) or both at home
– Internet provider that offers enough speed for multiple users without latency or lag? (i.e. housemate also WFH, kids playing video games or streaming shows, etc.)
– Internet download speed of 25mbps single/50mbps shared and 5mbps (10 preferred) upload or higher required (you can test this by going to www.speedtest.net)
Employment and continued employment are contingent upon obtaining and maintaining a favorable clearance. Final suitability determination is the sole discretion of the Department of Education..
Minimum Requirements
– High School diploma or equivalent with 2-4 years of experience.
– Associate degree preferred.
– May have training or education in area of specialization.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant’s salary history will not be used in determining compensation.
Minimum Salary
$
17.75
Maximum Salary
$
33.00
by Terrance Ellis | Sep 11, 2025 | Uncategorized
Lead denial management and accounts receivable operations for a multi-hospital client base while coaching and developing a team to improve claim resolution and appeal processes.
About R1
R1 is a leader in technology-driven revenue cycle solutions, transforming patient experiences and improving the financial performance of hospitals, health systems, and medical groups. With over 29,000 global professionals and advanced platforms powered by analytics, AI, and automation, R1 delivers solutions that simplify healthcare operations and help providers focus on patient care.
Schedule
- Full-time
- Remote position
Responsibilities
- Oversee denials, AR, and front-end billing processes across multiple clients with large account inventories.
- Review, draft, and approve complex contractual appeals and letters to insurance companies.
- Perform initial reviews and approvals for external appeals and outpatient billing cases.
- Manage daily workloads of Operations Support staff and ensure defined account resolution targets are met.
- Provide training to reimbursement analysts on claims, calls, and appeals.
- Collaborate with provider representatives on complex claim issues.
- Audit and review client status reports; deliver daily, weekly, and monthly performance feedback.
Requirements
- Strong background in accounts receivable management, preferably in oncology, infusions, or chemotherapy.
- Experience with hospital patient accounting systems; Epic and Meditech strongly preferred.
- Proficiency with MS Excel and business reporting tools.
- Demonstrated leadership skills with the ability to manage teams in a fast-paced healthcare environment.
Compensation
- Salary range: $65,342.00 – $94,799.70 per year (based on role, experience, and skills)
- Eligible for annual bonus plan with a 10% target
Benefits
- Competitive benefits package including medical, dental, and vision insurance
- Paid time off and retirement savings options
- Opportunities for career growth and professional development
- Inclusive workplace culture committed to equal opportunity
Take the next step in healthcare leadership and help drive claim resolution and AR success across multiple hospital systems.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 11, 2025 | Uncategorized
Help hospitals and health systems recover lost revenue by validating and reviewing accounts with potential underpayments.
About R1
R1 is the leading provider of technology-driven solutions that transform the patient experience and improve the financial performance of hospitals, health systems, and medical groups. Our global workforce combines deep expertise with advanced technology, including analytics, AI, intelligent automation, and workflow orchestration.
Schedule
- Full-time
- 100% remote (U.S.-based role)
Responsibilities
- Work within patient accounting systems, payer portals, and R1’s proprietary software to research accounts.
- Review reimbursement opportunities, validate calculations, and decide whether to pursue with payers.
- Document findings clearly to support appeals and resolution efforts.
- Identify the root cause of underpayments and suggest prevention methods.
- Meet established benchmarks for production, accuracy, and efficiency.
Requirements
- Bachelor’s degree preferred (new graduates encouraged to apply).
- Strong organizational, analytical, and critical thinking skills with attention to detail.
- Excellent verbal and written communication skills.
- Strong math skills, including the ability to handle complex equations.
- One-week onsite training in Chicago (company-paid).
Compensation
- Base pay: $45,926 – $70,631 per year (based on skills, experience, and location).
- Eligible for annual bonus (target 5%).
Benefits
- Medical, dental, and vision insurance.
- 401k with employer match.
- Paid time off (PTO).
- Professional development and growth opportunities.
- Supportive, collaborative culture with a focus on learning and innovation.
At R1, you’ll make a direct impact by helping healthcare providers recover revenue while supporting better patient care.
Happy Hunting,
~Two Chicks
by Terrance Ellis | Sep 11, 2025 | Uncategorized
Apoya a los proveedores de salud resolviendo reclamos de facturación, corrigiendo errores y asegurando que los pacientes reciban cuentas claras y precisas.
Sobre R1
R1 es un proveedor líder de servicios de gestión del ciclo de ingresos habilitados por tecnología que ayudan a hospitales, sistemas de salud y consultorios médicos a simplificar la atención médica y mejorar el desempeño financiero. Con sede en Salt Lake City, Utah, R1 emplea a más de 29,000 personas en todo el mundo y aprovecha la analítica avanzada, la inteligencia artificial, la automatización y herramientas de flujo de trabajo para generar impacto.
Horario
- Tiempo completo
- 100% remoto (puesto basado en EE. UU.)
Responsabilidades
- Revisar cuentas de pacientes asegurando que los reclamos sean precisos y cumplan con los requisitos de los pagadores.
- Identificar y resolver denegaciones de reclamos y errores de rechazo.
- Reenviar reclamos corregidos según las guías de los pagadores.
- Generar y gestionar reportes de estado de cuentas.
- Comunicarse con fuentes externas (pacientes, aseguradoras, proveedores) para resolver problemas de facturación.
- Responder consultas de pacientes y brindar asistencia de facturación con profesionalismo.
Requisitos
- Experiencia previa en facturación, seguimiento o gestión del ciclo de ingresos (preferida).
- Capacidad para ejecutar procesos de forma eficiente con gran atención al detalle.
- Manejo de Microsoft Office, especialmente Excel.
- Fuertes habilidades de análisis y resolución de problemas.
- Comunicación clara, tanto escrita como verbal.
- Orientación al servicio al cliente.
Compensación
- Rango de pago: $16.39 – $24.29 por hora (dependiendo del puesto, ubicación y experiencia).
Beneficios
- Seguro médico, dental y de visión.
- Plan de retiro 401k.
- Días pagados de vacaciones y feriados.
- Oportunidades de capacitación y desarrollo profesional.
- Cultura de equipo solidaria, enfocada en el crecimiento y el impacto.
R1 ofrece un entorno donde tus habilidades ayudan a mejorar los resultados financieros de los proveedores de salud mientras apoyas una mejor atención al paciente.
Caza feliz,
~Two Chicks…
by Terrance Ellis | Sep 11, 2025 | Uncategorized
Support healthcare providers by resolving billing claims, fixing errors, and ensuring patients get clear and accurate billing.
About R1
R1 is a leading provider of technology-enabled revenue cycle management services that help hospitals, health systems, and physician practices simplify healthcare and improve financial performance. Headquartered in Salt Lake City, UT, R1 employs over 29,000 people worldwide and leverages advanced analytics, AI, automation, and workflow tools to drive impact.
Schedule
- Full-time
- 100% Remote (U.S.-based)
Responsibilities
- Review patient accounts to ensure claims are accurate and compliant with payer requirements
- Identify and resolve claim denials and rejection errors
- Resubmit corrected claims as necessary to meet payer guidelines
- Generate and manage reports for account status
- Communicate with external sources (patients, payers, providers) to resolve billing issues
- Answer patient inquiries and provide billing support with professionalism
Qualifications
- Prior billing, follow-up, or revenue cycle experience preferred
- Ability to manage processes efficiently with attention to detail
- Proficiency with Microsoft Office, especially Excel
- Strong problem-solving and analytical abilities
- Clear written and verbal communication skills
- Customer service orientation
Compensation
- Pay range: $16.39 – $24.29 per hour (based on role, location, and experience)
Benefits
- Medical, dental, and vision insurance
- 401k retirement plan
- Paid time off and holidays
- Career development and training opportunities
- Supportive team culture focused on growth and impact
R1 offers a workplace where your skills improve financial outcomes for providers while supporting better patient care.
Happy Hunting,
~Two Chicks…
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