by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Nira Medical is seeking a full-time Benefits and Authorizations Specialist to join the Infusion & Revenue Cycle Management team. You’ll be the crucial link between patients and their access to care—verifying insurance, managing pre-authorizations, and helping patients secure financial support.
✅ Position Highlights
• Full-time, remote position (U.S. based)
• Department: Infusion & Revenue Cycle Management
• Insurance verification and authorization for infusion services
• Financial support guidance for patients
📋 What You’ll Own
• Verify and document patient insurance eligibility, coverage, and benefits
• Submit and track pre-authorizations for office visits and infusion services
• Calculate and explain patient financial responsibility
• Support patients with financial assistance applications and manufacturer copay programs
• Work through insurance denials including peer-to-peer reviews and appeals
• Maintain knowledge of drug authorization requirements and payer guidelines
• Review clinical documentation and align with payer requirements
🎯 Must-Have Traits
• High school diploma or equivalent
• 2–3 years of experience with insurance verification and prior authorizations
• Familiarity with CPT, ICD-10, and J-codes
• Strong organizational and multitasking skills
• Detail-oriented with critical thinking and sound judgment
• Understanding of medical terminology and documentation
• Athena experience is a plus (not required)
💡 Why It’s a Win for Remote Job Seekers
• 100% remote role with a meaningful mission
• Direct impact on patient access to care
• Fast-paced, collaborative healthcare environment
• Opportunity to grow in the infusion services field
✍️ Call to Action
If you’re experienced in insurance verification and want to help patients navigate access to life-changing medical treatments, Nira Medical is ready for you. Apply now and make a difference.
by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Shriners Children’s is looking for a Professional Billing Specialist to manage accounts receivable and professional billing operations in line with regulatory, payer, and productivity standards. This role plays a critical part in appeals, denials management, and payer communications across the revenue cycle.
✅ Position Highlights
• Full-time, remote (U.S. based)
• Medical coverage begins on Day 1
• 403(b) + Roth with 6% match after one year
• PTO, life, disability, FSA/HSA, tuition reimbursement
• Additional voluntary benefits (pet, home & auto, critical illness)
• Named 2025 Best Mid-Sized Employer by Forbes
• Inclusive, values-based culture focused on pediatric specialty care
📋 What You’ll Own
• Manage claim denials and appeals to ensure timely payer response
• Review denial categories, determine appropriate level of appeal
• Track claim edit and denial activities using healthcare tracking tools
• Submit medical record requests within 48 hours
• Monitor work queues for resolution and coordinate with payer reps
• Analyze trends in denials, prepare reports for team and committees
• Coordinate special projects related to billing and payer activity
• Maintain knowledge of state/federal claim regulations and payer rules
🎯 Must-Have Traits
• 5+ years in healthcare revenue cycle or A/R collections
• Epic PB Resolute experience required
• Working knowledge of 837P transactions, 835s, EOBs, CCI edits
• Familiarity with CPT, HCPCS, ICD-10, and revenue codes
• Intermediate Excel skills
• Strong understanding of payer contract terms, billing, and payment rules
• Bachelor’s degree or equivalent work/education combo
• Must earn Epic PB Resolute certification within 12 months if not already certified
💻 Preferred But Not Required
• Knowledge of SQL or Crystal Reports
• HFMA CRCR credential
💡 Why It’s a Win for Remote Job Seekers
• Long-standing healthcare organization with global impact
• Remote flexibility with structured onboarding
• Transparent, competitive benefits from day one
• Collaborative work culture with a mission-driven team
✍️ Call to Action
Join a nationally respected leader in pediatric specialty care and play a vital role in the revenue cycle process. If you’re detail-oriented, proactive, and experienced in healthcare billing, this role is a chance to make an impact from day one.
by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Remote, US)
🧾 About the Role
Personify Health is looking for a Technical Operations Specialist to manage electronic data interchange (EDI) workflows across multiple systems. This is a cross-functional role focused on tracking file integrity, resolving technical issues, and translating operational needs into actionable data processes. If you love problem-solving, collaborating with different teams, and digging into data flows, this one’s for you.
✅ Position Highlights
• Full-time, remote (US only)
• Salary: $22–$28/hr (based on location, experience, and skills)
• Eligible for medical, dental, vision, and mental health benefits
• Paid time off and career development opportunities
• Inclusive and people-first work culture
• Join a fast-growing company that’s redefining personalized health
📋 What You’ll Own
• Monitor EDI file movements, processing status, and data integrity
• Analyze issues in insurance claims, eligibility, and file formatting
• Communicate technical findings to internal teams and stakeholders
• Coordinate ongoing EDI testing, upgrades, and partner implementations
• Collaborate with engineering and ops teams to solve enrollment or mapping issues
• Maintain real-time status updates on file processing and task progress
• Document requirements, track issues, and translate business needs into clear technical steps
• Support other tech ops initiatives as assigned
🎯 Must-Have Traits
• 2+ years in system/data analysis or process improvement
• 1+ years in healthcare or third-party administrator (TPA) space
• Knowledge of ANSI 5010 transactions (837, 835, 834, 270/271) preferred
• Solid Excel skills; SQL, Tableau, Power BI, or other data tools a plus
• Analytical, resourceful, and solutions-focused
• Strong communication skills and collaborative mindset
• Degree preferred but not required
💻 Remote Requirements
• US-based with stable internet and private workspace
• Must maintain data security and HIPAA compliance standards
• Open to candidates from diverse backgrounds and locations
💡 Why It’s a Win for Remote Job Seekers
• Mission-driven company shaping the future of personalized health
• Work with cross-functional teams on real-world impact projects
• Diverse and inclusive environment that values every voice
• Growth-focused role with visibility into multiple departments
✍️ Call to Action
If you’re ready to step into a high-impact role at the intersection of data, healthcare, and tech—join us and help shape a healthier, more connected future.
by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Remote, US-Based Only)
🧾 About the Role
PartnerHero x Crescendo is hiring a Real-Time Coordinator to oversee day-to-day support operations across phone, chat, and email channels. You’ll manage live scheduling, monitor workload volumes, and ensure exceptional customer experience through proactive coordination. This is a strategic role that blends data awareness, CX tools, and real-time decision-making to optimize performance.
✅ Position Highlights
• Full-time, remote (US only)
• Schedule: Friday–Tuesday, 10:00 AM–7:00 PM EST
• Paid training: Mon–Fri, 8:00 AM–5:00 PM EST
• Start Date: July 24, 2025
• Competitive salary and benefits
• Medical, dental, vision, and retirement options
• Paid time off, sabbaticals, and training
• Equipment provided
📋 What You’ll Own
• Monitor real-time volume across all support channels
• Adjust schedules, breaks, and ticket assignments based on live needs
• Ensure adherence to SLA targets and agent availability
• Collaborate with leadership to improve time tracking and support delivery
• Generate reports and analyze trends for ongoing optimization
• Use CX platforms and workforce tools to manage utilization
• Maintain confidentiality and support HIPAA-compliant environments
• Support cross-functional projects as needed
🎯 Must-Have Traits
• Prior experience as a Real-Time Analyst or Coordinator
• Familiarity with CX tools (Zendesk preferred)
• Strong attention to detail and analytical skills
• Experience juggling multiple workflows and communication channels
• Comfortable using spreadsheets (Google Sheets or Excel)
• Excellent communicator, team player, and initiative-taker
• Passion for data-informed decisions and real-time problem solving
• Commitment to PartnerHero values: Be Humble, Take Ownership, Care for Others, Embrace Growth, Manifest Trust
💻 Remote Requirements
• Must reside in AZ, DE, FL, GA, ID, KS, MD, MI, NV, NC, OR, TX, VA, WA, or SC
• Reliable home internet and power, with a private backup location (not a public space)
• HIPAA-compliant environment and comfort handling sensitive data
💡 Why It’s a Win for Remote Job Seekers
• People-first culture with a Most Loved Workplace vibe
• Blend of strategic thinking and operational execution
• Clear career development and mentorship paths
• Opportunity to be on the frontlines of Augmented AI-powered CX
✍️ Call to Action
If you thrive in fast-paced, high-impact environments and are ready to shape the future of real-time support, apply now and help us redefine customer experience.
by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Fully Remote – CA Applicants Preferred)
🧾 About the Role
The Healthcare Posting Specialist ensures payments are accurately processed and applied from payers, patients, and other sources. This role requires strong knowledge of EOBs, ERAs, EFTs, and lockbox procedures, along with an understanding of healthcare reimbursement standards. You’ll work closely with billing and revenue cycle teams to maintain compliance, accuracy, and clarity across all posting activities.
✅ Position Highlights
• Pay range: $22/hr – $24/hr
• Fully remote
• Medical, dental, and 401K benefits
• Compliance-focused and detail-driven role
• Supportive team environment
📋 What You’ll Own
• Post payments, adjustments, and denials to patient accounts
• Manage EFT, ERA, and lockbox transactions in line with regulations
• Investigate and resolve posting discrepancies
• Maintain up-to-date knowledge on payer guidelines and reimbursement practices
• Generate and support reporting for analysis and reconciliation
• Collaborate with revenue cycle, billing, and collections teams
• Interpret EOBs and support document clarification as needed
🎯 Must-Have Traits
• 3+ years experience in healthcare payment posting
• Proficiency with ERA and EFT processing
• Knowledge of lockbox operations and payment software
• Familiarity with Microsoft Office and revenue cycle systems
• Detail-oriented and accurate data entry
• Strong problem-solving and communication skills
• Comfortable working independently in a remote setting
• Must pass a background and credit check
💻 Remote Requirements
• Secure, quiet home workspace
• Reliable internet access
• Self-motivated and capable of independent workflow
💡 Why It’s a Win for Remote Job Seekers
• Clear, structured responsibilities
• Opportunity to work independently while collaborating with a team
• Supportive leadership and room to grow within healthcare revenue operations
• Flexibility to maintain work-life balance
✍️ Call to Action
If you’re meticulous, motivated, and ready to play a vital role in the healthcare revenue process from the comfort of your home, apply now and help keep payment workflows running smoothly.
by Terrance Ellis | Jul 11, 2025 | Uncategorized
(Remote – U.S. Based)
🧾 About the Role
OneSource Virtual is looking for a strategic and detail-driven Payroll Specialist III to support high-profile clients within our Managed Payroll Premium services. This is a senior-level remote role focused on advanced Workday payroll support, configuration, and year-end activities. You’ll act as a lead resource for large, complex accounts and play a key role in mentoring teammates while maintaining top-tier service levels.
✅ Position Highlights
• Full-time, 100% remote
• Named client support for complex accounts
• Competitive salary + performance opportunities
• Full suite of benefits and retirement options
• Workday platform exposure and internal growth potential
📋 What You’ll Own
• Serve as the primary contact for complex payroll clients
• Lead and support new client transition calls, service rehearsals, and weekly syncs
• Troubleshoot and resolve escalated payroll issues
• Manage service tickets, distribution, and resolution workflow
• Configure and troubleshoot complex Workday pay components and run categories
• Drive compliance, W2 support, year-end activities, and root cause analysis
• Coach and guide teammates on best practices and process improvements
• Collaborate with Sales and Professional Services as needed
🎯 Must-Have Traits
• Certified Payroll Professional (CPP) OR 15+ years payroll/customer service experience
• Advanced Microsoft Excel and Word skills
• Strong consultative communication skills
• Proven success supporting high-demand clients
• Solid grasp of payroll tax regulations and compliance
• Experience working in a fast-paced, high-volume service environment
• Workday payroll knowledge preferred
• Strong analytical thinking, time management, and leadership instincts
💻 Remote Requirements
• Reliable home setup with secure access
• Ability to work regular U.S. business hours
• Self-motivated with excellent prioritization skills
💡 Why It’s a Win for Remote Job Seekers
• Join a fast-growing, forward-thinking company
• Contribute to major accounts and drive transformation
• Mentorship and leadership opportunities
• Culture of learning, collaboration, and innovation
• Competitive benefits, career mobility, and global impact
✍️ Call to Action
If you’re a seasoned payroll expert ready to lead client relationships, solve complex challenges, and help organizations transform their payroll processes through Workday, this is your opportunity. Apply today and join OneSource Virtual’s dynamic remote team.
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