28 ago
|
Synthires
|
España
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 Linked
In * Check Email for Next Steps * Participate in Resume Evaluation & Interview Stage
📌 Medical Operations Specialist (Remote | $50/hr) (España)
🏢 Synthires
📍 España