10/19/25 WFH Job Leads: Nonclinical Healthcare Jobs Currently Hiring!

Revenue Cycle Rep at CareCentrix

CareCentrix is a leading provider of home-based healthcare solutions and is seeking a Revenue Cycle Representative, Reconsiderations (RCM) to play a vital role in its financial success. This remote healthcare job is centered on resolving complex claims to ensure accurate and timely reimbursement from payers, requiring specialized knowledge in medical billing and collections within the post-acute care and home healthcare space.

Key Responsibilities and Role Overview

This role focuses on the complex process of claims denials and reconsiderations to maximize receivables. Core responsibilities include:

• Denial Management & Research: Researching and resolving claims that have failed payer edits, necessitating knowledge of various internal and external system applications and payer protocols.

• A/R and Collections: Working directly with payers, internal and external customers, and contract clients to achieve efficient and effective collection results.

• Appeals & Corrections: Determining and initiating action to resolve rejected invoices, preparing payer corrections, and/or executing appeals using electronic and paper processes.

• Documentation & Compliance: Contacting providers, physicians, and/or patients to retrieve appropriate medical documentation to substantiate services and ensuring compliance with regulations like HIPAA.

• Issue Resolution: Overseeing accounts receivable adjustments, analyzing and clearing payment variances, and resolving overpayments and payment rejections.

Required Qualifications and Key Skills (Medical Billing, Coding & Compliance)

Successful candidates will possess a strong foundational knowledge of the healthcare revenue cycle and operational finance:

• Required Education: High School Diploma or equivalent.

• Technical Knowledge: Knowledge of HCPC, CPT, ICD-9 coding, HIPPA, The Fair Credit and Collections Act, and Utilization Management/URAC standards.

• Systems Proficiency: Intermediate competency with Microsoft Office Applications (Excel, Access) and experience utilizing various resources (online payer databases, eligibility platforms) to determine patient eligibility and benefits.

• Core Competencies: Effective analytical, verbal, and written communication skills, with the ability to provide guidance and education on claims processing protocols.

The listed pay for this role is $18-$20 per hour.

Benefits Verification Specialist at CVS

CVS Health is hiring a Benefits Verification Specialist to be a central part of its Revenue Cycle Management (RCM) and patient care process, often supporting critical areas like Coram/CVS Specialty Infusion Services. This Work-at-Home job requires meticulous attention to detail and strong communication to ensure patients can access the necessary medical procedures, treatments, and specialty medications with minimal delay.

Key Responsibilities and Role Overview

The Benefits Verification Specialist is the frontline expert for insurance eligibility and coverage. Core responsibilities include:

• Eligibility & Coverage Verification: Gathering critical member information (policy, group numbers, demographics) and contacting insurance providers to verify eligibility, coverage limits, and specific benefits for services.

• Prior Authorization & Processing: Obtaining required prior authorizations (PAs) and pre-certifications from payers to ensure smooth billing and timely processing of patient prescription orders.

• Patient Communication: Explaining complex coverage details, financial responsibility (co-pays, deductibles), and the verification process to patients, ensuring a positive customer experience.

• Documentation & Compliance: Maintaining accurate and detailed records of all verification activities, collecting documentation, and adhering to compliance standards (e.g., HIPAA).

• Issue Resolution: Investigating and resolving challenges or conflicts that arise during the verification process, working with both payers and patients to find resolutions.

Required Qualifications and Key Skills (Medical Insurance & Customer Care)

CVS Health seeks detail-oriented, customer-focused individuals with experience in the complex insurance landscape:

• Experience: Minimum of 6 months to 1 year of experience in a related field, such as medical insurance, benefits verification, or medical billing. Call center experience is preferred.

• Technical Knowledge: Strong working knowledge of various insurance plans and concepts, including Medicare, Medicaid, third-party vendors, drug cards, major medical benefits, and per diem coverage.

• Systems Proficiency: Proficiency in Microsoft Office applications (specifically Excel, Outlook, and Word) and strong data entry skills.

• Core Competencies: Exceptional attention to detail, analytical, and problem-solving skills, with the ability to respond to patient inquiries empathetically and professionally.

The listed pay range for this role is $17-$31.30 per hour

Outbound Patient Enrollment Specialist at Cadence

Cadence is a fast-growing, mission-driven digital health company focused on delivering proactive, remote care to seniors with chronic conditions. They are hiring a remote Outbound Patient Enrollment Specialist to act as a crucial Outbound Call Agent and the first point of contact for patients referred to their Remote Patient Monitoring (RPM) program by partner physicians. This role is ideal for individuals passionate about patient enrollment and relationship building in the chronic care management space.

Key Responsibilities and Role Overview

This specialist role blends high-volume outbound calling with patient education and relationship management:

• Outbound Enrollment: Conduct a high volume of outbound calls and interact via text to enroll referred patients into the Cadence program.

• Patient Education: Clearly communicate the program's value proposition, benefits, expected outcomes, and patient responsibilities to potential enrollees.

• Relationship Building: Build strong rapport and trust with potential patients to nurture lasting relationships, which is vital for long-term adherence to the chronic care program.

• Scheduling & Follow-Up: Facilitate virtual patient enrollments and schedule follow-up appointments with the clinical Cadence Care team.

• Performance & Quality: Balance maintaining high-quality patient interactions (following scripts while adapting communication) with achieving productivity targets.

Required Qualifications and Key Skills

Successful candidates must thrive in a results-driven environment and possess specific experience in high-volume healthcare communications:

• Experience: Prior experience conducting a high volume of outbound calls and experience working in a healthcare services organization with accountability for performance metrics.

• Patient Engagement: Proven skill in building strong patient relationships and effectively overcoming objections in a phone-based environment.

• Communication: Excellent verbal and written communication skills with the ability to clearly communicate program benefits and address patient concerns.

• Technical Skills: Comfort using CRM platforms and the ability to maintain the highest degree of patient confidentiality (HIPAA).

• Mindset: Ability to thrive in a fast-paced, results-driven, autonomous environment.

Compensation and Work Environment

• Pay & Incentives: The expected total compensation range is up to $20–$23 per hour plus incentives, resulting in an On-Target Earnings (OTE) of $70,000–$80,000.

• Schedule & Location: This is a fully remote position, operating Monday–Friday, 9:00 AM to 6:00 PM in the Pacific, Central, or Mountain Standard Time zones.

• Benefits: Competitive benefits package includes medical, dental, and vision insurance, 401(K) with company match, competitive Paid Time Off (PTO), Paid Parental Leave, and an onboarding stipend for remote equipment and home office setup.

The listed pay for this role is a base salary of $20-$23 per hour and WITH INCENTIVES the on-target earnings (OTE) is $70,000-$80,000 per year.

Care Admin Specialist at Charlie Health

Charlie Health is a virtual Intensive Outpatient Program (IOP) focused on delivering life-saving behavioral health treatment for complex mental health, substance use, and eating disorders. They are hiring a remote, Part-Time Care Admin Specialist to provide essential data operations and administrative support to their admissions and clinical teams. This role is crucial for ensuring the accuracy, integrity, and efficiency of all patient data processes.

Key Responsibilities and Role Overview (Data Management & Administrative Support)

The Care Admin Specialist plays a pivotal operational role, focusing heavily on patient data accuracy and administrative workflow:

• Data Review and Transfer: Accurately and efficiently transfer patient data between key systems, including Salesforce and medical records (EMRs).

• Patient Chart Maintenance: Maintain patient charts and records, ensuring all documentation is complete, up-to-date, and organized according to internal and regulatory guidelines.

• Data Entry and Integrity: Perform manual data entry and updates in databases and EHRs, and monitor data integrity, proactively identifying and resolving discrepancies or errors.

• Administrative Support: Provide direct administrative assistance to the admissions and clinical teams, including scheduling appointments, organizing meetings, and handling correspondence.

• Compliance Adherence: Maintain strict adherence to HIPAA and other compliance standards to protect the privacy and confidentiality of patient information.

• Team Collaboration: Collaborate seamlessly with admissions, clinical, and administrative staff to ensure smooth communication and coordinated patient care.

Required Qualifications and Key Skills

Successful candidates will be highly organized, detail-oriented, and committed to administrative excellence:

• Experience: 1+ years of relevant work experience is required. Previous experience in a healthcare or administrative role relating to data operations, data reconciliation, manual data entry, or data migration is a plus but not required.

• Education: Associate or Bachelor's degree in health sciences, communications, or a relevant field.

• Core Competencies: Strong organizational skills and exceptional attention to detail, with the ability to manage multiple priorities in a fast-paced setting.

• Technical Skills: Knowledge of database systems and tools such as GSheets, Salesforce, and EMRs is a plus.

• Professional Traits: Commitment to maintaining confidentiality and excellent communication and interpersonal skills.

Work Environment and Structure

• Schedule: This is a Part-Time position requiring availability to work 20–28 hours per week.

• Location: Remote, allowing the specialist to work from home.

• Performance: Success is measured by daily productivity, performance metrics, and the ability to prioritize and complete high-priority tasks efficiently.

The pay range for this role was not clearly stated in the job description.