Medical Operations Specialist (Remote | $50/hr) (Soria)

Medical Operations Specialist (Remote | $50/hr) (Soria)

29 ago
|
Synthires
|
Soria

29 ago

Synthires

Soria

Remoto: Teletrabajo

Healthcare Administrative SpecialistLocation: Remote (United States)Engagement Type: Hourly ContractCompensation: $40–$50/hourAbout the OpportunityThis opportunity is for experienced Healthcare Administrative and Operations professionals with hands-on expertise in the back-office workflows that support medical practices, hospitals, and health plans.The role focuses on applying real-world healthcare administrative experience across patient access, prior authorizations, claims, revenue cycle operations, provider enrollment, payer operations, and health information management.This is a healthcare administrative and operational role — not a medical coding or clinical care position.Key Responsibilities- Manage and evaluate patient registration, scheduling, insurance eligibility verification, benefits interpretation, intake, and referral workflows.- Support prior authorization processes, including initiating, submitting, tracking, and resolving authorization requests through payer portals.- Handle claims and revenue cycle workflows, including claim submission, status tracking, denials, appeals, A/R follow-up, and rejection resolution.- Review remittance and payment workflows, including Electronic Remittance Advice (ERA), payment posting, and reconciliation.- Support provider and payer operations, including credentialing, provider enrollment, payer configuration, appeals, grievances, and member/provider services.- Manage health information workflows, medical records administration, release of information,



and day-to-day practice operations.- Apply hands-on knowledge of healthcare systems and administrative workflows to support high-quality project outcomes.Required Qualifications- 3+ years of daily, hands-on experience in a healthcare administrative, operational, or back-office role.- Currently working in a healthcare administrative role.- Direct experience with healthcare administrative systems, including payer portals, EHR/practice-management platforms, and/or clearinghouses.- Experience with platforms such as Availity, Optum/Change Healthcare, Waystar, Office Ally, UHC Link, BCBS, Aetna, or comparable payer systems.- Strong understanding of healthcare administrative workflows, documentation, and operational processes.- Excellent attention to detail, problem-solving, and written communication skills.- Must be based in the United States.Idóneo BackgroundsRelevant professional backgrounds may include:- Practice Administrator / Medical Office Manager- Revenue Cycle Specialist / RCM Analyst- Medical Billing Coordinator / Full-Cycle Biller- Patient Access Lead / Intake / Referral Coordinator- Prior Authorization Specialist- Denials / Claims Resolution Specialist- Credentialing / Provider Enrollment Specialist- Health Plan / Payer Operations Specialist- Health Information Management (HIM) / Medical Records AdministratorCompensation- Competitive compensation of $40–$50/hour.- Weekly payments.- Independent contractor engagement.Application Process- Easy Apply on LinkedIn- Check Email for Next Steps- Participate in Resume Evaluation & Interview Stage

📌 Medical Operations Specialist (Remote | $50/hr) (Soria)
🏢 Synthires
📍 Soria

Postulate a este anuncio

Muestra tus habilidades a la empresa, rellenar el formulario y deja un toque personal en la carta, ayudará el reclutador en la elección del candidato.

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: medical operations specialist (remote | $50/hr) (soria) / soria

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: medical operations specialist (remote | $50/hr) (soria) / soria