Maternity Care Authorization Specialist (Hybrid Potential)
Remote job
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
Patient Access Representative
Remote job
An employer is looking for a Patient Access Representative within a call center environment in the Beverly Hills, CA area. This person will be responsible for handling about 50+ calls per day for multiple primary care offices across Southern California. The job responsibilities include but are not limited to: answering phones, triaging patients, providing directions/parking instructions, contacting clinic facility to notify if a patient is running late, scheduling and rescheduling patients' appointments, verifying insurances, and assisting with referrals/follow up care.
This is a contract to hire position, where you will be eligible for conversion with the client around 6-12 months. This role can pay up to $24/hour. The first 3 months of the role are ONSITE for mandatory training. During month 3 you will be assed and transitioned to a fully REMOTE employee. The shifts will be anytime from 7am-7pm.
Required Skills & Experience:
-HS Diploma
-2+ years healthcare call center experience OR front desk experience at doctor's office with multiple physicians
-Proficient in EHR/EMR software
-2+ years experience scheduling patient appointments for multiple physicians
-40+ WPM typing speed
Nice to Have Skills & Experience:
-Proficient in Epic software
-Experience verifying insurances
-Basic experience with Excel and standard workbooks
-Experience with Genesis phone system
Medical Collections Specialist
Remote job
Bluebird Staffing is hiring
Medical Collections Agents
Client- healthcare Job type: fully remote
CPR + software experience is required
CareTend experience is a plus
Ability to work from home
Pay Rate- $20/hour
Duration- 5 months (possible temp to perm)
Bluebird Staffing is hiring
Medical Collections Agents
Client- healthcare
Client Location- New Jersey
Job type: fully remote
CPR + software experience is required
CareTend experience is a plus
Ability to work from home
Pay Rate- $20/hour
Duration- 5 months (possible temp to perm)
Insurance Denials Specialist II
Remote job
RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for an Insurance Denials Specialist II to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As an Insurance Denials Specialist you will investigate and determine the reason for a denied or unpaid claim, and take necessary steps to expedite the medical billing and collections of the accounts receivable. At CDI our passion for our patients, customers and purpose requires teamwork and dedication from all of our associates. Working in a team environment, you'll communicate with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner.This is a 100% remote full-time position working 40 hours per week. Shifts are from 8:00 AM - 4:30 PM.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(90%) Insurance Denial Follow-up
Accurately and efficiently reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states
Reviews and obtains appropriate information or documentation from claim re-submission for all denied services, per insurance guidelines and requirements
Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a timely, effective manner to expedite the billing and collection of accounts receivable
Documents all communications with coworkers, patients, and payer sources in the billing system
Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections
Prioritizes work load, concentrating on "priority" work which will enhance bottom line results and achievement of the most important objectives
Contributes to a team environment
Recognizes and communicates trends in workflow to departmental leaders
Meets or exceeds RCM Quality Assurance standards
Ensures timely follow-up and completion of all daily tasks and responsibilities
(10%) Performs other duties as assigned
As backup for customer service team, communicates and responds to customer inquiries as needed
Remote Sales Insurance Specialist
Remote job
Are you enthusiastic, self-motivated, and eager to learn? Do you thrive in a fast-paced environment and aren't afraid of hard work? If so, we want to hear from you!
At Globe Life: The Gelb Group, we are dedicated to protecting the hardworking middle class. As a Remote Sales Insurance Specialist, you'll embark on a structured 3-6 month training program designed to provide you with in-depth industry knowledge and hands-on experience. You'll gain valuable insights into our history, mission, and vision while developing the skills necessary to excel and grow within our company.
What Youll Do:
Master the daily operations of the business through hands-on training.
Work directly with customers to tailor permanent benefits that meet their family's needs.
Build and maintain strong relationships with organizations such as the Police Association, Nurses Association, Firefighters, Postal Workers, Labor Unions, and more.
Develop essential skills in communication, leadership, organization, time management, networking, and team building.
Learn business logistics and strategies to maximize earnings and profitability.
What Were Looking For:
Leadership experience is a plus, but not required.
A strong willingness to learn and be coachable.
Ability to accept and apply constructive feedback.
Strong people skills and a great sense of humor!
Highly organized and team-oriented.
Company Perks & Benefits:
Incentive Trips to destinations like Cabo, Tulum, Vegas, and Cancun.
100% Remote Work from anywhere!
Weekly training calls to support professional growth.
Performance-based weekly pay & bonuses.
Health insurance reimbursement.
Life insurance & retirement plan.
If youre ready to take your career to the next level, apply today with your most up-to-date resume!
Its not about where you startits about where you finish!
Overview:
American Income Life has been a leading provider of life and supplemental benefits for working families since 1951. We have established strong relationships with unions and associations across the United States. As the company grows rapidly, we are now offering remote positions to serve families across all time zones nationwide. This is an entry-level position with a potential annual income ranging from $60,000 to $80,000.
Responsibilities:
Assist clients by providing information about products and services
Address client questions regarding their coverage
Continuously develop and maintain an understanding of evolving products and services
Regularly review client agreements to identify opportunities for cost-effective improvements
Qualifications:
Previous experience in customer service, sales, or a related field (not required)
Ability to build rapport with clients
Strong multitasking and organizational skills
Positive, professional demeanor
Excellent written and verbal communication skills
What We're Looking For:
A sharp individual with an entrepreneurial mindset
A team player who thrives under pressure
Someone with professional communication skills
Benefits:
Comprehensive hands-on training
Weekly pay
Performance-based bonuses
Commission-based income
Residual income opportunities
Company-paid trips
Remote work flexibility
Compensation details: 55000-100000 Yearly Salary
PId2e3ecf86a6d-31181-38920149
Remote Life Insurance Specialist Position
Remote job
Job
We
are
seeking
a
motivated
and
results
driven
Life
Insurance
Sales
Representative
to
join
our
team
In
this
role
you
will
be
responsible
forselling
life
insurance
policies
to
potential
clients
that
have
reach
out
to
our
agency
requesting
information
This
is
a
commission
only
meaning
you will be compensated based on the policies you sell Responsibilities Service our inbound leads and build a client base by networking and using other sales and marketing techniques Identify and understand the needs of potential clients to offer appropriate life insurance products Present and explain insurance policy options to clients and provide professional advice to help them make informed decisions Maintain accurate records of sales customer information and client interactions Follow up with clients and prospective clients to ensure customer satisfaction and to close sales Attend training sessions and stay up to date on industry trends and regulations Requirements Disciplined work ethic and a desire to succeed Excellent communication and interpersonal skills Ability to work independently and manage your own schedule Strong customer service skills and a client focused mindset Ability to build and maintain relationships with clients and potential clients Active life insurance license in the states you will be selling in Compensation This is a commission only position meaning you will be compensated based on the policies you sell The earning potential is unlimited and high performing sales representatives have the opportunity to make a significant income We provide training and support to help you succeed in this role If you are a self motivated results driven sales professional looking for a commission only position with unlimited earning potential we want to hear from you Please submit your resume and cover letter to apply for this position If you are interested you will be expected to schedule a phone interview as soon as you apply and be on time for that appointment Once you apply you will receive an email and a text with instructions as to what we want you to do before you click on the link to schedule your phone interview As a licensed agent does it hurt to take a look at the different approach we offer We look forward to partnering with you Chadd Parker Regional Sales Manager Schedule Your Interview Timehttpscalendlycomchaddparker P ************ No agents success earnings or production results should be viewed as typical average or expected Not all agents achieve the same or similar results and no particular results are guaranteed Your level of success will be determined by several factors including the amount of work you put in your ability to successfully follow and implement our training and sales system and engage with our lead system and the insurance needs of the customers in the geographic areas in which you choose to work
Medical Claims Processor I
Remote job
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider-we're your trusted partner in innovation.
Become an integral part of a dedicated team supporting the World Trade Center Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. If you are eager to make a positive impact in the community through your administrative skills, we encourage you to apply.
Work Schedule
Remote
Monday through Friday, 8:30 AM to 5:00 PM EST
Must be able to work 8am - 5pm Eastern Standard Time
Responsibilities
Claims Review and Processing
Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance.
Critical Analysis
Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios.
Timely Processing
Ensure prompt claims processing to meet client standards and regulatory requirements.
Identify and resolve any barriers using effective problem-solving strategies.
Issue Resolution
Collaborate with internal departments to proactively resolve discrepancies and issues.
Use analytical skills to identify root causes and implement solutions.
Confidentiality Maintenance
Uphold confidentiality of patient records and company information in accordance with HIPAA regulations.
Detailed Record Keeping
Maintain thorough and accurate records of claims processed, denied, or requiring further investigation.
Trend Monitoring
Analyze and report trends in claim issues or irregularities to management.
Assist Team Leads with reporting to contribute to continuous process improvements.
Audit Participation
Engage in audits and compliance reviews to ensure adherence to internal and external regulations.
Critically evaluate and recommend process improvements when necessary.
Mentoring
Mentor and train new claims processors as needed.
Requirements
High school diploma or equivalent.
Minimum of five years of experience in medical claims processing, including professional and facility claims, as well as complex and high-dollar claims.
Billing experience doesn't count towards years of experience qualification
Familiarity with ICD-10, CPT, and HCPCS coding systems.
Understanding of medical terminology, healthcare services, and insurance procedures (experience with worker's compensation claims is a plus).
Strong attention to detail and accuracy.
Ability to interpret and apply insurance program policies and government regulations effectively.
Excellent written and verbal communication skills.
Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
Ability to work independently and collaboratively within a team environment.
Commitment to ongoing education and staying current with industry standards and technology advancements.
Experience with claim denial resolution and the appeals process.
Ability to manage a high volume of claims efficiently.
Strong problem-solving capabilities and a customer service-oriented mindset.
Flexibility to adjust to the evolving needs of the client and program changes.
Benefits
401(k) with employer matching
Health insurance
Dental insurance
Vision insurance
Life insurance
Flexible Paid Time Off (PTO)
Paid Holidays
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.
Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
Auto-ApplyTitle Insurance Agency Clerk
Remote job
Job DescriptionSalary: $18.00 per hour
Thank you for your interest in joining our team. If youre looking to be part of a team that values integrity, humility, excellence, challenge, and life-long learning, youve come to the right place. At First Bank we believe in offering opportunities to help individuals build a long and lasting career, and we are currently seeking aTitle Insurance Clerk.
The Title Insurance Clerk helps Southern Illinois Title fulfill its vision by providing quality service and creating profitable trusted relationships.
Duties and Responsibilities
Answers telephone calls, answers inquiries and follows up on requests for information.
Travels to closings and county courthouses.
Processes quotes.
Researches the proper legal description of properties.
Researches and obtains records at courthouse.
Examines documentation such as mortgages, liens, judgments, easements, plat books, maps, contracts, and agreements to verify factors such as properties legal descriptions, ownership, or restrictions. Evaluates information related to legal matters in public or personal records. Researches relevant legal materials to aid decision making.
Prepares reports describing any title encumbrances encountered during searching activities, and outlining actions needed to clear titles.
Prepares and issues Title Commitments and Title Insurance Policies based on information compiled from title search.
Confers with realtors, lending institution personnel, buyers, sellers, contractors, surveyors, and courthouse personnel to exchange title-related information, resolve problems and schedule appointments.
Accurately calculates and collects for closing costs.
Prepares and reviews closing documents and settlement statement for loan or cash closings.
Obtains funding approval, verification and disbursement of funds.
Conducts insured closings with clients, realtors, and loan officers.
Maintains a streamline approach to meet deadlines.
Records all recordable documents.
Conducts 1099 reporting.
Helps scan files into System.
Protects the company and clients by following company policies and procedures.
Performs other duties as assigned.
Qualifications
Skill Requirements:
Analytical skills
Interpreting
Researching
Reporting
Problem solving
Computer usage
Verbal and written communication
Detail orientation
Critical thinking
Complaint resolution
Knowledge: Title Insurance
Work experience: 5 years of banking or title insurance
Certifications: None required
Management experience: None required
Education: High school diploma
Motivations: Desire to grow in career
Work Environment
Work Hours: Monday through Friday, 8:00-5:00 (Additional hours may be required for company meetings or training.)
Job Arrangement: Full-time, permanent
Travel Requirement: Frequent travel is required for closings and research. Additional travel may be required from time to time for client meetings, training, or other work-related duties.
Remote Work: The job role is primarily in-person. A personal or work crisis could prompt the role to become temporarily remote.
Physical Effort: May require sitting for prolonged periods. May occasionally require moving objects up to 30 pounds.
Environmental Conditions: No adverse environmental conditions expected.
Client Facing Role: Yes
The position offers a competitive salary, medical insurance coverage, 401K-retirement plan, and other benefits.
EO / M /F/ Vet / Disability.First Bank is an equal opportunity employer. It is our policy to provide opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, sexual orientation, gender identification, age, national origin, ancestry, physical or mental handicap, or veteran's status. Equal access to programs, service, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify human resources.
This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Applications will be considered for vacancies which arise during the 60-day period following submission. Applicants should complete an updated application if not contacted and/or hired during this 60-day evaluation period.
Replies to all questions will be held in strictest confidence.
In order to be considered for employment, this application must be completed in full.
APPLICANT'S STATEMENT
By submitting an application Iagree to the following statement:
(A) In consideration for the Banks review of this application, I authorize investigation of all statements contained in this electronic application. My cooperation includes authorizing the Bank to conduct a pre-employment drug screen and, when requested by the Bank, a criminal or credit history investigation.
(B) As a candidate for employment, I realize that the Bank requires information concerning my past work performance, background, and qualifications. Much of this information may only be supplied by my prior employers. In consideration for the Bank evaluating my application, I request that the previous employers referenced in my application provide information to the Banks human resource representatives concerning my work performance, my employment relationship, my qualifications, and my conduct while an employee of their organizations. Recognizing that this information is necessary for the Bank to consider me for employment, I release these prior employers and waive any claims which I may have against those employers for providing this information.
(C) I understand that my employment, if hired, is not for a definite period and may be terminated with or without cause at my option or the option of the Bank at any time without any previous notice.
(D) If hired,I will comply with all rules and regulations as set forth in the Banks policy manualand other communications distributed to employees.
(E) If hired,I understand that I am obligated to advise the Bank if I am subject to or observe sexual harassment, or other forms of prohibited harassment or discrimination.
(F) The information submitted in my application is true and complete to the best of my knowledge. I understand that any false or misleading statements or omissions, whether intentional or unintentional, are grounds for disqualification from further consideration of employment or dismissal from employment regardless of when the false or misleading information is discovered.
(G) I hereby acknowledge that I have read the above statement and understand the same.
Remote Medical Biller
Remote job
Practice Resources, LLC (PRL) is seeking a remote Medical Biller. Responsibilities:
Review and entry of daily charges, modifiers and services
Processing and posting of payments, research and follow up on unresolved payment issues
Communicate with offices through calls, e-mails and visits to review billing concerns and provide technical support/training
Receive and initiate patient calls to resolve billing or payment concerns
Research, review and communicate with insurance carriers regarding open accounts receivables
Review HCFAs, C4s electronic edits for submission to insurance companies
Review, research and initiate collection procedures
Qualifications:
All potential candidates must have a high school diploma or GED equivalency required, along with strong communication, organizational and computer skills. Knowledge of Medent, Xifin, NextGen and Epic preferred. One year of experience in Medical Billing preferred.
Practice Resources, LLC offers a competitive salary and benefits package including health, dental, vision, disability and life insurance, 401K/Roth 401K options, PTO and flex spending. This is a remote position that allows you to manage a healthy work-life balance. This position's pay range is: $15.00-$24.00 per hour.
Work from Home - Insurance Verification Representative
Remote job
We are recruiting 100 entry level Remote Insurance Verification Representatives in
FL, NV, SD, TX, and WY.
If you are looking for steady work from home with consistent pay then this is the opportunity for you.
To make sure this is a fit for you, please understand:
You will be on the phone the entire shift.
You will need to overcome simple objections and maintain a positive attitude.
You will need to purchase a USB Headset (if you don't already have one).
True W2 pay check and direct deposit company (not gimmick 1099 pay)
No phone line needed
No cellphone needed
No driving required
No people to meet
No packaging materials
No shipping
No ebay accounts
No phone experience needed (but a serious advantage)
Company Culture
This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them.
This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations.
This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now.
Compensation
$8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour.
Scheduling
The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time).
Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established.
You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided.
(You are NOT required to purchase training materials or anything from them or us.)
Again all you need is
your own computer,
high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds
USB headset.
Insurance Verifier
Remote job
USPI Hill Country Ambulatory Surgery Center is seeking a motivated Insurance Verifier to join our team. We have 1 OR room and 3 Procedure rooms. We perform outpatient surgical procedures in Gastroenterology. We are looking for a candidate to be available Monday-Friday, schedule subject to changed based on surgical schedule and flow of day. Candidate needs to be available for some early mornings and later evenings.
NOT A REMOTE POSITION
Job Summary:
Validating and entering patient information and insurance coverage into the appropriate computer system.
Verify insurance benefits by reviewing our contract and patient's quoted benefits.
Determine co-pay.
Post all insurance and billing comments.
Enter all information into the patient accounting system.
Contact patients regarding money due prior to the date of surgery.
Insurance coverage into the appropriate computer system. Duties may also include communicating with physician offices, insurance carriers, and patient follow-ups.
Duties may also include communicating with physician offices, insurance carriers, and patient follow-ups.
#USP-123
#LI-CM1
Required Skills:
Qualifications:
* Minimum 2 years of experience in insurance verification.
* High school graduate or equivalent
* Excellent communication skills and the ability to communicate with patients over the phone and in person
* Medical Terminology experience preferred
* Forty-five (45) wpm typing skills required.
* Must have the skills necessary to operate the office equipment required to fulfill job duties.
* Familiar with patient accounting software, especially AdvantX.
* Knowledge of Internet Explorer, Microsoft Excel, Microsoft Word, and Outlook.
Insurance Specialist (Remote, Central or Mountain Time) - MEDITECH experience
Remote job
ONE WEEK LEFT to Apply & Interview!
Interviewing now through 10/20/25 for 10/27/25 start date
Multiple positions available - Speedy interview process!
**Meditech experience required**
Support our healthcare partners & help them thrive at Meduit! Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
If you're a skilled communicator eager to make a tangible difference in the healthcare ecosystem, apply today!
Key Responsibilities
Reduce outstanding accounts receivable by managing claims inventoryâ¯
Speak to patients and insurance companies in a professionalâ¯manner regarding their outstanding balancesâ¯
Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯
Request, input, verify, and modify patient's demographic, primary care provider, and payor informationâ¯
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.â¯
Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and proceduresâ¯
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.â¯
Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agenciesâ¯
Work with Claims and Collections in order to assist patients and their families with billing and payment activities
Essential Skills
Integrity
Communication
Problem-solving
Teamwork
Required Qualifications
High School Diploma/GED
2+ years of Denials Management experience
2+ years Medical Billing/Follow-up experience
Meditech expertise
Medicare, Medicaid, and commercial payor experience
Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
Additional Information
Pay: $18-21/hour
Schedule: 8am-5pm Central Time or Mountain Time
Location: Remote
Anticipated start date: 10/6/25
Paid Training: 3 weeks
Internet Speed Test: Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. (you can test your speed here: ***********************
Background check: As a condition of employment, a pre-employment background check will be conducted.
What we offer:
Steady work schedule (remote)
Full comprehensive Paid Training Program (3+ weeks)
Medical, Dental, and Vision insurance
HSA and FSA available
401(K)plans with company match
PTO and Paid holidays
Employer paid life insurance and long-term disability
Internal company growth
What we do:
Meduit was born out of a drive for excellence and a passion for improving revenue cycle management (RCM) for healthcare organizations and the patients they serve. To achieve our goal, we need you! Employees are the cornerstone of our success. As one of the nation's leading RCM solutions companies, we partner with hospital and physician practices in 48 states to provide excellent and compassionate patient engagement.â¯We focus on the payments so our clients can focus on their patients, by living our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and being Results-Oriented. You can find out more about Meduit at ******************
Meduit is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, religion, sex, age, national origin, disability, military status, genetic information, sexual orientation, marital status, domestic violence victim status or status as a protected veteran or any other federal, state, or local protected class.
#LI-Remote
Medical Claims Processor - Remote
Remote job
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
NTT DATA currently seeks a long term **Temporary Medical Claims Processor** to join our team **for a remote position** . Must be able to work **7am - 4 pm CST** **virtual/remote (training is required on-camera, 8 weeks. During training, no time off will be approved).**
This is a US based, W-2 project. All candidates will be paid through NTT DATA only.
**Role Responsibilities:**
-Processing of Professional claim form files by provider
-Reviewing the policies and benefits
-Comply with company regulations regarding HIPAA, confidentiality, and PHI
-Abide with the timelines to complete compliance training of NTT Data/Client
-Work independently to research, review and act on the claims
-Prioritize work and adjudicate claims as per turnaround time/SLAs
-Ensure claims are adjudicated as per clients defined workflows, guidelines
-Sustaining and meeting the client productivity/quality targets to avoid penalties
-Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
-Timely response and resolution of claims received via emails as priority work
-Correctly calculate claims payable amount using applicable methodology/ fee schedule
-Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
-Time management with the ability to cope in a complex, changing environment
-Ability to communicate (oral/written) effectively in a professional office setting
**Required Skills/Experience**
+ 2+ year (s) hands-on experience in **Medicare, Medicaid or Commercial Insurance Claims Processing. Will consider medical billers.**
+ 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools**
+ **Previously performing - in P&Q work environment; work from queue; remotely**
+ Key board skills and computer familiarity -
+ **Toggling back and forth between screens** /can you navigate multiple systems.
+ Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** .
+ Must be able to work **7am - 4 pm CST** online/remote (training is **required on-camera** ).
+ Effective **troubleshooting where you can leverage your research, analysis and problem-solving abilities**
+ **Time management with the ability to cope in a complex, changing environment**
+ **Ability to communicate (oral/written) effectively** in a professional office setting
**Preferences**
Amisys &/or Xcelys claims systems Preferred
**Education:**
+ High school diploma or GED About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
+ \#LI-NorthAmerica
Remote Medical Biller - Full Revenue Cycle (Physical Therapy)
Remote job
Only candidates with 12-24+ months of recent (within the last 6 months)
full revenue cycle
medical billing experience will be considered. Not qualifying: Front desk, scheduling, limited billing exposure, pharmacy, mental health, substance abuse, dental, vision, or medical supply billing.
Preferred experience: Medical specialty, home health, or hospital billing (best match for physical therapy billing).
Location
Remote - Must live in one of these states:
AL, AZ, CA, CO, CT, FL, GA, IL, IN, LA, MA, MI, NC, NM, NV, OH, OK, PA, SC, SD, UT, WA
What You'll Do
Manage full revenue cycle billing: charge entry, claims submission, payment posting, denial management, appeals, and collections
Process insurance claims (commercial, Medicare, Medicaid, multi-state payers)
Conduct payer follow-up to resolve claims and ensure timely reimbursements
Handle denials, appeals, and pre-authorizations
Post payments, reconcile accounts, and identify discrepancies
Answer patient billing questions and collaborate with providers and internal teams
Ensure compliance with HIPAA, payer rules, and CMS regulations
What You Bring
12-24+ months of recent full revenue cycle medical billing in a medical specialty, home health, or hospital setting (required)
EMR/Clearinghouse experience (Athena, eClinicalWorks, Waystar, Change Healthcare a plus)
Familiarity with ICD-10
Strong communication and Excel skills, able to handle high-volume claims
Pay & Benefits
$17-$19/hour (based on experience)
Industry-leading health insurance
100% paid Dental, Vision, Life, and LTD
401(k) with company match
120 hours PTO annually + 6 paid holidays
Company-provided computer
Schedule
Full-time | Monday-Friday | 40 hrs/week
Why Join FYZICAL
FYZICAL is the fastest-growing physical therapy company in America.
We celebrate wins, support each other, and help people feel their best-while creating real career growth for experienced billing professionals.
Keywords: Medical Biller, Medical Billing Specialist, Full Cycle Billing, Claims Submission, Denial Management, Appeals, Collections, Payment Posting, Insurance Verification, ICD-10, CPT, HCPCS, Clearinghouse, EMR, Athena, eClinicalWorks, Waystar, Change Healthcare, WebPT, Prompt
EEO Statement
FYZBIZ LLC is an equal opportunity employer. All employment decisions are based on business needs, job requirements, and individual qualifications.
Auto-ApplyRequirements
Proficient knowledge of ICD-10/HCPCS
Proficient knowledge of Microsoft office & Google based webpages
A/R Follow-up experience
(Preferred)
Collections experience
(Preferred)
Physical Therapy Claims experience (
Preferred
)
Ability to multi-task & a keen attention to detail a must
Minimum of 2+ Years of Medical Billing experience (outside of schooling / externship).
*Remote work setting available after completion of on-site training/probationary period. At the discretion of management and needs of the company.
Note:
This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role.
*Sunbelt Healthcare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Salary Description $16.00
Remote Life Insurance Specialist Position
Remote job
We are seeking a motivated and results-driven Life Insurance Sales Representative to join our team. In this role, you will be responsible for selling life insurance policies to potential clients that have reach out to our agency requesting information. This is a commission-only position, meaning you will be compensated based on the policies you sell.
Responsibilities:
Service our inbound leads and build a client base by networking and using other sales and marketing techniques.
Identify and understand the needs of potential clients to offer appropriate life insurance products.
Present and explain insurance policy options to clients and provide professional advice to help them make informed decisions.
Maintain accurate records of sales, customer information, and client interactions.
Follow up with clients and prospective clients to ensure customer satisfaction and to close sales.
Attend training sessions and stay up to date on industry trends and regulations.
Requirements:
Disciplined work ethic and a desire to succeed.
Excellent communication and interpersonal skills.
Ability to work independently and manage your own schedule.
Strong customer service skills and a client-focused mindset.
Ability to build and maintain relationships with clients and potential clients.
Active life insurance license in the state(s) you will be selling in.
Compensation:
This is a commission-only position, meaning you will be compensated based on the policies you sell. The earning potential is unlimited, and high-performing sales representatives have the opportunity to make a significant income. We provide training and support to help you succeed in this role.
If you are a self-motivated, results-driven sales professional looking for a commission-only position with unlimited earning potential, we want to hear from you. Please submit your resume and cover letter to apply for this position.
If you are interested, you will be expected to schedule a phone interview as soon as you apply and be on time for that appointment. Once you apply, you will receive an email and a text with instructions as to what we want you to do before you click on the link to schedule your phone interview.
As a licensed agent, does it hurt to take a look at the different approach we offer?
We look forward to partnering with you.
Chadd Parker | Regional Sales Manager
Schedule Your Interview Time. ********************************
P: ************
No agent s success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work
Dental Insurance Specialist
Remote job
As part of our Dental Billing Services (DBS) team, the Insurance Specialist will provide Revenue Cycle Management to dental practices across the country by completing client-elected services such as claim submission, claim follow up, payment posting, and benefit verification with data entry.
What You'll Be Doing As Our Insurance Specialist
In serving our dental practice clients, complete a variety of dental services within multiple dental practice management software while maintaining PHI and HIPAA standards. Services may include claim submission, claim follow up, payment posting, and benefit verification with data entry.
Manage day-to-day client communication and ongoing relationships as it relates to client satisfaction and retention, optimizing practice operations and enhancing profitability.
Document all work in forms, spreadsheets and client software, as outlined in our standards.
Contact insurance companies to obtain and record accurate and timely information.
Send daily summary of tasks completed to dental office staff.
Prepare and deliver monthly ROI statistics.
Consistently meet company and department policies and expectations including those surrounding attendance.
Comply with all federal, state, accreditation and institutional policies and procedures.
Maintain confidentiality standards and expectations.
Exhibit exceptional internal and external customer service with all individuals.
Live DentalXChange's company values: Actively Care, Try Hard, Be Humble, and Feedback is a Gift.
Other duties as assigned.
What You'll Bring to The Team As Our Insurance Specialist
Minimum of 5 years of dental office experience.
Ability to work independently from home in a space that is quiet and has high-speed internet connection.
Strong verbal and written communication and interpersonal skills.
Proficient in all MS Office applications, fluid with technology, and use of the internet.
Ability to successfully multitask with accuracy in a fast-paced environment.
Working knowledge of technical and procedural aspects and functions.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
Pay rate is $20.00 per hour.
What We Offer
Challenging and rewarding career opportunities with room for growth as we grow!
Medical, dental, and vision benefits - eligible first of the month after start date
Unlimited PTO
Paid time off for sick, jury duty, bereavement
10 company paid holidays
401k with company match
Health Advocate
Healthcare and dependent care flexible spending accounts
Friendly co-workers and a positive culture!
EDI Health Group dba DentalXChange understands the importance of privacy and takes seriously the need to protect job applicants' personal information. Applicants should be aware that we collect and use personal information in accordance with the California Consumer Privacy Act (CCPA). For more details on how we handle your information and your rights under the CCPA, please visit our Privacy Policy.
DentalXChange is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all associates. The more inclusive we are, the better our work will be.
Auto-ApplyMedical Biller (Client)
Remote job
We are seeking a skilled Medical Biller to join our client's healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements.
Requirements
Job Responsibilities:
Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement.
Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies.
Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered.
Coding: Assign appropriate medical codes (ICD-10, CPT, HCPCS) to diagnoses and procedures for billing purposes, ensuring compliance with coding guidelines and regulations.
Payment Posting: Record and reconcile payments received from insurance companies and patients, applying them to the appropriate accounts in the billing system.
Denial Management: Investigate and appeal claim denials and rejections, identifying and addressing root causes to prevent future issues.
Patient Communication: Communicate with patients regarding billing inquiries, payment plans, and financial assistance options, providing excellent customer service while resolving concerns.
Documentation: Maintain accurate and up-to-date records of billing activities, including claims submissions, payments, and correspondence with insurance companies and patients.
Compliance: Adhere to all relevant healthcare regulations, including HIPAA and billing compliance guidelines, to ensure the integrity and confidentiality of patient information.
Requirements
Education: High school diploma or equivalent required; additional medical billing and coding certification is preferred.
Experience: Minimum of one year of experience in medical billing, preferably in a healthcare setting.
Knowledge: Proficient in medical terminology, billing software (e.g., Epic, Cerner), and insurance claim processing procedures.
Skills: Strong attention to detail, excellent organizational and time management skills, and the ability to multitask in a fast-paced environment.
Communication: Effective verbal and written communication skills, with the ability to interact professionally with patients, providers, and insurance representatives.
Problem-Solving: Demonstrated ability to analyze billing issues, identify solutions, and implement process improvements to optimize revenue cycle management.
Teamwork: Ability to collaborate with colleagues across departments to resolve billing-related issues and achieve organizational goals.
Minimum Technical and Work Environment Requirements:
Internet Connection:
Primary internet connection with a minimum speed of 15 Mbps.
Backup internet connection with at least 10 Mbps.
Backup connection must be capable of supporting work during a power outage.
Primary Device:
Desktop or laptop equipped with at least:
Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
A minimum of 8 GB RAM.
Backup Device:
Must meet or exceed the performance of an Intel Core i3 processor.
Must be functional during power interruptions.
Peripherals and Workspace:
A functioning webcam.
A noise-canceling USB headset.
A quiet, dedicated home office space.
A smartphone for communication and verification purposes.
Benefits
Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.
Auto-ApplyRemote Life Insurance Specialist - Perfect for Stay-at-Home Parents
Remote job
💻 Work from Home | Flexible Schedule | Uncapped Income Potential
Are you a stay-at-home parent looking for a rewarding career that allows you to earn a great income without sacrificing family time? Join The Wilson Agency, a part of Symmetry Financial Group, and build a flexible, work-from-home career helping families secure their financial future!
Why This is a Great Fit for You:
✅ Work Around Your Family's Schedule - Choose your hours & be there for the moments that matter.
✅ No Cold Calling - Work with warm leads (no chasing or selling to friends & family).
✅ High Earning Potential - Commission-based income with uncapped earnings & bonuses.
✅ Training & Mentorship Provided - No experience? No problem! We offer comprehensive training.
✅ Work from Home - No commuting, no daycare costs-earn from the comfort of home!
✅ Growth Opportunities - Advance into leadership roles while still having time for your family.
What You'll Do:
🔹 Help families find affordable life insurance to protect their loved ones.
🔹 Work with pre-qualified leads-these are families already looking for coverage.
🔹 Educate and guide clients through simple, no-pressure policy options.
🔹 Submit applications online and assist clients with the process.
🔹 Learn and grow with a supportive team & mentorship program.
Who We're Looking For:
✔ Stay-at-home parents looking for financial independence & flexible work.
✔ Someone who enjoys helping others and making a difference.
✔ Strong communication and people skills.
✔ Self-motivated individuals who want to take control of their income.
✔ Must be licensed or willing to obtain a Life & Health Insurance License (we help with licensing!).
Compensation & Perks:
💰 Commission-Based - Earn based on your effort, with up to 100%+ per sale.
🎯 Monthly & Quarterly Bonuses - More effort = higher earnings!
🏡 Fully Remote - Work from home & set your own hours.
📈 Career Growth Opportunities - Become a leader while maintaining work-life balance.
🤝 Supportive Community - Ongoing mentorship, coaching & team support.
📩 Apply Now & Build a Career That Works for Your Family!
Auto-ApplyReferrals Specialist
Remote job
Starting at $19.50 hourly
Join Our Team as a Referrals Specialist!
Are you passionate about providing excellent patient care and making a difference in your community? Hawaii Island Community Health Center is looking for a dedicated Referrals Specialist to join our team!
Position Summary:
As a Referrals Specialist, you will play a crucial role in managing external patient referrals and follow-up in collaboration with the provider and other members of the patient care team. Under the general direction of the Health Services Manager and Referrals Supervisor, you will maintain electronic patient files, respond to and fulfill requests for medical records, and assist in the collection of data. Additionally, you will coordinate travel for patients to and from appointments.
Schedule:
Monday-Friday (most weekends off)
Work hours are between 6:00 AM and 6:00 PM, with shifts totaling either 8 hours or 10 hours per day.
Opportunity to work from home on occasions, following work from home guidelines.
Benefits Include:
Retirement plan
Medical, Vision, and Dental Insurance
Pet insurance
Paid time off
Employee Assistance Program
Other ancillary benefits
Education and Experience:
High School graduate or GED certificate
One year of related clinical office experience and/or training; OR any equivalent combination of experience, training, and/or education
Desirable experience includes:
Familiarity with QUEST and other insurance programs
Familiarity with Hawaiʻi Health Care Networks
Knowledge of ICD-10 and CPT coding
Key Responsibilities:
Prioritize patient referrals to manage patient flow for maximum efficiency and optimum care provision
Utilize medical records appropriately to document care within the scope of job duties
Coordinate referrals, preauthorization, and follow-up with appropriate external resources
Develop and maintain tracking systems for referrals to outside resources
Actively participate in quality improvement and risk management programs
Participate as an active team member on the patient care team
Engage in continuing education activities
Demonstrate competency in managed care preauthorization for travel
Document appropriately in the patient medical record
Facilitate quality specialty medical, diagnostic, and therapeutic services via appropriate referral and tracking for follow-up
Maintain positive interpersonal relations with physicians, patients, patient families, visitors, and co-workers in a professional and confidential manner
Embrace the philosophy of continuous quality improvement
Maintain a safe, clean, and confidential working environment consistent with OSHA, HIPAA, and HHC standards
Communicate accurate and pertinent information with patient care providers and other members of the care delivery team to facilitate effective and efficient patient referrals and tracking
Apply age-specific/cultural considerations to the referral process
Manage changes in work demand during the workday
Ensure patient/family satisfaction with referral services
Keep supervisor informed of problems or issues; monitor supplies needed; perform other duties as assigned
Why Join Us?
At Hawaii Island Community Health Center, we are committed to providing high-quality healthcare services to our community. Join our team and be part of a supportive and dynamic environment where you can grow professionally and make a meaningful impact.
Apply Today!
If you are ready to take on this rewarding role, please submit your application and resume. We look forward to welcoming you to our team!
Auto-Apply