1/13/26 Jobs List: WFH Nonclinical Billing & Provider Enrollment Jobs for Healthcare Workers

Application Lifecycle: Prepare, submit, and track approximately 1,000 provider enrollment applications per year for governmental and commercial payers.

Timeline Management: Monitor applications to ensure Medicare approvals are received in <3 months and Medicaid in <6 months to prevent billing delays.

System Management: Use Salesforce and DocuSign to manage bulk data imports, document signatures, and maintain provider "source of truth" records.

Liaison Work: Serve as the primary bridge between providers, the billing company, and insurance payer representatives to resolve enrollment roadblocks.

Compliance & Data Integrity: Deactivate inactive providers from payer rosters to maintain federal/state compliance and prevent fraud/waste.

Research & Resolution: Deep-dive into payer issues and claims denials related to enrollment to identify root causes and implement fixes.

Education: High School Diploma or GED required (Associate’s or Bachelor’s degree preferred).

Experience: Previous experience in healthcare administration, credentialing, or provider enrollment is highly preferred.

Technical Proficiency: Advanced skills in Microsoft Office Suite (Excel is critical) and familiarity with Salesforce and online enrollment portals (like PECOS/CAQH).

Speed & Accuracy: Ability to manage a high volume of complex data with an error rate of less than 10%.

Communication: Strong professional presence for interacting with clinicians and high-level insurance representatives.

Work Style: Must be comfortable working in a 100% remote environment with little day-to-day guidance.

Forms Management: Process and complete FMLA and Short-Term Disability paperwork using industry-standard responses tailored to specific medical specialties.

Patient Advocacy: Communicate with patients and physician coordinators regarding the status of disability/FMLA paperwork with a patient-centered attitude.

PHI Validation: Validate and process all incoming requests for Protected Health Information (PHI) in accordance with HIPAA regulations.

Call Handling: Answer incoming calls on multiple lines, providing attentive customer service and capturing call data in Excel tracking logs.

Data Integrity: Update and maintain an Accounting of Disclosure Log for all medical records released and conduct quality screenings on incoming PHI.

Workflow Oversight: Monitor EMR accounts daily to ensure all requests are received and processed within required timeframes.

Experience: 1 year of prior experience in a medical records department or a similar healthcare setting.

Education: High School Diploma or GED required.

Technical Skills: Strong proficiency in Microsoft Word and Excel; ability to use digital tools like e-fax, scanners, and multi-line phone systems.

Typing Speed: Must be able to type at least 50 WPM.

Compliance: Must maintain current and yearly HIPAA certification (training usually provided).

Soft Skills: Excellent organizational skills, the ability to multi-task, and a proven track record of customer satisfaction.

Account Classification: Identify the correct "Financial Class" for patient accounts and enter them accurately into the billing system.

Validation & Corrections: Post extracts and correct any validation errors within the system to maintain a clean billing cycle.

Eligibility Research: Deep-dive into patient insurance coverage to identify the correct payers and resolve eligibility-related denials.

Denial Management: Process electronic rejections and denials, identify the root cause (e.g., incorrect payer mapping), and implement solutions.

Liaison & Reporting: Identify trends in incoming data/errors and communicate these insights to the leadership team.

Practice Maintenance: Process duplicate folders, duplicate documentation, and exception reports (Laserfiche) to ensure timely processing.

Documentation Retrieval: Access site portals and various applications to retrieve missing documentation required by payers.

Education: High School Diploma or GED required.

Experience: 1 or more years of experience in billing operations is required.

Healthcare Knowledge: Prior experience in the healthcare industry and knowledge of payer classifications (Medicare, Medicaid, Private, etc.) is preferred.

Analytical Skills: Ability to read and interpret Explanation of Benefits (EOB) and identify trends in complex data.

Tech Savvy: Basic proficiency in Microsoft Office (especially Excel for tracking) and the ability to learn proprietary RCM software.

Attention to Detail: High degree of accuracy is critical; errors in this role can lead to significant revenue loss or compliance issues.