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

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

29 ago
|
Synthires
|
Valencia

29 ago

Synthires

Valencia

Healthcare Administrative Specialist

Location: Remote (United States)

Engagement Type: Hourly Contract

Compensation: $40–$50/hour

About the Opportunity
This 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 Backgrounds
Relevant 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 Administrator
Compensation
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) (Valencia)
🏢 Synthires
📍 Valencia

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