Join the LLR family of private equity-backed growth companies.

Who We Are:

Nonstop Administration and Insurance Services, Inc. is a fast-growing health insurance company committed to making high-quality, affordable healthcare accessible to everyone through our employer-sponsored solution, Nonstop Health®. Here, you’re joining more than a job—you’re part of a mission to transform how brokers, clients, and members experience healthcare. You’ll help build strong partnerships, grow our client base, and deliver exceptional service that truly makes a difference. We move fast, work efficiently, and innovate constantly—from automation to new products—so you can make an impact and help shape the future of healthcare.

What Nonstop is Looking For:

Nonstop Administration and Insurance Services, Inc. is seeking a detail-oriented, empathetic, and knowledgeable Substantiation Agent to join our team. In this role, you will review and resolve substantiation tickets, guide members through the documentation process, and ensure compliance with healthcare regulations and company policies. Your work will directly impact the member experience, so a passion for service and a deep understanding of medical insurance claims and billing is key.

Primary Responsibilities:

• Resolve substantiation tickets promptly with professionalism and clarity, providing high-level customer service through written and verbal communication
• Maintain accurate, thorough case notes and escalate issues to leadership when appropriate
• Work effectively in a fast-paced, remote work environment with high-volume ticket traffic
• Demonstrate expert understanding of healthcare coverage, including in-network and out-of-network services, provider eligibility, and service classifications
• Review and explain Explanation of Benefits (EOBs), provider billing statements, and other medical documentation
• Occasionally coordinate with medical carriers and provider billing departments to resolve claim discrepancies
• De-escalate difficult member situations by offering calm, empathetic, and solutions-focused support
• Ensure all interactions reflect a commitment to member satisfaction and positive outcomes
• Build trust and foster positive relationships by going above and beyond for members
• Adhere strictly to HIPAA and confidentiality policies, as well as internal processes and compliance standards
• Engage in ongoing training and professional development to stay current on healthcare trends and substantiation best practices

Qualifications:

• 2+ years of experience in healthcare claims, substantiation, insurance, or medical billing preferred
• Strong knowledge of EOBs, medical terminology, and insurance processes
• Strong attention to detail and accuracy in documentation
• Proven ability to manage multiple tasks and meet deadlines in a high-volume environment
• Experience working with sensitive health information in accordance with HIPAA
• Commitment to high-quality customer service and member advocacy
• Tech-savvy with the ability to learn and navigate internal systems and ticketing tools
• Strong communication skills—verbal and written
• Ability to work independently and in a collaborative, remote environment
• Problem-solving and critical thinking skills

Preferred Skills, Experience and Education:

• Proficient with Google Suite products (Sheets, Docs, etc.) or equivalents
• Familiarity with medical insurance and medical benefits
• Bachelor’s degree preferred; equivalent experience considered
• Applies critical thinking and balanced judgment to solve problems and drive confident decisions
• Must demonstrate proficiency in AI-driven tools and solutions to improve processes, optimize performance, and support continuous innovation

Work Environment and Essential Functions of the Job:

• Remote role with regular collaboration via video, phone, email, and messaging platforms
• Ability to travel for team meetings, trainings, or company events
• Access to a quiet, distraction-free workspace suitable for confidential work
• Reliable high-speed internet connection
• Collaborates efficiently and communicates clearly in fast-paced, cross-functional environments
• Ability to use a computer and productivity software for extended periods
• Ability to communicate clearly in both verbal and written formats
• Reasonable accommodations will be provided as needed

Why You’ll Love Working Here:

• Health, fully covered: 100% of medical, dental, and vision premiums for you and your dependents
• Fully remote position
• Technology allowance
• Flexible PTO and holidays
• Financial wellness: 401(k) match
• Make an impact: Your work truly matters every day
• Pay Rate - $28.85/hr

Employment Eligibility:

Applicants must be legally authorized to work in the United States without current or future sponsorship. Nonstop Administration and Insurance Services, Inc. is unable to sponsor or assume sponsorship of employment visas at this time.

Nonstop 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.

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