by Terrance Ellis | Sep 22, 2025 | Uncategorized
Support provider enrollment, credentialing, and compliance to keep healthcare access seamless.
About Diana Health
Diana Health is a network of modern women’s health practices partnering with hospitals to reimagine the maternity and women’s healthcare experience. We combine tech-enabled, wellness-focused care that women love with clinical systems that empower providers, improve quality, and protect work-life balance. Our mission is to support women across all life stages to live healthier, more fulfilling lives.
Schedule
- Temp-to-perm position
- Full-time, fully remote
- Collaboration across multiple states and payers (TN, FL, TX)
Responsibilities
- Submit and manage payer credentialing applications for commercial, Medicare, and Medicaid payers
- Oversee re-credentialing for existing providers as required
- Maintain and update provider CAQH profiles, ensuring attestations every 120 days
- Track and manage expiration dates for licenses, DEA, and certifications; notify Practice Managers proactively
- Review and update health plan directories for accuracy
- Coordinate with Practice Managers, Regional Clinical Directors, and Billing teams regarding credentialing timelines and effective dates
- Handle miscellaneous credentialing-related tasks as needed
Requirements
- High School Diploma or GED required
- Experience with payer platforms such as CAQH, Availity, PECOS, TennCare, AHCA, TMHP
- Strong organizational and attention-to-detail skills
- Effective communication and collaboration with clinical and administrative teams
- Familiarity with commercial, Medicare, and Medicaid payer credentialing processes
Benefits (Temp)
Benefits (Full-Time)
- Competitive compensation
- Medical, dental, and vision plans with HSA/FSA option
- 401(k) with employer match
- Paid time off and holidays
- Paid parental leave
Why Join Diana Health?
You’ll be part of a collaborative, mission-driven team shaping a better model for women’s healthcare—where your work directly supports providers and improves patient access to care.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 22, 2025 | Uncategorized
Play a key role in maintaining revenue cycle accuracy by ensuring timely, accurate posting and reconciliation of payments.
About Diana Health
Diana Health is a network of modern women’s health practices partnering with hospitals to reimagine the maternity and women’s healthcare experience. We combine tech-enabled, wellness-focused care that women love with clinical systems that empower providers, improve quality, and protect work-life balance. Our mission is to support women across all life stages to live healthier, more fulfilling lives.
Schedule
- Full-time, fully remote
- Standard business hours with collaboration across care and revenue teams
Responsibilities
- Accurately post all insurance and patient payments (manual and electronic)
- Process adjustments, denials, and refunds in line with policies
- Download/post Electronic Remittance Advices (ERAs) and reconcile to bank deposits
- Review/post patient payments from lockbox, in-office collections, and online portals
- Reconcile daily activity to deposits and resolve discrepancies promptly
- Research unapplied cash and missing remittances
- Maintain logs and reports for daily posting/reconciliation
- Support audits and month-end reconciliation as needed
- Collaborate with AR and billing teams to ensure accurate application of payments
Requirements
- High School Diploma or GED required
- 2–3 years of healthcare payment posting experience (manual + electronic)
- Familiarity with ERAs, EOBs, and EOPs
- Experience with AthenaOne or similar EMR/Practice Management systems preferred
- Knowledge of Medicare, Medicaid, and commercial payer processes
- Strong organizational skills and attention to detail
- Proficiency with Microsoft Office, especially Excel
- Understanding of HIPAA regulations related to patient financial data
Benefits
- Competitive compensation
- Medical, dental, and vision plans with HSA/FSA options
- 401(k) with employer match
- Paid time off and holidays
- Paid parental leave
- Culture rooted in growth mindset, empathy, and resourcefulness
Why Join Diana Health?
You’ll be part of a collaborative, mission-driven team shaping a better model for women’s healthcare—where your work directly impacts patient and provider wellbeing.
Happy Hunting,
~Two Chicks…
by twochickswithasidehustle | Sep 22, 2025 | Uncategorized
Date: Sep 5, 2025
Location:
Remote, Remote, US
Requisition ID: 17239
Description:
Data Entry-Open Enrollment
Job Title: Data Entry
Location: Remote work from home
Job Type: Seasonal (ends Jan 2026)
Schedule: Monday through Friday 8:00am-4:30pm CST
FLSA Status: Non-Exempt/Hourly
Grade: H
Function/Department: Health Plan and Healthcare Services
Reporting to: Team Lead – Operations
Pay Range: $14.00 an hour
- Job Summary:
- Responsible for maintaining accurate and up-to-date member coverage information in a health insurance setting.
- Ensuring data integrity and accuracy of member records from an enrollment perspective.
Essential Functions and Responsibilities:- Reviewing and reconciling member records: This includes reviewing eligibility dates, plans, primary care provider (PCP) information, and other relevant details.
- Comparing and reconciling enrollment information: Comparing enrollment information to relevant files, such as 834 files, and making necessary adjustments to ensure correct data is present.
- Enrolling new or reinstated members: Processing requests to enroll new members or reinstate existing ones.
- Reviewing and reconciling Third Party Liability (TPL) records: Examining and reconciling records related to third-party liability.
- Following procedures and standards: Adhering to team procedures, including HIPAA policies and procedures, and meeting established performance standards for quality, turnaround time, and productivity.
- Maintaining internal customer relations: Interacting with staff to address enrollment issues, conducting research, and ensuring accurate and complete enrollment record information.
- Contacting members or other involved parties: Reaching out to insured individuals or other parties to obtain additional or missing information.
- Maintaining detailed records: Keeping accurate records of all member interactions.
Qualifications:
- Education: High School Diploma or GED.
- Experience: Prior experience in enrollment processing, particularly with Medicaid, Medicare, or Commercial enrollment. Experience with specific systems, such as Facets is preferred.
- Technical Competencies:
-
- Ability to work remotely and independently.
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- Strong attention to detail.
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- Strong interpersonal, time management, and organizational skills.
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- Good oral/written communication and analytical skills.
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- Ability to work in a fast-paced environment and navigate multiple systems, often using dual monitors.
About Firstsource
Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.
We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our ‘rightshore’ delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals.
Our clientele includes Fortune 500 and FTSE 100 companies.
Firstsource is an Equal Employment Opportunity employer. All employment decisions are based on valid job requirements, without regard to race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other characteristic protected under federal, state or local law.
Firstsource also takes Affirmative Action to ensure that minority group individuals, females, protected veterans, and qualified disabled persons are introduced into our workforce and considered for employment and advancement opportunities.
by Terrance Ellis | Sep 22, 2025 | Uncategorized
Review provider documentation, deliver feedback, and support coding compliance to ensure accuracy and quality.
About Ventra Health
Ventra is a leading business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. We deliver transparent, data-driven revenue cycle solutions for private practices, hospitals, and health systems, helping clinicians focus on exceptional patient care.
Schedule
- Full-time, remote position (Nationwide, US)
- Eastern Time Zone schedule
Responsibilities
- Review provider documentation daily for coding production and compliance
- Perform ongoing analysis of medical records to identify areas for improvement
- Provide weekly and monthly feedback on documentation trends
- Support senior provider education specialists with focused documentation needs
- Complete special projects and other duties as assigned
Requirements
- High school diploma or GED required
- CPC (Certified Professional Coder) or equivalent certification required
- 4+ years of coding experience and 2+ years of auditing experience required
- Degree in Healthcare Administration, Health Information Management, or related field preferred
- Knowledge of hospital medicine coding, medical terminology, and anatomy
- Strong communication, decision-making, and problem-solving skills
- Ability to manage multiple tasks in a fast-paced environment
- Professional demeanor with the ability to maintain confidential information
Benefits
- Competitive base compensation (varies by experience, skills, and location)
- Eligible for discretionary incentive bonus
- Comprehensive health benefits (medical, dental, vision)
- Paid time off and paid holidays
- 401(k) retirement plan with employer contributions
- Training and professional development opportunities
- Inclusive and collaborative work environment
Why Join Ventra Health?
You’ll play a key role in improving provider documentation accuracy while ensuring compliance with coding standards. This role offers growth, stability, and the opportunity to directly impact revenue cycle performance in healthcare.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 22, 2025 | Uncategorized
Support billing accuracy and revenue cycle performance by reconciling intake records, analyzing data trends, and resolving discrepancies.
About Ventra Health
Ventra is a leading business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. We partner with private practices, hospitals, and health systems to deliver transparent, data-driven revenue cycle solutions that allow clinicians to focus on patient care.
Schedule
- Full-time, remote position (Nationwide, US)
- Eastern Time Zone schedule
Responsibilities
- Analyze data to identify trends and recommend improvements to reconciliation practices
- Conduct regular audits to ensure all records are processed for billing
- Create and distribute weekly reports for accurate and timely billing
- Prepare monthly scorecards and reports for management and clients
- Access EMR and charge capture systems to review and process records
- Document reconciliation gaps and work with leadership to implement solutions
- Lead coordination and communication of reconciliation results
- Perform additional duties as assigned
Requirements
- High school diploma or GED
- 1+ year of data analysis experience
- 1+ year of medical billing experience (preferred)
- Basic SQL knowledge required
- Strong written and verbal communication skills
- Ability to prioritize tasks and meet tight deadlines
- Proficiency in Outlook, Word, Excel, and typing at least 40 wpm (50 preferred)
- Strong organizational and decision-making skills
- Ability to work independently and interact effectively with all levels of staff
Benefits
- Competitive base compensation (varies by experience, skills, and location)
- Eligible for discretionary incentive bonus
- Comprehensive health benefits (medical, dental, vision)
- Paid holidays and paid time off
- 401(k) retirement plan with employer contributions
- Training and professional development opportunities
- Inclusive and collaborative work environment
Why Join Ventra Health?
Be part of a team that ensures billing accuracy and efficiency across the healthcare revenue cycle. This role offers growth opportunities while directly contributing to operational excellence in support of clinicians nationwide.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Sep 22, 2025 | Uncategorized
Resolve high-level posting issues, manage escalations, and support audits and training within a healthcare revenue cycle environment.
About Ventra Health
Ventra is a leading business solutions provider for facility-based physicians in anesthesia, emergency medicine, hospital medicine, pathology, and radiology. We partner with private practices, hospitals, and health systems to deliver transparent, data-driven revenue cycle solutions that enable clinicians to focus on patient care.
Schedule
- Full-time, remote position (Nationwide, US)
- Eastern Time Zone schedule
Responsibilities
- Manage and resolve escalation requests from internal teams and client services
- Investigate and resolve issues escalated from Client Success
- Support departmental audits and training initiatives as assigned
- Research and complete special projects related to payment posting
- Provide process improvement feedback to leadership
- Deliver timely, accurate resolutions while maintaining compliance with policies and procedures
Requirements
- High school diploma or equivalent
- 2+ years of experience posting insurance payments in a healthcare setting
- 1+ year of experience in an escalation or lead role in payment posting (preferred)
- 2+ years of experience reading and interpreting Explanation of Benefits (EOB) statements (preferred)
- Strong knowledge of insurance payer types and payment posting processes
- Proficiency in Microsoft Outlook, Word, Excel (pivot tables), and database software
- Strong organizational, time management, and communication skills
- Ability to work independently and collaboratively in a fast-paced environment
Benefits
- Competitive base compensation (varies by experience, skills, and location)
- Eligible for discretionary incentive bonus
- Comprehensive health benefits including medical, dental, and vision coverage
- Paid holidays and paid time off
- 401(k) retirement plan with employer contributions
- Professional development and training opportunities
- Supportive, inclusive, and collaborative workplace
Why Join Ventra Health?
Be part of a team that resolves critical payment posting issues and ensures smooth revenue cycle operations for clinicians nationwide. Grow your expertise in escalation management, auditing, and training while making an impact in healthcare financial operations.
Happy Hunting,
~Two Chicks…
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