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Onboarding Specialist

Job Details

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

 

Job Details

 

The Onboarding Specialist will grow ExactCare’s patient base throughout the United States by promoting and educating patients on our medication management solutions through phone-based medication assessments, registering patients for our services. The Specialist will build relationships with patients through exceptional customer service, strong education of ExactCare solutions, and acting as a go between the patient and their ExactCare pharmacy team.

 

Responsibilities

  • Conduct a health and medication review with the patient that includes a thorough review of their list of medications and administration instructions and collecting key health information.

  • Responsible for accurate data entry of a patient’s prescription information to ensure the patient will receive the appropriate medications

  • Responsible for achieving key performance metrics as set forth by the management team

  • Create positive first impression of AnewHealth/ExactCare and the unique services we provide.

  • Educate facilities, institutions and patients about ExactCare

  • Manage the patient assessment process to grow business and maintain referral relationships

  • Maintain accurate records and prepare reports for the consistency of information to be shared with the ExactCare team

  • Call on prospective patients daily and schedule them for telephonic reviews and conduct patient follow up calls.

  • Participate in daily team huddles, attend training sessions and other ad-hoc meetings as needed.

  • Open lines of communication with management team

  • Embody AnewHealth’s Core Values in all communications and interactions.

  • Other duties as assigned.

 

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

 

Qualifications

 

These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Education

  • Associate’s degree in a related field, or equivalent experience to justify an exception

 

Experience

  • 1+ year of pharmacy customer service experience

  • Certified Pharmacy Technician preferred

 

Skills & Abilities

  • Excellent problem-solving ability

  • Energetic and compassionate phone skills required

  • Highly motivational and possesses persuasion skills

  • Team oriented and the ability to help others succeed

  • Very organized with strong attention to detail

  • Excellent with multitasking

  • Self-Starter with little to no supervision needed

  • Excellent communication skills; oral, written, facilitation and presentation

  • Proficient in MS Office suite

  • Passion to help people and enrich their lives

 

Physicals/Mental Demands

 

This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. May be necessary to work extended hours as needed.

 

Schedule

 

This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

 

Travel

 

Travel may be required for special organization or department events, department team meetings, or other needs as requested.

 

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

 

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

APPLY HERE: Onboarding Specialist

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Virtual Medical Biller/Coder – Patient Support Claims Processing Rep (Home Based)

Job Details

Remote Role – Location (Open to Remote US)

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product’s value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.

IQVIA has the world’s largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.

We are excited to announce that currently we are looking for a 100% remote (work from home—WFH) contact Patient Support Medical Claims Processing Representative to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The Patient Support Call Center Representative is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

Job Responsibilities:

  • Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
  • Exceptional organizational skills are required
  • May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
  • Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
  • Ability to work 40 hours per week (shifts available: 8:00 am – 5:00 pm ET or, 9:00 am – 6:00 pm ET or, 10:00 am – 7:00 pm ET or, 11:00 am ET – 8:00pm EST) under moderate supervision

Minimum Education & Experience:

  • High School Diploma or equivalent
  • Experience in claim processing required
  • Medical Billing Certification required
  • Coding Certification required
  • Ability to interpret Explanation of Benefits (EOB)
  • HIPPA certified
  • Customer Service Experience preferred
  • Pharmacy Technician experience preferred
  • Bi-lingual (English/Spanish) preferred

The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.

#LI-CES

#LI-Remote

#LI-DNP

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at https://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

 

APPLY HERE: Medical Biller/Coder – Patient Support Claims Processing Rep (Home Based)

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Medical Records Specialist

Job Details

At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it.

 

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

 

Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

 

If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you.

 

For more information about our company, visit CuranaHealth.com.

Summary

The Medical Records Specialist plays an important role in helping our clinical and billing teams deliver great care. This position focuses on gathering, organizing, and managing medical records from both internal systems and outside partners. If you enjoy detail-oriented work, staying organized, and supporting a mission-driven healthcare team, this could be a great fit. You’ll help ensure providers, coders, and billers have the information they need while protecting patient privacy and keeping the department running smoothly.

Essential Duties & Responsibilities

  • Supports Curana Health’s mission, values, and commitment to excellent service.

  • Protects patient information by following all Corporate Compliance and HIPAA guidelines.

  • Handles incoming and outgoing medical records requests from:

    • Insurance carriers, law offices, home health agencies, and DME providers

    • Providers requesting records from labs, hospitals, imaging centers, and other outside organizations

  • Retrieves records from external EMRs to support coding, billing, and clinical workflows.

  • Ensures all work follows department policies, procedures, and quality standards.

  • Meets established performance goals and maintains timely follow-through on tasks.

  • Organizes and maintains accurate files, logs, and reports for the medical records department.

Qualifications

  • High school diploma or equivalent

  • At least two years of healthcare experience, including basic medical terminology

We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas.

 

This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve.

 

Apply
Submit a Referral
 
 
 
 

APPLY HERE: Medical Records Specialist

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IC Administrative UM Support (1099)

Job Details

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

Location: Remote with US ONLY – work must be done within the US ONLY
 
 
Job Overview:
 
This is a REMOTE Independent Contract (IC-1099) position (equipment provided) performing medical claim denial research and follow-up work with insurance companies via outbound phone calls to resolve appeals that have been submitted but remain without determination.
 
 
Flexible Schedule but You MUST commit to at least 30 hours per week (after training) 
 
 
Required Start Date and Training Schedule:
  • You MUST be able to start on Tuesday, 1/20/2026, and attend the following training class in full:
    • Tuesday, 1/20/26, 8:30 AM – 5:00 PM EST
    • Wednesday, 1/21/26, 8:30 AM – 5:00 PM EST
    • Thursday, 1/22/26, 8:30 AM – 5:00 PM EST
    • Friday, 1/23/26, 8:30 AM – 5:00 PM EST
    • Monday, 1/26/26, 8:30 AM – 5:00 PM EST
 
Hourly Salary: $20.00
  • Training: $20.00/hour 
  • After Training and Quality requirements are met: $20.00/hour
 
Job Summary
  • Perform denial research and follow-up work with insurance companies via phone to resolve appeals that have been submitted but remain without a determination
  • Compile multiple documents into appeal bundles and submit appeal bundles to payers in a timely manner
  • Determine and document appeal timeframes and payer process per facility within CorroHealth proprietary system
  • Transcribe information from clients’ EMRs and payer portals into required electronic format; check completed work for accuracy
  • Monitor and complete tasks within shared inboxes and internal request dashboards
  • Receive and document incoming emails, calls, tickets, or voicemails
  • Follow up with the client or internal staff via email or phone for additional information as requested
  • Export and upload documents within CorroHealth proprietary system
  • Cross-trained on various functions within the department to support other teams as needed
  • Other responsibilities as requested by management
 
Minimum Qualifications:
  • Computer proficient. Must have intermediate skills with Outlook and Excel.
  • Must be able to schedule meetings, log onto Teams for meetings.
  • Must be able to open a new excel workbook, use formulas such as; adding and subtracting, copying and pasting.
  • Must be able to type a minimum of 25wpm
  • Detail oriented
  • Shows initiative and responsibility in taking the necessary steps towards problem resolution
  • Works independently, but is a team player
  • Able to work in a fast-paced environment
  • Possess good verbal and written communication skills
  • Required to keep all client and sensitive information confidential
  • Strict adherence to HIPAA/HITECH compliance
  • Great with time management and ability to work efficiently from your home office

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate

APPLY HERE: IC Administrative UM Support (1099)

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