by Terrance Ellis | Jul 16, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
USAble Life is hiring a Short Term Disability (STD) Claims Examiner at the I, II, or Senior level depending on experience. In this fully remote role, you’ll be responsible for reviewing and adjudicating STD claims, ensuring accuracy, timely resolution, and top-tier service to clients and claimants. This is a great opportunity for claims professionals ready to grow within a respected organization.
✅ Position Highlights
• Salary Ranges:
– Level I: $39,000–$58,000
– Level II: $44,000–$65,000
– Senior: $49,000–$73,000
• Full-time, permanent role
• Location: Fully remote (U.S.)
• Annual performance-based bonus eligible
• 401(k) with 6% match, vested from day one
• PTO upon hire + 11 paid holidays
• Comprehensive benefits + tuition reimbursement
• Company-provided equipment
• Recharge Days + Volunteer Time Off
📋 What You’ll Own
All Levels:
• Review and adjudicate STD claims according to policy guidelines
• Communicate professionally with claimants, providers, and policyholders
• Gather and assess medical and employment documentation
• Maintain detailed and accurate claim records
• Compose formal correspondence as needed
• Use internal tracking systems to monitor progress and workflow
• Collaborate with cross-functional teams for timely resolutions
Senior-Level Additions:
• Manage complex claims independently
• Mentor junior team members
• Interpret nuanced policy language and recommend solutions
🎯 Must-Have Traits
• Proven experience handling STD claims
• Understanding of medical terminology and coding
• Strong attention to detail and documentation practices
• Excellent written and verbal communication
• Organized with the ability to manage multiple tasks and deadlines
• Proficient with Microsoft Office and claims systems like FINEOS
📚 Required Background
Level I:
• Associate’s degree or equivalent experience
• 1–3 years in customer service or claims
Level II:
• Associate’s degree or equivalent
• 1–3 years specifically as a Claims Examiner
Senior:
• Associate’s degree or equivalent + 3–5 years claims experience
• LOMA certification (280/281 and 290/291) required within 18 months
📈 Preferred Experience
• Bachelor’s in business or healthcare-related field
• Background in medical coding
• Experience using FINEOS or similar claims platforms
• LOMA coursework completed
• 3+ years in insurance for senior-level roles
💻 Remote Requirements
• Must be based in the U.S.
• Stable internet connection
• Self-starter with excellent time management
💡 Why It’s a Win for Remote Job Seekers
• Join a DEI-award-winning workplace
• Choose your entry point: beginner to senior
• Do impactful work supporting people during tough times
• Fully remote, no commute, with flexibility and support
✍️ Call to Action
If you’re experienced in STD claims and ready for a remote opportunity with growth potential, apply today to join USAble Life’s claims team.
by Terrance Ellis | Jul 16, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Nira Medical is hiring a Benefits and Authorizations Specialist to support infusion and office-based care operations. In this full-time remote role, you’ll be on the frontlines of verifying patient coverage, securing pre-authorizations, and helping patients navigate financial assistance programs for critical treatments.
✅ Position Highlights
• Full-time, permanent role
• Location: 100% remote
• Department: Infusion & Revenue Cycle Management
• Focus: Patient coverage verification, authorizations, and financial support
• Contribute directly to patient access and treatment continuity
📋 What You’ll Own
• Verify and document insurance eligibility, benefits, and coverage
• Submit pre-authorizations and precertification requests for services
• Identify and support patients with financial assistance and co-pay programs
• Communicate patient financial responsibility clearly and accurately
• Track and resolve insurance denials, including coordination of appeals and peer-to-peer reviews
• Stay current on payer-specific infusion authorization rules and compliance regulations
• Review clinical documentation and ensure complete records for processing
🎯 Must-Have Traits
• High school diploma or equivalent
• 2–3 years of experience in insurance verification and prior authorizations (infusion experience preferred)
• Familiar with J-codes, CPT codes, and ICD-10 coding
• Solid understanding of insurance plans, structures, and terminology
• Strong multitasking, organization, and critical thinking skills
• Detail-oriented and able to work in a fast-paced remote environment
• Previous experience with Athena is a plus
• Confident interpreting medical terminology and reviewing clinical notes
💻 Remote Requirements
• Must reside in the U.S.
• Stable internet and quiet workspace
• Ability to work independently and manage time effectively
💡 Why It’s a Win for Remote Job Seekers
• Make a direct impact in helping patients access life-changing treatments
• Join a growing healthcare organization in the infusion care space
• Enjoy the flexibility of a fully remote position
• Be part of a mission-driven team that prioritizes patient care and support
✍️ Call to Action
If you’re experienced in insurance verification and want to help patients receive critical care, apply now to join Nira Medical’s remote infusion care team.
by Terrance Ellis | Jul 16, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
Workit Health is reshaping how addiction is treated in America. As a Credentialing Specialist, you’ll help remove barriers to care by ensuring providers are properly credentialed across payer systems. You’ll work remotely with a mission-driven team passionate about making stigma-free treatment accessible to all.
✅ Position Highlights
• Pay: $21.00–$23.00/hour
• Full-time, remote
• Department: Operations
• Reports to: Credentialing Manager
• Company mission: Modern, evidence-based addiction care that meets patients where they are
📋 What You’ll Own
• Act as liaison with third-party payers and credentialing vendors
• Manage and update provider credentialing data and clinic licensure info
• Maintain payor directory accuracy for all clinics
• Process provider applications and revalidations, ensuring deadlines and accuracy
• Identify and resolve provider-related authorization issues in collaboration with billing
• Ensure compliance with HIPAA and Workit Health credentialing policies
🎯 Must-Have Traits
• 2–3 years of billing and credentialing experience
• Familiarity with payer portals, CAQH, and HIPAA operations
• Detail-oriented with strong organizational skills
• Proactive communicator across email, Slack, and video
• Tech-savvy with consistent high-speed internet
• Comfortable working independently in a remote environment
💻 Remote Requirements
• Must be U.S.-based
• Reliable, high-speed internet
• Comfortable navigating digital tools for workflow, communication, and data entry
💡 Why It’s a Win for Remote Job Seekers
• Fully remote team across the U.S.
• 5 weeks PTO, including your birthday and mental health days
• 11 paid holidays
• Comprehensive medical, dental, and vision + 65% company-paid dependent coverage
• 12 weeks paid parental leave (after one year)
• 401(k) with matching
• FSA accounts (health and dependent care)
• Professional development stipend
• Strong, inclusive culture with ERG groups and equity-driven initiatives
✍️ Call to Action
If you’re organized, experienced in credentialing, and want to support a mission that saves lives, apply now and help us transform addiction treatment with care, dignity, and real access.
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.
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