by Terrance Ellis | Aug 12, 2025 | Uncategorized
Support medical billing operations by managing payer enrollments and resolving claim configuration issues.
About Candid Health
Candid Health streamlines healthcare revenue cycle management through technology-driven solutions, helping providers get paid faster and more accurately. Our mission is to remove administrative burdens so healthcare teams can focus on patient care.
Schedule
- Contract position, remote (USA)
- Department: Billing Team
Responsibilities
- Prepare and submit EDI/ERA and EFT applications through clearinghouses and payer portals
- Investigate payer enrollment denials and errors, taking corrective action
- Review and resolve payer correspondence in a timely manner
- Act as liaison between the RCM department and Strategy & Operations team for enrollment resolution
- Maintain accurate and up-to-date enrollment records
- Meet and maintain KPI/quality standards
- Adhere to HIPAA guidelines
Requirements
- 2+ years in revenue cycle management (medical billing or healthcare/healthtech)
- EDI enrollment experience preferred; Change Healthcare experience a plus
- Strong investigative and problem-solving skills
- Excellent oral/written communication and multitasking abilities
- Self-starter with a collaborative, solutions-focused mindset
Compensation
- $22–$27/hour (based on experience and qualifications)
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 12, 2025 | Uncategorized
Lead and optimize patient onboarding operations for a national neurological care network.
About Nira Medical
Nira Medical is a physician-led, patient-centered partnership dedicated to advancing neurological care. Founded by neurologists, we provide practices with technology, research opportunities, and a collaborative network to deliver exceptional patient outcomes.
Schedule
- Full-time, remote
- Department: Infusion & Revenue Cycle Management
What You’ll Do
- Oversee benefit verification, benefit exploration, and prior authorization processes for physician office and ancillary services
- Manage patient assistance programs to improve access to care
- Lead internal and external RCM teams, ensuring productivity and quality standards are met
- Support timely patient onboarding and address barriers to care
- Communicate operational updates, performance metrics, and provide training during transitions
What You Need
- 3+ years in management or team leadership for patient onboarding/intake or revenue cycle management
- Experience in infusion revenue cycle management and physician-administered therapies strongly preferred
- Strong knowledge of revenue cycle best practices, payer policies, and benefit design
- Leadership and team management skills with the ability to navigate complex transitions
- Familiarity with EMR/EHR & RCM systems (Centricity, Athena, or similar) preferred
Benefits
- Competitive compensation
- Medical, dental, and vision coverage
- Paid time off and holidays
- Opportunities to lead process improvements in a growing organization
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 12, 2025 | Uncategorized
Help ensure timely payments for healthcare services while supporting a patient-first care model.
About Nira Medical
Nira Medical delivers high-quality infusion and medical services, backed by a strong Revenue Cycle Management team dedicated to efficient claims processing, payment recovery, and patient care.
Schedule
- Full-time, remote
- Department: Infusion & Revenue Cycle Management
What You’ll Do
- Perform collections activities with third-party payors and patients to secure payment for past-due health insurance claims
- Meet monthly, quarterly, and annual cash collection and A/R goals
- Complete quality assurance tasks to ensure timely and accurate collections in compliance with policies and payer rules
- Investigate and resolve disputed or past-due claims to expedite payment
- Identify noncompliance patterns and escalate for review
- Negotiate payment plans, partial payments, and extensions of credit, escalating as needed
- Maintain compliance with organizational and payer guidelines
What You Need
- High school diploma or equivalent (GED) required
- Prior physician office and infusion drug experience highly preferred
- Strong interpersonal, communication, and organizational skills
- Ability to prioritize, multitask, and problem-solve effectively
- Proficiency with multiple software systems a plus
Benefits
- Competitive pay
- Medical, dental, and vision insurance
- Paid time off and holidays
- Supportive and growth-oriented work environment
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 12, 2025 | Uncategorized
Ensure patients receive timely insurance approvals and financial assistance for vital medical and infusion services.
About Nira Medical
Nira Medical provides exceptional infusion and medical services, ensuring patients have the coverage and financial support they need for their care. We work closely with patients, insurers, and assistance programs to remove barriers to treatment.
Schedule
- Full-time, remote
- Department: Infusion & Revenue Cycle Management
What You’ll Do
- Verify and document insurance eligibility, benefits, and coverage for office visits and infusion services
- Obtain pre-certifications and authorizations for visits and infusions
- Facilitate denial mitigation steps including peer-to-peer reviews and appeals
- Maintain knowledge of infusion drug authorization requirements and payer guidelines
- Calculate and communicate patient financial responsibilities
- Identify and enroll patients in financial assistance and manufacturer copay programs
What You Need
- High school diploma or equivalent
- 2–3 years of medical insurance verification and prior authorization experience (infusion services preferred)
- Knowledge of insurance terminology, plan types, J-codes, CPT, and ICD-10 coding
- Experience reviewing clinical documentation
- Strong organizational skills, detail orientation, and ability to multitask
- Critical thinking and sound judgment
- Athena experience a plus
Benefits
- Competitive pay
- Medical, dental, and vision insurance
- Paid time off and holidays
- Supportive, patient-centered work environment
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 12, 2025 | Uncategorized
Manage Medicaid payer accounts to ensure timely, accurate reimbursement for healthcare services.
About MedScope (A Division of Medical Guardian)
MedScope is a leader in the medical alarm industry, dedicated to delivering exceptional service and support for customers nationwide. Our Revenue Cycle Department ensures smooth claims processing and payer communication to keep our services accessible and effective.
Schedule
- Full-time: 9:00 AM – 5:00 PM EST
- Must reside in PA, DE, GA, MI, NC, TX, NJ, or FL
Pay
What You’ll Do
- Manage a set portfolio of Medicaid payer accounts as the subject matter expert.
- Follow up on outstanding claims, ensuring resolution within payer timelines.
- Review and appeal denied or underpaid claims in line with payer policies.
- Identify denial trends and escalate to management when needed.
- Communicate with insurance companies via phone, portals, or correspondence.
- Submit corrected or reconsidered claims as necessary.
- Maintain accurate documentation of all claim activity for audit purposes.
- Stay current with payer-specific guidelines, filing limits, and authorization rules.
What You Need
- Legal authorization to work in the U.S. (no sponsorship).
- High school diploma or equivalent (associate or bachelor’s degree preferred).
- 2+ years in medical billing or revenue cycle management, ideally with Medicaid experience.
- Strong analytical and critical-thinking skills.
- Proficiency in Microsoft Office; familiarity with Salesforce or Waystar a plus.
- Excellent written and verbal communication skills.
- Ability to work independently in a remote, deadline-driven environment.
Benefits
- Medical, dental, and vision insurance
- Paid time off and holidays
- Short- and long-term disability coverage
- 401(k) retirement plan
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Aug 12, 2025 | Uncategorized
Help customers live a life without limits while building your career from home.
About Medical Guardian
Medical Guardian is a leading provider of personal emergency response systems, helping customers stay safe and independent. With a team of over 350 employees nationwide, we offer a culture of growth, development, and genuine customer care. All calls and our paid sales training program are completed from the comfort of your own home using company-provided equipment.
Schedule
- Monday–Friday, 11:30 AM–8:00 PM EST
- Weekend rotation required
- Applicants must reside in AZ, DE, FL, GA, KY, KS, MA, MD, MI, NJ, OH, PA, SC, ID, IL, NC, WV, or TX
What You’ll Do
- Handle inbound and outbound calls with urgency, empathy, and professionalism.
- Retain customers by addressing concerns, renegotiating agreements, and preventing cancellations.
- Resolve issues via phone and email, ensuring customer satisfaction and loyalty.
- Execute and coordinate repricing for assigned accounts.
- Provide appropriate solutions within set timelines and follow up for resolution.
- Consistently meet or exceed personal and company sales goals.
What You Need
- Legal authorization to work in the U.S. (no sponsorship).
- Proven call center sales experience.
- Strong rapport-building skills and a sincere, ethical approach to customer retention.
- Competitive mindset with the ability to meet sales targets.
- Excellent communication, time management, and multitasking skills.
- Must pass a background check, employment history verification, and drug screening.
Benefits
- Medical, dental, and vision insurance
- Paid time off and holidays
- Short- and long-term disability coverage
- 401(k) retirement plan
Happy Hunting,
~Two Chicks…
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